Background: Neurogenic dysphagia is one of the most common dangerous disorders for patients with neurological diseases. Aim: The aim of the study was to evaluate the effect of swallowing exercises on swallowing function for patients with neurogenic dysphagia. Patients and Methods: Research design: Quasi experimental (pre/post test) research design was used. Sample and Setting: A selected sample of 60 patients diagnosed with neurogenic dysphagia was recruited and also followed up for 2 months at neurology department and neurology outpatients clinic at neurology, psychiatry and neurosurgery Assiut University Hospital. Each patient was oriented and trained by the researchers to know the effect of practicing swallowing exercises and received brochure to be oriented about its effect on swallowing function. Tools: Patients assessment questionnaire, functional oral intake scale, Bazaz dysphagia score, eating assessment tool-10 and the 8-point penetration-aspiration scale. Results: The study finding revealed a highly statistical significant improvement (p < 0.0001) post application of the swallowing exercises as regard all outcome measures; functional oral intake scale, Bazaz dysphagia scale, aspiration and complications. Conclusion: Swallowing exercises significantly improve swallowing function and decrease severity of neurogenic dysphagia, aspiration and complications. Recommendation: The swallowing exercises (brochure) should be utilized in neurology hospitals as a teaching guide for patients with neurogenic dysphagia.

Background: Cervical disc herniation is the most common cause of neck and arm pain in adults. Postoperative rehabilitation is an essential part of the recovery period. Aim: The aim of the study was to evaluate the impact of postoperative rehabilitation program on outcomes of patients following cervical discectomy. Subjects and Methods: Research design: Quasi-experimental design was used. Sample and Setting: A random sample of 70 adult and old adult patients from both sex was recruited from July 2021 to July 2022, in addition to 6 month follow-up period that ended in January 2023 in the neurosurgery department and neurosurgery outpatient clinic at Assiut University Neurological, Psychiatric, and Neurosurgery Hospital. Patients were assigned randomly by a computer-based selection program into 2 equal groups (control group n=35) and (study group n=35) with a ratio 1:1 assignment. A control group received routine hospital care/instructions while a study group received routine hospital care/instructions in addition to the structured postoperative rehabilitation program by researchers. Tools: assessment sheet for patients undergoing cervical discectomy, numeric pain rating scale, neck disability index, and Newcastle satisfaction with nursing care scale. Results: Study findings revealed a statistically significant improvement for both groups, however, improvement was higher in the study group than in the control group (p. value < 0.01) post application of the postoperative rehabilitation program as regards all outcome measures; pain, disability, and satisfaction. Conclusion: Postoperative rehabilitation program significantly reduce pain, and disability and improve satisfaction. Recommendation: The postoperative rehabilitation program (educational booklet) should be utilized in hospitals as a teaching guide for patients following cervical discectomy for cervical disc herniation.