Post-stroke dysphagia: A review and design considerations for future trials

Abstract

Post-stroke dysphagia (a difficulty in swallowing after a stroke) is a common and expensive complication of acute stroke and is associated with increased mortality, morbidity, and institutionalization due in part to aspiration, pneumonia, and malnutrition. Although most patients recover swallowing spontaneously, a significant minority still have dysphagia at six months. Although multiple advances have been made in the hyperacute treatment of stroke and secondary prevention, the management of dysphagia post-stroke remains a neglected area of research, and its optimal management, including diagnosis, investigation and treatment, have still to be defined.

Negotiating The Maze: Confronting Dysphagia Together With My Stroke-Afflicted Family Member

“…This finding was consistent with the study conducted by Cohen et al (2016). They noted that patients and their relatives are often unaware that a stroke can cause swallowing problems (Cohen et al, 2016).…”

“…This finding was consistent with the study conducted by Cohen et al (2016). They noted that patients and their relatives are often unaware that a stroke can cause swallowing problems (Cohen et al, 2016). Some participants did not regard the signs and symptoms of dysphagia, such as choking, drooling or refusing to eat, as a serious matter and continued to feed the patients orally.…”

Valoración Nutricional Con La Situación Funcional Tras Sufrir Un Ictus.

“…En cuanto a la presencia de disfagia, nuestros datos son similares a lo que muestran otros estudios que estiman su prevalencia en el 30% después de un ictus (10). Destacamos, coincidiendo con otros, la relación que existe entre la disfagia y el riesgo de malnutrición (37,38).…”

New Orofacial Physiotherapy of Dysphagia after Stroke

“…Therapy of dysphagia could be performed using physiotherapy based on a re-education exercise of the swallowing process [9].…”

“…Orofacial physiotherapy is important in the treatment of swallowing disorders because it has an impact not only on eating restoration but also on other orofacial functions (facial expression, speech) and on the general health condition and quality of the patient's life [8,9].…”