Clinical challenges in the evaluation and treatment of individuals with poststroke dysphagia.

Abstract:

:Although reported frequencies vary due to study design, patient characteristics, and method of ascertainment, dysphagia is a commonly encountered morbidity after stroke. Consequently, speech-language pathologists' clinical caseloads are heavily populated with individuals with poststroke dysphagia. The body of knowledge about swallowing and swallowing disorders has expanded exponentially over the last 3 decades, and speech-language pathologists are increasingly sophisticated in their evaluation and treatment of this patient population. Nevertheless, clinical quandaries persist regarding the management of these individuals. In this article, clinical challenges are discussed, including early detection of dysphagia and aspiration risk, treatment efficacy, refractory dysphagia, and noncompliance with treatment. Research relevant to these issues is reviewed to aid in formulating sound clinical decisions.

journal_name

Top Stroke Rehabil

authors

Tippett DC

doi

10.1310/tsr1802-120

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

120-33

issue

2

eissn

1074-9357

issn

1945-5119

pii

ML406T210642525U

journal_volume

18

pub_type

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