Evidence-Based Review of Stroke Rehabilitation

Dysphagia and Aspiration Post Stroke

Robert Teasell MD, Norine Foley MSc, Rosemary Martino PhD, Marina Richardson MSc, Sanjit Bhogal MSc, Mark Speechley PhD
dysphagia, aspiration, pneumonia, screening, assessment, videofluoroscopy, non-oral feeding, texture-modified diet, rTMS, electrical stimulation, black pepper oil

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Dysphagia and Aspiration


Dysphagia is prominent across the continuum of stroke recovery and its presence is likely to result in pulmonary complications, particularly pneumonia. It is estimated that between 29 and 50 percent of acute stroke survivors are dysphagic In this chapter, we describe techniques that are commonly used in the detection and assessment of dysphagia and aspiration. We also review the examine interventions used in the management of dysphagia including texture-modified diets, general dysphagia therapy programs, non-oral (enteral) feeding, medications, and physical and olfactory stimulation.

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Mon, Dec 1st, 2008

Regenrated version of this chapter posted. No new material or other edits. Corrected an issue of overlapping text in the PDF.