Savytska N. - Stimulation of phonation and articulatory skills in the context of dysphagia therapy in post-stroke patients with a tracheostomy

Contact: Savytska Nadia, assistant of the department of speech therapy and special methods in Kamyanets-Podilsky National Ivan Ohienko University, Kamyanets-Podilsky, Ukraine. Academic interests: correction of aphatic disorders and restoration of swallowing function in adults with organic lesions of the central nervous system.

The article investigates the theoretical aspects of the influence of phonation and articulatory stimulation on the reduction of dysphagia in post-stroke patients with a tracheostomy; envisages the studies that indicate a relationship between dysphagia and communication disorders; describes the main indications for the installation of tracheostomy tubes in post-stroke patients, as well as their effect on swallowing and communication; analyzes the role of a speech therapist in the process of swallowing therapy and his main tasks, particularly teaching the technique of safe swallowing and effective expectoration; outlines the main stages of speech therapy work with post-stroke patients with dysphagia and tracheostomy; gives an example of exercises and techniques for indirect therapy of swallowing, which contribute to its restoration, as well as recommendations for their implementation; determines the main methods of screening for swallowing disorders for patients with dysphagia and tracheostomy; describes the specific criteria of the readiness of patients with dysphagia and tracheostomy for decannulation (removal of the tracheostomy tube).

Key words: dysphagia, tracheostomy, decannulation, communication disorders.