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Related Experiment Videos

Has aphasia therapy been swallowed up?

Pam Enderby1, Brian Petheram

  • 1Institute of General Practice and Primary Care, University of Sheffield, Community Sciences Centre, Northern General Hospital, UK. p.m.enderby@sheffield.ac.uk

Clinical Rehabilitation
|October 24, 2002
PubMed
Summary

Referrals for dysphagia (swallowing difficulties) to speech and language therapy increased significantly over a decade, surpassing those for dysphasia (language impairments). Dysphagia referrals rose from under 1% to 20% of total cases.

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Area of Science:

  • Speech and Language Therapy
  • Clinical Outcomes
  • Patient Demographics

Background:

  • Speech and language therapy services manage a range of communication and swallowing disorders.
  • Dysphasia and dysphagia represent distinct patient groups with differing needs and referral patterns.

Purpose of the Study:

  • To analyze trends in speech and language therapy referrals for dysphasia and dysphagia over a ten-year period.
  • To identify shifts in the prevalence of these conditions within the patient population served.

Main Methods:

  • Retrospective analysis of patient data from an information system used by speech and language therapists.
  • Inclusion of data from eleven healthcare providers between 1985 and 1995, encompassing 73,758 patient referrals.

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Main Results:

  • In 1987, dysphasia referrals were 12 times more common than dysphagia referrals.
  • By 1995, dysphagia referrals became twice as common as dysphasia referrals.
  • Dysphagia referrals increased from less than 1% to 20% of total speech and language therapy referrals during the study period.

Conclusions:

  • A significant increase in speech and language therapy referrals for dysphagia was observed.
  • While dysphasia referrals also increased, their relative growth was lower, with reduced treatment per case.
  • No causal link was established, but the data indicate a substantial shift in patient populations accessing these services.