CHART REVIEW FOR MEDICAL HISTORY & MEDICATIONS
• Impact of comorbidities
• Medication resources
• Review of pharmacology and medication absorption
• Potential medication side effects
DIAGNOSIS OF PARKINSON’S DISEASE (PD)
• Background information on PD
o Symptoms
o Neurological changes
• Diagnosis of disease
o Assessments
• Progression of disease
• Pharmacology
o Medications and rationale behind specific meds, plus side effects
o Herbs, supplements, vitamins
DIAGNOSIS OF MULTIPLE SCLEROSIS (MS)
• Background information on MS
o Symptoms
o Neurological changes
• Diagnosis of disease
o Assessments
• Progression of disease
• Pharmacology
o Medication and rationale behind specific meds, plus side effects
o Herbs, supplements, vitamins
DIAGNOSIS OF AMYOTROPHIC LATERAL
SCLEROSIS (ALS)
• Background information on ALS
o Symptoms
o Neurological changes
• Diagnosis of disease
o Assessments
• Progression of disease
• Pharmacology
o Medication and rationale behind specific meds, plus side effects
o Herbs, supplements, vitamins
DIAGNOSIS OF HUNTINGTON’S DISEASE
• Background information on Huntington’s disease
o Symptoms
o Neurological changes
• Diagnosis of disease
o Assessments
• Progression of disease
• Pharmacology
o Medication and rationale behind specific meds, plus side effects
o Herbs, supplements, vitamins
EVALUATION
• Standardized tests
• Oral mechanism exam
ROLE OF INSTRUMENTAL ASSESSMENTS
• VFSS/FEES
• Endoscopy
• Barium swallow
DIET/LIQUID RECOMMENDATIONS
• National Dysphagia Diet
• Preprocessed foods
• Frazier Free W ater Protocol
• Nutritional strategies
LITERATURE REVIEW
• Examination of recent studies
THERAPY GOALS & EXERCISES
• Possible scenarios on MBS with each disorder
• Impact of disorder on esophageal function
• Matching therapeutic exercise to possible scenarios on MBS