Dysphagia Management in Acute and Sub-acute Stroke

被引:25
作者
Vose A. [1 ]
Nonnenmacher J. [1 ]
Singer M.L. [1 ]
González-Fernández M. [1 ,2 ]
机构
[1] Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore
[2] Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, 600 North Wolfe St. Phipps 186, Baltimore, 21287, MD
关键词
Deglutition; Dysphagia; Stroke; Swallowing; Treatment;
D O I
10.1007/s40141-014-0061-2
中图分类号
学科分类号
摘要
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. © 2014, Springer Science + Business Media New York.
引用
收藏
页码:197 / 206
页数:9
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