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  • 23 - Plasticity in the neural pathways for swallowing: role in rehabilitation of dysphagia

  • from Section B2 - Vegetative and autonomic dysfunctions
  • Edited by Michael Selzer, University of Pennsylvania, Stephanie Clarke, Université de Lausanne, Switzerland, Leonardo Cohen, National Institute of Mental Health, Bethesda, Maryland, Pamela Duncan, University of Florida, Fred Gage, Salk Institute for Biological Studies, San Diego
  • Book:
    Textbook of Neural Repair and Rehabilitation
    Published online:
    04 August 2010
    Print publication:
    16 February 2006, pp 356-367

  • Summary

    This chapter discusses the notion of neural plasticity in relation to dysphagia rehabilitation. It talks about the structures and neural controls on which swallowing depends, and describes the causes of dysphagia. Any abnormality of critical swallowing structures or neural controls can disrupt swallowing with the nature of the deficit being at least in part the result of the locus and type of involvement. Surgical, medical, and behavioral treatments for dysphagia are now available. The chapter discusses the rehabilitative treatments, because their influence on the person with dysphagia provides the greatest contribution to what is known about plasticity in dysphagia. Learned non-use can occur when a behavior is not performed for a period of time extending into the interval when performance is actually possible physiologically. As in all treatments, a placebo effect is anticipated in dysphagia management.