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Swallow Therapy

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Neurologic and Neurodegenerative Diseases of the Larynx

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Abstract

The larynx is a complex organ that directly participates in many automatic and skilled tasks, such as breathing, coughing, Valsalva, voicing, and swallowing. This requires integrating autonomic and somatic afferent and efferent information to perform these behaviors while serving general homeostasis. During swallowing, the larynx acts as the primary protection to the airway by closing and elevating during the pharyngeal swallow. This swallow apnea is highly coordinated with breathing and is crucial for safe swallowing. Many diseases, disorders, and conditions, especially neurologic in origin, can compromise timely airway protection and result in dysphagia. As such, it is crucial that the clinician has the appropriate background on anatomy and physiology as it pertains to swallowing and related behaviors and a deep understanding of how neurologic conditions may cause dysphagia. Hypothesis-driven evaluation almost always includes instrumented evaluation and leads to grounded, evidence-based treatment plans. Interdisciplinary management is paramount to patient outcomes. Treatment often includes a combination of compensatory strategies, diet modification, exercises, behavioral techniques, surgical intervention, patient goals, and quality of life considerations.

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References

  1. McCulloch TM, Van Daele D, Ciucci MR. Otolaryngology head and neck surgery: an integrative view of the larynx. Head Neck. 2011;33(Suppl 1):S46–53.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Horton KK, Segers LS, Nuding SC, O’Connor R, Alencar PA, Davenport PW, et al. Central respiration and mechanical ventilation in the gating of swallow with breathing. Front Physiol. 2018;9:785.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Smith JC, Ellenberger HH, Ballanyi K, Richter DW, Feldman JL. Pre-Botzinger complex: a brainstem region that may generate respiratory rhythm in mammals. Science. 1991;254(5032):726–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Bordoni B, Zanier E. Anatomic connections of the diaphragm: influence of respiration on the body system. J Multidiscip Healthc. 2013;6:281–91.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Canning BJ, Chang AB, Bolser DC, Smith JA, Mazzone SB, McGarvey L, et al. Anatomy and neurophysiology of cough: CHEST Guideline and Expert Panel report. Chest. 2014;146(6):1633–48.

    Article  PubMed  Google Scholar 

  6. Canning BJ. Afferent nerves regulating the cough reflex: mechanisms and mediators of cough in disease. Otolaryngol Clin N Am. 2010;43(1):15–25, vii.

    Article  Google Scholar 

  7. Kubin L, Alheid GF, Zuperku EJ, McCrimmon DR. Central pathways of pulmonary and lower airway vagal afferents. J Appl Physiol (1985). 2006;101(2):618–27.

    Article  Google Scholar 

  8. Martin-Harris B, Brodsky MB, Price CC, Michel Y, Walters B. Temporal coordination of pharyngeal and laryngeal dynamics with breathing during swallowing: single liquid swallows. J Appl Physiol (1985). 2003;94(5):1735–43.

    Article  Google Scholar 

  9. McFarland DH, Martin-Harris B, Fortin AJ, Humphries K, Hill E, Armeson K. Respiratory-swallowing coordination in normal subjects: lung volume at swallowing initiation. Respir Physiol Neurobiol. 2016;234:89–96.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Martin-Harris B. Clinical implications of respiratory-swallowing interactions. Curr Opin Otolaryngol Head Neck Surg. 2008;16(3):194–9.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Costa MM, Lemme EM. Coordination of respiration and swallowing: functional pattern and relevance of vocal folds closure. Arq Gastroenterol. 2010;47(1):42–8.

    Article  PubMed  Google Scholar 

  12. Dozier TS, Brodsky MB, Michel Y, Walters BC Jr, Martin-Harris B. Coordination of swallowing and respiration in normal sequential cup swallows. Laryngoscope. 2006;116(8):1489–93.

    Article  PubMed  Google Scholar 

  13. Martin-Harris B, Brodsky MB, Michel Y, Ford CL, Walters B, Heffner J. Breathing and swallowing dynamics across the adult lifespan. Arch Otolaryngol Head Neck Surg. 2005;131(9):762–70.

    Article  PubMed  Google Scholar 

  14. Argolo N, Sampaio M, Pinho P, Melo A, Nobrega AC. Videofluoroscopic predictors of penetration-aspiration in Parkinson’s disease patients. Dysphagia. 2015;30(6):751–8.

