What are some thoughts on E-stim and DPNS (deep pharyngeal neuromuscular stimulation)?
Answer
DPNS uses repetitive swallows and stimulation with a frozen lemon swab. If nothing else, it gets the patient to swallow more and more frequently. That may be of value. I'm not certain whether or not it has a great impact. From a research standpoint, I haven't seen anything yet to show it as being effective. So I would be very cautious in using that treatment not necessarily because you might hurt someone but just because you could be wasting their time. Electrical stimulation, if done with good strong exercise, can certainly have an effect, and there have been some studies to show this. Even outside of our field that's been shown.
Lori Burkhead earned a Ph.D. from the University of Florida in 2005, focusing on using exercise-based principles in dysphagia diagnosis and management. She has presented domestically and internationally, published peer-reviewed articles and a book chapter relating to dysphagia. Her current research focuses on developing more effective approaches for dysphagia evaluation and treatment.
Lori Burkhead Morgan, Ph.D., CCC-SLP
Dr. Burkhead Morgan has practiced speech-language pathology since 1994 in a variety of settings. She earned a Ph.D. from the University of Florida in 2005, focusing on using exercise-based principles in dysphagia diagnosis and management. She has presented domestically and internationally, published peer-reviewed articles and a book chapter relating to dysphagia. Her current research focuses on developing more effective approaches for dysphagia evaluation and treatment.
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