Effect of Swallowing Training Rehabilitation Program on Severity of Dysphagia and Swallowing Trial among Patients with Cerebrovascular Stroke

Abstract

Background: Cerebrovascular Stroke (CVS) is a rapidly developing clinical focal disorder of cerebral function lasting for 24 hours or longer and leading to death, with no obvious reason other than the vascular source. Aim of the study: was to determine the effect of swallowing training rehabilitation program on severity of dysphagia and swallowing trial among patients with cerebrovascular stroke Research design: A quasi experimental research design with a pretest-posttest control group was utilized. Settings: The study was conducted at neurological inpatient units at Alexandria University Hospital. This hospital was selected because flow rate of patients with cerebrovascular stroke was satisfactory for the study. Subjects: Purposive samples of 60 hospitalized adult patients with CVS were selected according to eligibility criteria. They were divided into two equal groups 30 in each study group and control group. Tools of data collection: three tools were used for data collection namely: Patients' demographic characteristics and clinical data sheet, dysphagia severity scale and observation checklist to assess swallowing ability during swallow trial: Results: the study results revealed that there was a statistically significant difference between the study and control groups in favor of the former in relation to severity of dysphagia and swallowing trial after two weeks and one month of intervention in which the severity of dysphagia decreases among study group to 20% and 13.3% respectively in level (1) after two weeks and one month while the severity of dysphagia increases among control group to 40% and 66.7% respectively in level (1) after two weeks and one month with P = 0 .000. Conclusion:The study concluded that swallowing training rehabilitation program has significant positive effect on severity of dysphagia and swallowing trial among patients with cerebrovascular stroke. Recommendation: The developed booklet with its simple instructions and illustrations should be utilized in hospitals as a teaching aid for patient with dysphagia. Periodic health education programs for nurses to create awareness on swallowing exercises in improving swallowing ability.

Effectiveness of Prophylactic Swallowing Exercise on Dysphagia and Quality of Life among Head and Neck Cancer Patients Receiving Chemo- Radiotherapy

“…This finding agrees with Banda et al, (2021) who reported that swallowing exercises had significantly better effects on swallowing function in the experimental group compared with the control group, and also, in the same line with Greco et al, (2018). This may be related to as rehabilitation swallowing exercises had a significant positive effect on dysphagia or swallowing difficulties, this view supported by Gomah Yousef El-Deeb & Elsayed Rady, (2020). As swallowing exercises focused on strengthen muscles and enhancing synchronization between the nerves and muscles involved in swallowing, exercising swallowing muscles is the greatest strategy to improve your ability to swallow.…”