    Article  PubMed  Google Scholar 

  15. Paydarfar D, Gilbert RJ, Poppel CS, Nassab PF. Respiratory phase resetting and airflow changes induced by swallowing in humans. J Physiol. 1995;483(Pt 1):273–88.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Benditt JO. Pathophysiology of neuromuscular respiratory diseases. Clin Chest Med. 2018;39(2):297–308.

    Article  PubMed  Google Scholar 

  17. Rempel G. The importance of good nutrition in children with cerebral palsy. Phys Med Rehabil Clin N Am. 2015;26(1):39–56.

    Article  PubMed  Google Scholar 

  18. Martin-Harris B, McFarland D, Hill EG, Strange CB, Focht KL, Wan Z, et al. Respiratory-swallow training in patients with head and neck cancer. Arch Phys Med Rehabil. 2015;96(5):885–93.

    Article  PubMed  Google Scholar 

  19. Haymana C, Aydogdu A, Demirci I, Dinc M, Demir O, Torun D, et al. Increased endothelial dysfunction and insulin resistance in patients with klinefelter syndrome. Endocr Metab Immune Disord Drug Targets. 2018;18(4):401–6.

    Article  CAS  PubMed  Google Scholar 

  20. Troche MS, Huebner I, Rosenbek JC, Okun MS, Sapienza CM. Respiratory-swallowing coordination and swallowing safety in patients with Parkinson’s disease. Dysphagia. 2011;26(3):218–24.

    Article  PubMed  Google Scholar 

  21. Molfenter SM, Steele CM. The relationship between residue and aspiration on the subsequent swallow: an application of the normalized residue ratio scale. Dysphagia. 2013;28(4):494–500.

    Article  PubMed  Google Scholar 

  22. Nozaki S, Sugishita S, Saito T, Umaki Y, Adachi K, Shinno S. Prolonged apnea/hypopnea during water swallowing in patients with amyotrophic lateral sclerosis. Rinsho Shinkeigaku. 2008;48(9):634–9. [Article in Japanese].

    Article  PubMed  Google Scholar 

  23. Butler SG, Stuart A, Pressman H, Poage G, Roche WJ. Preliminary investigation of swallowing apnea duration and swallow/respiratory phase relationships in individuals with cerebral vascular accident. Dysphagia. 2007;22(3):215–24.

    Article  PubMed  Google Scholar 

  24. Aiello M, Rampello A, Granella F, Maestrelli M, Tzani P, Immovilli P, et al. Cough efficacy is related to the disability status in patients with multiple sclerosis. Respiration. 2008;76(3):311–6.

    Article  PubMed  Google Scholar 

  25. Ebihara S, Saito H, Kanda A, Nakajoh M, Takahashi H, Arai H, et al. Impaired efficacy of cough in patients with Parkinson disease. Chest. 2003;124(3):1009–15.

    Article  PubMed  Google Scholar 

  26. Kagel MC, Leopold NA. Dysphagia in Huntington’s disease: a 16-year retrospective. Dysphagia. 1992;7(22):106–14.

    Google Scholar 

  27. Altman KW, Richards A, Goldberg L, Frucht S, McCabe DJ. Dysphagia in stroke, neurodegenerative disease, and advanced dementia. Otolaryngol Clin N Am. 2013;46(6):1137–49.

    Article  Google Scholar 

  28. Manor Y, Oestreicher-Kedem Y, Gad A, Zitser J, Faust-Socher A, Shpunt D, et al. Dysphagia characteristics in Huntington’s disease patients: insights from the fiberoptic endoscopic evaluation of swallowing and the swallowing disturbances questionnaire. CNS Spectr. 2018:1–6.

    Google Scholar 

  29. Rosler A, Pfeil S, Lessmann H, Hoder J, Befahr A, von Renteln-Kruse W. Dysphagia in dementia: influence of dementia severity and food texture on the prevalence of aspiration and latency to swallow in hospitalized geriatric patients. J Am Med Dir Assoc. 2015;16(8):697–701.

    Article  PubMed  Google Scholar 

  30. Lee SI, Yoo JY, Kim M, Ryu JS. Changes of timing variables in swallowing of boluses with different viscosities in patients with dysphagia. Arch Phys Med Rehabil. 2013;94(1):120–6.

