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Cerebro-Vascular Accidents and Dysphagia

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Principles of Deglutition

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Abstract

Dysphagia is common following stroke. Appropriate management begins with the evaluation and should be based on the specific swallowing impairment. Cognitive and communication functioning must be considered when determining compensatory and rehabilitative approaches.

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References

  1. Logemann JA. Swallowing disorders. 2nd ed. Austin, TX: Pro-ED; 1999.

    Google Scholar 

  2. Martin-Harris B, Brodsky MB, Michel Y, et al. MBS measurement tool for swallow impairment—MBSImp: establishing a standard. Dysphagia. 2008;23:392–405.

    Article  PubMed  Google Scholar 

  3. Robbins J, Hamilton JW, Lof GL, et al. Oropharyngeal swallowing in normal adults of different ages. Gastroenterology. 1992;103:823–9.

    PubMed  CAS  Google Scholar 

  4. Daniels SK, Corey DM, Hadskey LD, et al. Mechanism of sequential swallowing during straw drinking in healthy young and older adults. J Speech Lang Hear Res. 2004;47:33–45.

    Article  PubMed  Google Scholar 

  5. Martin-Harris B, Brodsky MB, Michel Y, et al. Delayed initiation of the pharyngeal swallow: normal variability in adult swallows. J Speech Lang Hear Res. 2007;50:585–94.

    Article  PubMed  Google Scholar 

  6. Stephen JR, Taves DH, Smith RC, et al. Bolus location at the initiation of the pharyngeal stage of swallowing in healthy older adults. Dysphagia. 2005;20:266–72.

    Article  PubMed  Google Scholar 

  7. Daniels SK, Schroeder MF, DeGeorge PC, et al. Defining and measuring dysphagia following stroke. Am J Speech Lang Pathol. 2009;18:74–81.

    Article  PubMed  Google Scholar 

  8. Daniels SK, Schroeder MF, McClain M, et al. Dysphagia in stroke: development of a standard method to examine swallowing recovery. J Rehabil Res Dev. 2006;43:347–56.

    Article  PubMed  Google Scholar 

  9. Broderick J, Brott T, Kothari R, et al. The Greater Cincinnati/Northern Kentucky Stroke Study: preliminary first-ever and total incidence rates of stroke among blacks. Stroke. 1998;29:415–21.

    Article  PubMed  CAS  Google Scholar 

  10. Kleindorfer DO, Lindsell C, Broderick J, et al. Impact of socioeconomic status on stroke incidence: a population-based study. Ann Neurol. 2006;60:480–4.

    Article  PubMed  Google Scholar 

  11. Daniels SK, Brailey K, Priestly DH, et al. Aspiration in patients with acute stroke. Arch Phys Med Rehabil. 1998;79:14–9.

    Article  PubMed  CAS  Google Scholar 

  12. Mann G, Hankey GJ, Cameron D. Swallowing function after stroke: prognosis and prognostic factors at 6 months. Stroke. 1999;30:744–8.

    Article  PubMed  CAS  Google Scholar 

  13. Smithard DG, O’Neill PA, Parks C, et al. Complications and outcome after acute stroke. Does dysphagia matter? Stroke. 1996;27:1200–4.

    Article  PubMed  CAS  Google Scholar 

  14. Daniels SK, McAdam CP, Brailey K, et al. Clinical assessment of swallowing and prediction of dysphagia severity. Am J Speech Lang Pathol. 1997;6:17–24.

    Google Scholar 

  15. Splaingard ML, Hutchins B, Sulton LD, et al. Aspiration in rehabilitation patients: videofluoroscopy vs bedside clinical assessment. Arch Phys Med Rehabil. 1988;69:637–40.

    PubMed  CAS  Google Scholar 

  16. Leopold NA, Daniels SK. Supranuclear control of swallowing. Dysphagia. 2010;25:250–7.

    Article  PubMed  Google Scholar 

  17. Daniels SK, Huckabee ML. Dysphagia following stroke. San Diego, CA: Plural; 2008.

    Google Scholar 

  18. Robbins J, Levine R. Swallowing after lateral medullary syndrome plus. Clin Commun Disord. 1993;3:45–55.

    PubMed  CAS  Google Scholar 

  19. Daniels SK, Foundas AL. Lesion localization in acute stroke patients with risk of aspiration. J Neuroimaging. 1999;9:91–8.

    PubMed  CAS  Google Scholar 

  20. Theurer JA, Johnston JL, Taves DH, et al. Swallowing after right hemisphere stroke: oral versus pharyngeal deficits. Can J Speech Lang Pathol Audiol. 2008;32:114–22.

    Google Scholar 

  21. Hinchey JA, Shephard T, Furie K, et al. Formal dysphagia screening protocols prevent pneumonia. Stroke. 2005;36:1972–6.

    Article  PubMed  Google Scholar 

  22. Martino R, Pron G, Diamant N. Screening for oropharyngeal dysphagia in stroke: insufficient evidence for guidelines. Dysphagia. 2000;15:19–30.

    PubMed  CAS  Google Scholar 

  23. Odderson IR, McKenna BS. A model for management of patients with stroke during the acute phase. Outcome and economic implications. Stroke. 1993;24:1823–7.

    Article  PubMed  CAS  Google Scholar 

  24. Adams Jr HP, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke. 2007;38:1655–711.

    Article  PubMed  Google Scholar 

  25. Lakshminarayan K, Tsai AW, Tong X, et al. Utility of dysphagia screening results in predicting poststroke pneumonia. Stroke. 2010;41:2849–54.

    Article  PubMed  Google Scholar 

  26. Antonios N, Carnaby-Mann G, Crary M, et al. Analysis of a physician tool for evaluating dysphagia on an inpatient stroke unit: the modified mann assessment of swallowing ability. J Stroke Cerebrovasc Dis. 2010;19:49–57.

