Authors
- Orlova Olga S. Doctor of Education Sciences
- Rudometova Yulia Yu.
Annotation
The urgency of studying post-stroke dysphagia treatment arises from the necessity to improve speech therapy methods for patients recovering from acute stroke-related
brain damage. The study aims to optimize pedagogical rehabilitation techniques for patients with acute dysphagia, introducing neuromuscular electrical stimulation (NMES) delivered by the ELESKULAP-Med TeKo device into regular speech therapy sessions. Thirty-two patients hospitalized in the Acute Stroke Unit with an Intensive Care Ward at City Clinical Hospital named after I. V. Davydovsky participated in the study. All patients suffered from a first episode of left middle cerebral artery stroke accompanied by oropharyngeal dysphagia and aphasia. The degree of dysphagia was assessed using the Modified Assessment of Swallowing Ability (MASA), while speech impairments were evaluated based on L. I. Vasserman’s methodology. Patients were split into two groups: a control group (CG) undergoing standard speech therapy and an experimental group (EG) where additional focus was placed on personal characteristics, using specialized instructional terms («gluttonic lexicon»), and adding NMES directly during sessions. Pre- and post-treatment differences in dysphagia severity were statistically analyzed.
The results indicated that tailoring therapies to individual cases, taking into account the type and extent of aphasia and dysphagia, together with simultaneous application
of NMES, led to stable and sustainable improvement. Collaboration between speech therapists and physiotherapists proved essential for enhancing the efficiency of rehabilitation measures. The authors propose that an integrative approach involving close cooperation between speech therapists and physiotherapists will contribute to more efficient initial rehabilitation for patients with acute stroke-induced dysphagia
How to link insert
Orlova, O. S. & Rudometova, Y. Y. (2025). EXPERIENCE OF COLLABORATIVE WORK BETWEEN SPEECH THERAPIST AND PHYSIOTHERAPIST IN RESTORING SWALLOWING FUNCTION Bulletin of the Moscow City Pedagogical University. Series "Pedagogy and Psychology", 19 (3), 161. https://doi.org/10.24412/2076-9121-2025-3-161-177
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