    Article  PubMed  Google Scholar 

  31. Kai K, Hashimoto M, Amano K, Tanaka H, Fukuhara R, Ikeda M. Relationship between eating disturbance and dementia severity in patients with Alzheimer’s disease. PLoS One. 2015;10(8):e0133666.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Suh MK, Kim H, Na DL. Dysphagia in patients with dementia: Alzheimer versus vascular. Alzheimer Dis Assoc Disord. 2009;23(2):178–84.

    Article  PubMed  Google Scholar 

  33. Sato E, Hirano H, Watanabe Y, Edahiro A, Sato K, Yamane G, et al. Detecting signs of dysphagia in patients with Alzheimer’s disease with oral feeding in daily life. Geriatr Gerontol Int. 2014;14(3):549–55.

    Article  PubMed  Google Scholar 

  34. Monteiro L, Souza-Machado A, Pinho P, Sampaio M, Nobrega AC, Melo A. Swallowing impairment and pulmonary dysfunction in Parkinson’s disease: the silent threats. J Neurol Sci. 2014;339(1–2):149–52.

    Article  PubMed  Google Scholar 

  35. Nienstedt JC, Bihler M, Niessen A, Plaetke R, Potter-Nerger M, Gerloff C, et al. Predictive clinical factors for penetration and aspiration in Parkinson’s disease. Neurogastroenterol Motil. 2019;31(3):e13524.

    Article  CAS  PubMed  Google Scholar 

  36. Cvejic L, Harding R, Churchward T, Turton A, Finlay P, Massey D, et al. Laryngeal penetration and aspiration in individuals with stable COPD. Respirology. 2011;16(2):269–75.

    Article  PubMed  Google Scholar 

  37. Heemskerk AW, Roos RA. Dysphagia in Huntington’s disease: a review. Dysphagia. 2011;26(1):62–6.

    Article  PubMed  Google Scholar 

  38. Cekici H, Acar Tek N. Determining energy requirement and evaluating energy expenditure in neurological diseases. Nutr Neurosci. 2018:1–11.

    Google Scholar 

  39. Easterling CS, Robbins E. Dementia and dysphagia. Geriatr Nurs. 2008;29(4):275–85.

    Article  PubMed  Google Scholar 

  40. Plow M, Finlayson M, Cho C. Correlates of nutritional behavior in individuals with multiple sclerosis. Disabil Health J. 2012;5(4):284–91.

    Article  PubMed  Google Scholar 

  41. Mandy A, Sims T, Stew G, Onions D. Manual feeding device experiences of people with a neurodisability. Am J Occup Ther. 2018;72(3):7203345010p1-p5.

    Article  Google Scholar 

  42. Bilney B, Morris ME, Perry A. Effectiveness of physiotherapy, occupational therapy, and speech pathology for people with Huntington’s disease: a systematic review. Neurorehabil Neural Repair. 2003;17(1):12–24.

    Article  PubMed  Google Scholar 

  43. Fritz NE, Rao AK, Kegelmeyer D, Kloos A, Busse M, Hartel L, et al. Physical therapy and exercise interventions in Huntington’s disease: a mixed methods systematic review. J Huntingtons Dis. 2017;6(3):217–35.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Vermunt N, Harmsen M, Westert GP, Olde Rikkert MGM, Faber MJ. Collaborative goal setting with elderly patients with chronic disease or multimorbidity: a systematic review. BMC Geriatr. 2017;17(1):167.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Steele CM, Alsanei WA, Ayanikalath S, Barbon CE, Chen J, Cichero JA, et al. The influence of food texture and liquid consistency modification on swallowing physiology and function: a systematic review. Dysphagia. 2015;30(1):2–26.

    Article  PubMed  Google Scholar 

  46. Cichero JA, Lam P, Steele CM, Hanson B, Chen J, Dantas RO, et al. Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: the IDDSI Framework. Dysphagia. 2017;32(2):293–314.

    Article  PubMed  Google Scholar 

  47. Robbins J, Gensler G, Hind J, Logemann JA, Lindblad AS, Brandt D, et al. Comparison of 2 interventions for liquid aspiration on pneumonia incidence: a randomized trial. Ann Intern Med. 2008;148(7):509–18.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Effros RM, Jacobs ER, Schapira RM, Biller J. Response of the lungs to aspiration. Am J Med. 2000;108(Suppl 4a):15S–9S.

