The therapeutic efficacy of dysport became evident from 15 to 15 days mean sd 61 29 days the maximal effect appeared 122 50 days later injection of dysport resulted in amelioration of spasm symptom dysport significantly improved the functions eg reading watching tv house work working driving and outing alone improvements remained at 12th week following dysport . Dysphagia should be differentiated from disorders that prevent transfer of food to the mouth or beyond the stomach but that are not characterized by difficulty swallowing for example feeding disorder which is the inability to get food to the mouth and gastric outlet obstruction which is the inability of food to pass from the stomach into the small intestine are not types of dysphagia on . In collaboration with the national task force for early identification of childhood neuromuscular disorders the cdc developed a web based diagnostic tool wwwchildmuscleweaknessorg to assist providers in primary care rehabilitation medicine and physical and occupational therapy in the evaluation of children with motor delay and early manifestations of neuromuscular disorders the website . Oral motor swallowing feeding disorders impairment of the muscles structures and or functions of the mouth physiological or sensory based involved with the entire act of deglutition from placement and manipulation of food in the mouth through the oral and pharyngeal phases of the swallow these disorders may or may not result in deficits to speech production. Transcranial magnetic stimulation provides reliable information about the functional integrity and conduction properties of the cortico spinal tracts and motor control in the diagnostic and prognostic assessment of various neurological disorders it allows one to follow the evolution of motor control and to evaluate the effects of different therapeutic procedures motor evoked potentials can
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