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Semin Speech Lang 2013; 34(03): 154-169
DOI: 10.1055/s-0033-1358368
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Approaches to the Rehabilitation of Dysphagia in Acute Poststroke Patients

Nicole Rogus-Pulia
1   Geriatric Research Education and Clinical Center (GRECC), William S. Middleton Memorial Veterans Hospital
2   Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
,
JoAnne Robbins
1   Geriatric Research Education and Clinical Center (GRECC), William S. Middleton Memorial Veterans Hospital
2   Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
› Author Affiliations
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Publication History

Publication Date:
28 October 2013 (online)

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Abstract

Dysphagia occurs frequently following stroke and may result in serious health consequences including pneumonia, malnutrition, dehydration, and mortality. Prevention of these negative health outcomes requires early identification and treatment of dysphagia. The speech-language pathologist, as part of a multidisciplinary team, holds the primary responsibility for selection of an effective dysphagia rehabilitation program for these patients. Because much research has focused on patients with chronic dysphagia, this review will focus on treatment of patients within the acute phase of recovery poststroke. Although some acute patients may experience transient dysphagia that resolves spontaneously, many will go on to develop chronic dysphagia that may be prevented with provision of early and intensive treatment. An overview of dysphagia following stroke will be provided with information regarding incidence, complications, evaluation, and causes of dysphagia. A thorough discussion of evidence supporting varying approaches to dysphagia rehabilitation will follow with inclusion of several current, novel, and experimental techniques. The importance of the multidisciplinary team and regular reevaluation will be emphasized as well.

Keywords

Dysphagia - stroke - acute - rehabilitation - evidence
 

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