    Article  CAS  PubMed  Google Scholar 

  49. Holas MA, DePippo KL, Reding MJ. Aspiration and relative risk of medical complications following stroke. Arch Neurol. 1994;51(10):1051–3.

    Article  CAS  PubMed  Google Scholar 

  50. Gillman A, Winkler R, Taylor NF. Implementing the free water protocol does not result in aspiration pneumonia in carefully selected patients with dysphagia: a systematic review. Dysphagia. 2017;32(3):345–61.

    Article  PubMed  Google Scholar 

  51. Groher ME, Crary MA. Dysphagia: clinical management in adults and children. 2nd ed. St. Louis: Elsevier; 2016.

    Google Scholar 

  52. McCullough GH, Kim Y. Effects of the Mendelsohn maneuver on extent of hyoid movement and UES opening post-stroke. Dysphagia. 2013;28(4):511–9.

    Article  PubMed  Google Scholar 

  53. Kupirovic UP, Elmadfa I, Juillerat MA, Raspor P. Effect of saliva on physical food properties in fat texture perception. Crit Rev Food Sci Nutr. 2017;57(6):1061–77.

    Article  CAS  PubMed  Google Scholar 

  54. Wheeler Hegland K, Huber JE, Pitts T, Davenport PW, Sapienza CM. Lung volume measured during sequential swallowing in healthy young adults. J Speech Lang Hear Res. 2011;54(3):777–86.

    Article  PubMed  Google Scholar 

  55. Gao J, Zhang HJ. Effects of chin tuck against resistance exercise versus Shaker exercise on dysphagia and psychological state after cerebral infarction. Eur J Phys Rehabil Med. 2017;53(3):426–32.

    PubMed  Google Scholar 

  56. Sciote JJ, Horton MJ, Rowlerson AM, Link J. Specialized cranial muscles: how different are they from limb and abdominal muscles? Cells Tissues Organs. 2003;174(1–2):73–86.

    Article  PubMed  Google Scholar 

  57. Thomas LB, Harrison AL, Stemple JC. Aging thyroarytenoid and limb skeletal muscle: lessons in contrast. J Voice. 2008;22(4):430–50.

    Article  PubMed  Google Scholar 

  58. McMullen CA, Butterfield TA, Dietrich M, Andreatta RD, Andrade FH, Fry L, et al. Chronic stimulation-induced changes in the rodent thyroarytenoid muscle. J Speech Lang Hear Res. 2011;54(3):845–53.

    Article  PubMed  Google Scholar 

  59. Lenell C, Newkirk B, Johnson AM. Laryngeal neuromuscular response to short- and long-term vocalization training in young male rats. J Speech Lang Hear Res. 2019;62(2):247–56.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Schaser AJ, Ciucci MR, Connor NP. Cross-activation and detraining effects of tongue exercise in aged rats. Behav Brain Res. 2016;297:285–96.

    Article  PubMed  Google Scholar 

  61. Connor NP, Russell JA, Wang H, Jackson MA, Mann L, Kluender K. Effect of tongue exercise on protrusive force and muscle fiber area in aging rats. J Speech Lang Hear Res. 2009;52(3):732–44.

    Article  PubMed  Google Scholar 

  62. Kao YC, Chen SH, Wang YT, Chu PY, Tan CT, Chang WD. Efficacy of voice therapy for patients with early unilateral adductor vocal fold paralysis. J Voice. 2017;31(5):567–75.

    Article  PubMed  Google Scholar 

  63. Fujimaki Y, Tsunoda K, Kobayashi R, Tonghyo C, Tanaka F, Kuroda H, et al. Independent exercise for glottal incompetence to improve vocal problems and prevent aspiration pneumonia in the elderly: a randomized controlled trial. Clin Rehabil. 2017;31(8):1049–56.

    Article  PubMed  Google Scholar 

  64. Robbins J, Butler SG, Daniels SK, Diez Gross R, Langmore S, Lazarus CL, et al. Swallowing and dysphagia rehabilitation: translating principles of neural plasticity into clinically oriented evidence. J Speech Lang Hear Res. 2008;51(1):S276–300.