    Article  PubMed  Google Scholar 

  27. Martino R, Silver F, Teasell R, et al. The Toronto Bedside Swallowing Screening Test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke. 2009;40:555–61.

    Article  PubMed  Google Scholar 

  28. Suiter DM, Leder SB, Karas DE. The 3-ounce (90-cc) water swallow challenge: a screening test for children with suspected oropharyngeal dysphagia. Otolaryngol Head Neck Surg. 2009;140:187–90.

    Article  PubMed  Google Scholar 

  29. Trapl M, Enderle P, Nowotny M, et al. Dysphagia bedside screening for acute-stroke patients: the gugging swallowing screen. Stroke. 2007;38:2948–52.

    Article  PubMed  Google Scholar 

  30. Turner-Lawrence DE, Peebles M, Price MF, et al. A feasibility study of the sensitivity of emergency physician dysphagia screening in acute stroke patients. Ann Emerg Med. 2009;54:344-8–48 e1.

    Article  Google Scholar 

  31. Parker C, Power M, Hamdy S, et al. Awareness of dysphagia by patients following stroke predicts swallowing performance. Dysphagia. 2004;19:28–35.

    Article  PubMed  Google Scholar 

  32. McCullough GH, Rosenbek JC, Wertz RT, et al. Utility of clinical swallowing examination measures for detecting aspiration post-stroke. J Speech Lang Hear Res. 2005;48:1280–93.

    Article  PubMed  CAS  Google Scholar 

  33. Lazarus CL, Logemann JA, Rademaker AW, et al. Effects of bolus volume, viscosity, and repeated swallows in nonstroke subjects and stroke patients. Arch Phys Med Rehabil. 1993;74:1066–70.

    Article  PubMed  CAS  Google Scholar 

  34. Daniels SK, Schroeder MF, DeGeorge PC, et al. Effects of verbal cue on bolus flow during swallowing. Am J Speech Lang Pathol. 2007;16:140–7.

    Article  PubMed  Google Scholar 

  35. Daniels SK, Foundas AL. Swallowing physiology of sequential straw drinking. Dysphagia. 2001;16:176–82.

    Article  PubMed  CAS  Google Scholar 

  36. Rosenbek JC, Robbins JA, Roecker EB, et al. A penetration-aspiration scale. Dysphagia. 1996;11:93–8.

    Article  PubMed  CAS  Google Scholar 

  37. Logemann JA, Kihrilas PJ. Relearning to swallow after stroke-application of maneuvers and indirect feedback: a case study. Neurology. 1990;40:1136–38.

    Article  PubMed  CAS  Google Scholar 

  38. Kahrilas PJ, Logemann JA, Krugler C, et al. Volitional augmentation of upper esophageal sphincter opening during swallowing. Am J Physiol. 1991;260:G450–56.

    PubMed  CAS  Google Scholar 

  39. Carnaby G, Hankey GJ, Pizzi J. Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial. Lancet Neurol. 2006;5:31–7.

    Article  PubMed  Google Scholar 

  40. Fraser C, Power M, Hamdy S, et al. Driving plasticity in human adult motor cortex is associated with improved motor function after brain injury. Neuron. 2002;34:831–40.

    Article  PubMed  CAS  Google Scholar 

  41. Gow D, Rothwell J, Hobson A, et al. Induction of long-term plasticity in human swallowing motor cortex following repetitive cortical stimulation. Clin Neurophysiol. 2004;115:1044–51.

    Article  PubMed  Google Scholar 

  42. Robbins J, Butler SG, Daniels SK, et al. Swallowing and dysphagia rehabilitation: translating principles of neural plasticity into clinically oriented evidence. J Speech Lang Hear Res. 2008;51:S276–300.

    Article  PubMed  Google Scholar 

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Acknowledgment

The authors would like to acknowledge Dr. Joe Murray’s assistance with conceptualization and design of Fig. 26.2.

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Authors and Affiliations

  1. Communication Sciences and Disorders, University of Houston, Houston, TX, 77204, USA

    Allison R. Gallaugher MA, Carol-Leigh Wilson MA & Stephanie K. Daniels PhD

Authors
  1. Allison R. Gallaugher MA
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  2. Carol-Leigh Wilson MA
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  3. Stephanie K. Daniels PhD
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Corresponding author

Correspondence to Stephanie K. Daniels PhD .

Editor information

Editors and Affiliations

  1. Div. Gastroenterology & Hepatology, Medical College of Wisconsin, West Wisconsin Avenue 9200, Milwaukee, 53226, Wisconsin, USA

    Reza Shaker

  2. , Dpt Otolaryngology/Head & Neck Surg., UC Davis Medical Center, Stockton Blvd. 2521, Sacramento, 95817, California, USA

    Peter C. Belafsky

  3. Ctr for Voice, Airway & Swallowing Disor, Department of Otolaryngology, Georgia Health Sciences University, 15th Street 1120, Augusta, 30912, Georgia, USA

    Gregory N. Postma

  4. , Dpt of Communication Sciences & Disorder, University of Wisconsin-Milwaukee, East Hartford Ave 2400, Milwaukee, 53201, Wisconsin, USA

    Caryn Easterling

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Gallaugher, A.R., Wilson, CL., Daniels, S.K. (2013). Cerebro-Vascular Accidents and Dysphagia. In: Shaker, R., Belafsky, P., Postma, G., Easterling, C. (eds) Principles of Deglutition. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3794-9_26

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  • DOI: https://doi.org/10.1007/978-1-4614-3794-9_26

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3793-2

  • Online ISBN: 978-1-4614-3794-9

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