The Double Dysphagia and Dystussia in ALS

In this session, Dr. Kendrea Garand examines the “double deficit” that defines dysphagia care in amyotrophic lateral sclerosis (ALS): a near-universal, often silent breakdown in swallowing paired with an equally under-recognized breakdown in cough function, or dystussia. Because ALS destroys both upper and lower motor neurons, its effects on bulbar and respiratory function are widespread, asymmetric, and highly variable from one patient to the next, a point she illustrates through two contrasting patient case videos that show just how differently this single diagnosis can present at the bedside.

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Dr. Garand walks through the physiology behind hypermetabolism, silent aspiration, and reflexive versus voluntary cough impairment, then translates that evidence into practice: which screening and instrumental assessment tools hold up in the ALS population, how to build proactive dysphagia and respiratory care into a clinic workflow, and where compensatory strategies, exercise-based interventions, and secretion and nutrition management fit into a multidisciplinary plan.

Learning Objectives:

1. Explain how amyotrophic lateral sclerosis (ALS) can impact swallowing function.

2.  Apply clinical-decision making to guide dysphagia management in persons with ALS.

Target Audience: Intermediate level

CE Credit: 0.1 ASHA CEUs can be awarded to ASHA members. No partial CE credit is provided.

To earn a certificate, and ASHA CEUs if desired, eligible learners must do the following:

1. View the entire recorded course

2. Obtain 80% on a short post assessment (may be retaken as needed).

3. Complete required items in a learner survey.

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