    Article  PubMed  Google Scholar 

  65. Britton D, Benditt JO, Merati AL, Miller RM, Stepp CE, Boitano L, et al. Associations between laryngeal and cough dysfunction in motor neuron disease with bulbar involvement. Dysphagia. 2014;29(6):637–46.

    Article  PubMed  Google Scholar 

  66. Plowman EK, Watts SA, Robison R, Tabor L, Dion C, Gaziano J, et al. Voluntary cough airflow differentiates safe versus unsafe swallowing in amyotrophic lateral sclerosis. Dysphagia. 2016;31(3):383–90.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Troche MS, Schumann B, Brandimore AE, Okun MS, Hegland KW. Reflex cough and disease duration as predictors of swallowing dysfunction in Parkinson’s disease. Dysphagia. 2016;31(6):757–64.

    Article  PubMed  Google Scholar 

  68. Komatsu R, Okazaki T, Ebihara S, Kobayashi M, Tsukita Y, Nihei M, et al. Aspiration pneumonia induces muscle atrophy in the respiratory, skeletal, and swallowing systems. J Cachexia Sarcopenia Muscle. 2018;9(4):643–53.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Souza AKF, Dornelas de Andrade A, de Medeiros AIC, de Aguiar MIR, Rocha TDS, Pedrosa RP, et al. Effectiveness of inspiratory muscle training on sleep and functional capacity to exercise in obstructive sleep apnea: a randomized controlled trial. Sleep Breath. 2018;22(3):631–9.

    Article  PubMed  Google Scholar 

  70. Sapienza CM, Wheeler K. Respiratory muscle strength training: functional outcomes versus plasticity. Semin Speech Lang. 2006;27(4):236–44.

    Article  PubMed  Google Scholar 

  71. Eidenberger M, Nowotny S. Inspiratory muscle training in patients with amyotrophic lateral sclerosis: a systematic review. NeuroRehabilitation. 2014;35(3):349–61.

    Article  PubMed  Google Scholar 

  72. Menezes KK, Nascimento LR, Ada L, Polese JC, Avelino PR, Teixeira-Salmela LF. Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review. J Physiother. 2016;62(3):138–44.

    Article  PubMed  Google Scholar 

  73. Pitts T, Bolser D, Rosenbek J, Troche M, Okun MS, Sapienza C. Impact of expiratory muscle strength training on voluntary cough and swallow function in Parkinson disease. Chest. 2009;135(5):1301–8.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Plowman EK, Tabor-Gray L, Rosado KM, Vasilopoulos T, Robison R, Chapin JL, et al. Impact of expiratory strength training in amyotrophic lateral sclerosis: results of a randomized, sham-controlled trial. Muscle Nerve. 2019;59(1):40–6.

    Article  PubMed  Google Scholar 

  75. Ray AD, Udhoji S, Mashtare TL, Fisher NM. A combined inspiratory and expiratory muscle training program improves respiratory muscle strength and fatigue in multiple sclerosis. Arch Phys Med Rehabil. 2013;94(10):1964–70.

    Article  PubMed  Google Scholar 

  76. Leopold NA, Kagel MC. Dysphagia in progressive supranuclear palsy: radiologic features. Dysphagia. 1997;12(3):140–3.

    Article  CAS  PubMed  Google Scholar 

  77. Patel JA, Ray BJ, Fernandez-Salvador C, Gouveia C, Zaghi S, Camacho M. Neuromuscular function of the soft palate and uvula in snoring and obstructive sleep apnea: a systematic review. Am J Otolaryngol. 2018;39(3):327–37.

    Article  PubMed  Google Scholar 

  78. Makkonen T, Korpijaakko-Huuhka AM, Ruottinen H, Puhto R, Hollo K, Ylinen A, et al. Oral motor functions, speech and communication before a definitive diagnosis of amyotrophic lateral sclerosis. J Commun Disord. 2016;61:97–105.

    Article  PubMed  Google Scholar 

  79. Brandimore AE, Hegland KW, Okun MS, Davenport PW, Troche MS. Voluntary upregulation of reflex cough is possible in healthy older adults and Parkinson’s disease. J Appl Physiol (1985). 2017;123(1):19–26.

