Intervención logopédica en un caso de disfagia orofaríngea tras ictus isquémico bulbar combinando ejercicios motores, estimulación química y estimulación eléctrica neuromuscular

Abstract

Background

Oropharyngeal dysphagia is a prevalent disorder that produces serious complications for the health and quality of life of patients.

Objective

The objective of this work was to carry out a speech therapy intervention combining motor exercises, chemical stimulation and neuromuscular electrical stimulation for the rehabilitation of oropharyngeal dysphagia in a case of bulbar ischemic stroke.

Patients and methods

An intervention protocol combining motor exercises, chemical stimulation and neuromuscular electrical stimulation was developed and applied to a single patient, evaluating the result through a retrospective study.

Results

After 2 months of treatment and 45 sessions, the patient improved the sensitivity of the oropharynx, recovered smell and taste, reduced pharyngeal residue, progressed in oral tolerance to greater volumes of nectar consistency and began oral tolerance of liquid consistency.

Conclusions

This intervention could help improve oropharyngeal sensitivity and oral tolerance in patients with oropharyngeal dysphagia.