Clinical Implications of Cross-System Interactions

David H. McFarland; Pascale Tremblay

doi:10.1055/s-2006-955119

Seminars in Speech and Language, Table of Contents

Semin Speech Lang 2006; 27(4): 300-309
DOI: 10.1055/s-2006-955119

Clinical Implications of Cross-System Interactions

David H. McFarland¹ ^, ² , Pascale Tremblay²

¹École d'orthophonie et d'audiologie et centre de recherche en sciences neurologiques, Faculté de médecine, Université de Montréal
²School of Communication Sciences and Disorders and Center for Research on Language, Mind and the Brain, McGill University, Montreal, Canada

Abstract

In this review, we briefly highlight potential cross-system interactions between swallowing and speech production, using data from recent neuroimaging studies, common clinical impairments, cross-system treatment effects, and developmental considerations as supporting evidence. Our overall hypothesis is that speech and swallowing (and other motor behaviors) are regulated through a shared network of brain regions and other neural processes that are modulated on the basis of specific task demands. We emphasize the clinical utility of viewing speech and swallowing as being closely linked from both a diagnostic and treatment perspective. We stress the importance of continuing research to explore the common and perhaps distinct neural circuitry underlying speech and swallowing and the clinical intervention strategies that attempt to capitalize on potential cross-system therapeutic benefits.

KEYWORDS

Cross-system interactions - speech - swallowing

Full Text

References

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David H McFarland

Université de Montréal, Faculté de médecine, École d'orthophonie et d'audiologie

C.P. 6128, Succursale Centre-Ville, Montréal, Québec, H3C 3J7 Canada

Email: David.McFarland@umontreal.ca