Intervento riabilitativo della disfagia neurologica.

For Neurological dysphagy he intends a trouble of the consequent swallowing to neurological pathologies. The greatest part of the neurogenaus dysphagy derives from an alteration of the functions sen-sorius and motorials of thè phases oral and pharingeal (for the 80% of the cases) of the swal¬lowing. In thè greatest part of thè cases, the recognition of the cause of a neurogenaus dysphagy is not difficult when thè trouble of the patient is already known. Occasionally however thè neurogenaus dys¬phagy is more deceitful and insidious, a laryn-geal aspiration can happen in fact silently, without producing suffocation neither cough, if there is a diminution of the reflex of the cough. The rehabilitative intervention is turned to the individuai in its physical, psychic and existential inner being. It foresees the layout of a rehabilita¬tive project that realizes him through personalized programs. The therapeutic objective is the attainment of the functional swallowing or: - time of transit equal or inferior oralpharyngeal to 10 seconds; - void aspiration; - least residue in mouth and in pharynx. The rehabilitative intervention foresees therefore a plan of individualized treatment tightly divided in three areas of intervention connected: General area, Sectorial area, Specifies area. The given space to each areas, changes from pathology to pathology and from subject to subject, on the base of the clinical observation and the instrumental examinations. In the approach to the dysphagic neurological patient and therefore in his/her management, the specific symptomatology must be compares to the global situation of the same, seen how person in its totality and in its relationships with the sur-rounding environment.