Phonoaudiological role in neurogenic dysphagia due to Alzheimer’s Disease




Speech, language and hearing sciences; Deglutition disorders; Alzheimer Disease.


Introduction: Swallowing is a biological function characterized as the act of swallowing and involves the participation of several muscles that depend on neurological organization for the proper functioning of this function. Neurological disorders can affect the coordinated contraction of the muscles involved in swallowing and cause dysphagia, as in Alzheimer's Disease (AD), a dementia that can occur in individuals of pre-senile or senile age. Given that individuals with Alzheimer's disease may present with Oropharyngeal Dysphagia (OD), the speech therapist is the professional capable of rehabilitating this dysphagia in order to promote food safety and the patient's quality of life. The objective of this work is to analyze speech therapy in neurogenic dysphagia caused by Alzheimer's disease. Methods: This is an integrative review that covered four databases, where a critical reading and analysis of studies published in the period between 2016 and 2022 was conducted, with the descriptors “Alzheimer's Disease” and “Swallowing Disorders”, “Alzheimer Disease” and “Swallowing Disorders”, in Portuguese and English. Results: From eleven articles, all research evaluated the clinical signs of oropharyngeal dysphagia in Alzheimer's disease, three addressed the relationship between speech therapy and AD, three aspects of speech therapy assessment and six addressed the rehabilitation of patients. Conclusion: The present study analyzed speech therapy in oropharyngeal dysphagia due to Alzheimer's disease and showed that the speech therapist is the professional capable of evaluating and treating swallowing disorders.


Alagiakrishnan, K., Bhanji, R. A., & Kurian, M. (2013). Evaluation and management of oropharyngeal dysphagia in different types of dementia: A systematic review. Archives of Gerontology and Geriatrics, 56(1), 1–9.

Baena González, M. (2016). Abordaje de la disfagia en enfermos de alzhéimer. Nutrición Hospitalaria, 33(3).

Boccardi, V., Ruggiero, C., Patriti, A., & Marano, L. (2016). Diagnostic Assessment and Management of Dysphagia in Patients with Alzheimer’s Disease. Journal of Alzheimer’s Disease, 50(4), 947–955.

da Cruz, F. C., Williams, E. M. O., & Denucci, M. A. M. (2021). Atuação fonoaudiológica nos cuidados paliativos de pacientes com a doença de alzheimer. Revista Interface-Integrando Fonoaudiologia e Odontologia, 2(1), 58-76.

Dedivitis, RA, Santoro, PP, & Arakawa-Sugueno, L. (2016). Manual Prático de Disfagia: Diagnóstico e Tratamento. Thieme Brasil.

Dias, M. da C., Vicente, L. C. C., Friche, A. A. de L., Ribeiro, E. G., & Motta, A. R. (2018). Tempo de trânsito oral na demência de Alzheimer. Audiology - Communication Research, 23(0).

Espinosa-Val, M. C., Martín-Martínez, A., Graupera, M., Arias, O., Elvira, A., Cabré, M., Palomera, E., Bolívar-Prados, M., Clavé, P., & Ortega, O. (2020). Prevalence, Risk Factors, and Complications of Oropharyngeal Dysphagia in Older Patients with Dementia. Nutrients, 12(3), 863.

Filho, O. L., Campiotto, A. R., Levy, C. C. A. D. C., & Redond (2013). Novo Tratado de Fonoaudiologia (3a ed.). Editora Manole.

Jotz, G. P. (2016). Disfagia - Abordagem Clínica e Cirúrgica - Criança, Adulto e Idoso. Grupo GEN.

Manrique M, C. A., Martínez, J. D., Garzón O, M. A., Hormaza, N., Lizarazo R, J., Marulanda, J. C., Molano V, J., Pinto C, R., Rey T, M. H., & Rivera H, D. (2013). The development of compromised Swallowing in patients with Alzheimer’s Disease and dysphagia. Revista Colombiana de Gastroenterologia, 28(3), 219–224.

Marchesan, IQ, Justino, H., & Tomé, MC (2014). Tratado das Especialidades em Fonoaudiologia. Grupo GE.

Marin, S. M. C., Mansur, L. L., Oliveira, F. F. De, Marin, L. F., Wajman, J. R., Bahia, V. S., & Bertolucci, P. H. F. (2021). Swallowing in behavioral variant frontotemporal dementia. Arquivos de Neuro-Psiquiatria, 79(1), 8–14.

Mira, A., Gonçalves, R., & Rodrigues, I. T. (2022). Dysphagia in Alzheimer’s disease: a systematic review. Dementia & Neuropsychologia. (Mira; Gonçalves; Rodrigues, 2022)

Ortiz, K. Z. (2014). Distúrbios neurológicos adquiridos: fala e deglutição (2a ed.). Editora Manole.

Parlak, M. M., Babademez, M. A., Alicura Tokgöz, S., Bizpınar, Ö., & Saylam, G. (2021). Evaluation of Swallowing Function according to the Stage of Alzheimer’s Disease. Folia Phoniatrica et Logopaedica.

Pereira A. S., et al. (2018). Metodologia da pesquisa científica. UFSM.

Pivi, G. A. K., Vieira, N. M. de A., da Ponte, J. B., de Moraes, D. S. C., & Bertolucci, P. H. F. (2017). Nutritional management for Alzheimer’s disease in all stages: mild, moderate, and severe. Nutrire, 42(1).

Seçil, Y., Arıcı, Ş., İncesu, T. K., Gürgör, N., Beckmann, Y., & Ertekin, C. (2016). Dysphagia in Alzheimer’s disease. Neurophysiologie Clinique/Clinical Neurophysiology, 46(3), 171–178.

Simões, A. L. S., Oliva Filho, A., & Hebling, E. (2020). Signs for Early Detection of Dysphagia in Older Adults with Severe Alzheimer’s Disease. The Journal of Nutrition, Health & Aging.

Thiyagalingam, S., Kulinski, A. E., Thorsteinsdottir, B., Shindelar, K. L., & Takahashi, P. Y. (2021). Dysphagia in Older Adults. Mayo Clinic Proceedings, 96(2), 488–497.

Wu, C., Zhang, K., Ye, J., Huang, X., Yang, H., Yuan, L., Wang, H., Wang, T., Zhong, X., Guo, J., Yu, L., & Xiao, A. (2022). Evaluating the effectiveness of stepwise swallowing training on dysphagia in patients with Alzheimer’s disease: study protocol for a randomized controlled trial. Trials, 23(1).



How to Cite

CARVALHO, B. A. S. de .; NUNES, E. de L. . Phonoaudiological role in neurogenic dysphagia due to Alzheimer’s Disease. Research, Society and Development, [S. l.], v. 13, n. 1, p. e13113144860, 2024. DOI: 10.33448/rsd-v13i1.44860. Disponível em: Acesso em: 27 may. 2024.



Health Sciences