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2014 ; 2
(4
): 197-206
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Dysphagia Management in Acute and Sub-acute Stroke
#MMPMID26484001
Vose A
; Nonnenmacher J
; Singer ML
; González-Fernández M
Curr Phys Med Rehabil Rep
2014[Dec]; 2
(4
): 197-206
PMID26484001
show ga
Swallowing dysfunction is common after stroke. More than 50% of the 665 thousand
stroke survivors will experience dysphagia acutely of which approximately 80
thousand 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.