    Article  Google Scholar 

  80. Yamamura K, Kitagawa J, Kurose M, Sugino S, Takatsuji H, Mostafeezur RM, et al. Neural mechanisms of swallowing and effects of taste and other stimuli on swallow initiation. Biol Pharm Bull. 2010;33(11):1786–90.

    Article  CAS  PubMed  Google Scholar 

  81. Azola AM, Sunday KL, Humbert IA. Kinematic visual biofeedback improves accuracy of learning a swallowing maneuver and accuracy of clinician cues during training. Dysphagia. 2017;32(1):115–22.

    Article  PubMed  Google Scholar 

  82. Troche MS, Okun MS, Rosenbek JC, Altmann LJ, Sapienza CM. Attentional resource allocation and swallowing safety in Parkinson’s disease: a dual task study. Parkinsonism Relat Disord. 2014;20(4):439–43.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Gilmore-Bykovskyi AL, Rogus-Pulia N. Temporal associations between caregiving approach, behavioral symptoms and observable indicators of aspiration in nursing home residents with dementia. J Nutr Health Aging. 2018;22(3):400–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Shune SE, Moon JB. Effects of age and non-oropharyngeal proprioceptive and exteroceptive sensation on the magnitude of anticipatory mouth opening during eating. J Oral Rehabil. 2016;43(9):662–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  85. Langmore SE, Terpenning MS, Schork A, Chen Y, Murray JT, Lopatin D, et al. Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia. 1998;13(2):69–81.

    Article  CAS  PubMed  Google Scholar 

  86. Tada A, Miura H. Prevention of aspiration pneumonia (AP) with oral care. Arch Gerontol Geriatr. 2012;55(1):16–21.

    Article  PubMed  Google Scholar 

  87. Boaden E, Lyons M, Singhrao SK, Dickinson H, Leathley M, Lightbody CE, et al. Oral flora in acute stroke patients: a prospective exploratory observational study. Gerodontology. 2017;34(3):343–56.

    Article  PubMed  Google Scholar 

  88. Finegold SM. Aspiration pneumonia. Rev Infect Dis. 1991;13(Suppl 9):S737–42.

    Article  PubMed  Google Scholar 

  89. Petroianni A, Ceccarelli D, Conti V, Terzano C. Aspiration pneumonia. Pathophysiological aspects, prevention and management. A review. Panminerva Med. 2006;48(4):231–9.

    CAS  PubMed  Google Scholar 

  90. Seedat J, Penn C. Implementing oral care to reduce aspiration pneumonia amongst patients with dysphagia in a South African setting. S Afr J Commun Disord. 2016;63(1):11.

    Google Scholar 

  91. Troche MS, Brandimore AE, Foote KD, Okun MS. Swallowing and deep brain stimulation in Parkinson’s disease: a systematic review. Parkinsonism Relat Disord. 2013;19(9):783–8.

    Article  PubMed  PubMed Central  Google Scholar 

  92. Liat Shama, Nadine P. Connor, Michelle R. Ciucci, Timothy M. McCulloch, (2008) Surgical Treatment of Dysphagia. Physical Medicine and Rehabilitation Clinics of North America 19 (4):817–835.

    Google Scholar 

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Authors and Affiliations

  1. Division of Otolaryngology, Department of Surgery, University of Wisconsin–Madison, Madison, WI, USA

    Linda M. Rowe

  2. Division of Otolaryngology Head & Neck Surgery, Department of Surgery, Department of Communication Sciences and Disorders, University of Wisconsin–Madison, Madison, WI, USA

    Michelle R. Ciucci

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  1. Linda M. Rowe
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  2. Michelle R. Ciucci
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Correspondence to Michelle R. Ciucci .

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Editors and Affiliations

  1. Division of Otolaryngology–Head & Neck Surgery, Department of Surgery, University of California San Diego, La Jolla, CA, USA

    Philip A. Weissbrod

  2. Division of Otolaryngology–Head & Neck Surgery, Department of Surgery, University of Wisconsin–Madison, Madison, WI, USA

    David O. Francis

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Rowe, L.M., Ciucci, M.R. (2020). Swallow Therapy. In: Weissbrod, P., Francis, D. (eds) Neurologic and Neurodegenerative Diseases of the Larynx. Springer, Cham. https://doi.org/10.1007/978-3-030-28852-5_33

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