Dysphagia Management in Acute and Sub-acute Stroke

Alicia Vose, Jodi Nonnenmacher, Michele L. Singer, Marlís González-Fernández

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations


Swallowing dysfunction is common after stroke. More than 50 % of the 665,000 stroke survivors will experience dysphagia acutely of which approximately 80,000 will experience persistent dysphagia at 6 months. The physiologic impairments that result in post-stroke dysphagia are varied. This review focuses primarily on well-established dysphagia treatments in the context of the physiologic impairments they treat. Traditional dysphagia therapies including volume and texture modifications, strategies such as chin tuck, head tilt, head turn, effortful swallow, supraglottic swallow, super-supraglottic swallow, Mendelsohn maneuver and exercises such as the Shaker exercise and Masako (tongue hold) maneuver are discussed. Other more recent treatment interventions are discussed in the context of the evidence available.

Original languageEnglish (US)
Pages (from-to)197-206
Number of pages10
JournalCurrent Physical Medicine and Rehabilitation Reports
Issue number4
StatePublished - Dec 1 2014


  • Deglutition
  • Dysphagia
  • Stroke
  • Swallowing
  • Treatment

ASJC Scopus subject areas

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


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