Avoiding the Downward Spiral After Stroke: Early Identification and Treatment of Dysphagia

Rachel Mulheren, Alba Azola, Marlís González-Fernández

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: This paper reviews recent evidence concerning the epidemiology, evaluation, and treatment of post-stroke dysphagia. Recent Findings: The large variability in dysphagia severity and outcomes after stroke warrant a comprehensive evaluation and treatment approach. Screening, bedside evaluation, and instrumental assessments should be systematically and consistently used based on clinical presentation and available resources. In addition to traditional methods of diet modification and implementation of strategies and exercises, the use of novel treatments such as biofeedback and noninvasive brain stimulation may be effective in treatment, though further research is warranted. Oral hygiene regimens may be instrumental in reducing the incidence of swallowing-related respiratory compromise in patients with dysphagia. Summary: Dysphagia after stroke is optimally assessed by timely and appropriately selected screening and evaluation. Treatment depends on pathophysiology, with more research needed to assess the effectiveness of interventions as a part of an individualized treatment plan.

Original languageEnglish (US)
Pages (from-to)469-477
Number of pages9
JournalCurrent Physical Medicine and Rehabilitation Reports
Volume8
Issue number4
DOIs
StatePublished - Dec 2020

Keywords

  • Dysphagia
  • Epidemiology
  • Evaluation
  • Oral hygiene
  • Stroke
  • Treatment

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Orthopedics and Sports Medicine
  • Medicine (miscellaneous)

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