•  
  •  
 

Rehabilitation Practice and Science

Translated Title

腦中風後吞嚥障礙的復健治療與近期發展

Abstract

Dysphagia is a common poststroke complication. It is associated with aspiration, malnutrition, dehydration, and disability, and it may increase the risk of pneumonia, and even death. Early diagnosis and treatment of patients with dysphagia reduces not only the aforementioned risks, but also the length of hospitalization and overall healthcare expenditures. Patients with poststroke oropharyngeal dysphagia exhibit highly variable patterns of swallowing abnormalities, and the related symptoms remain challenging to identify clinically. Patients who have experienced stroke should be screened for dysphagia as early as possible on admission and prior to any form of oral intake. Those who fail dysphagia screening or are evaluated to be at risk for dysphagia should be assessed by a speech-language pathologist (or an appropriate professional), where indicated investigation involving instrumental swallowing examinations such as videofluoroscopy or fiberoptic endoscopic evaluation of swallowing should be undertaken to determine the functional severity, understand the swallowing physiology and guide treatments. Treatment strategies for poststroke oropharyngeal dysphagia include compensatory and rehabilitation strategies. Promising therapies are emerging, including neurostimulation techniques and medication and devices to strengthen the muscles involved in swallowing. The establishment of a multidisciplinary swallowing team approach effectively reduces the risk of pneumonia in patients who have experienced acute stroke. Although swallowing rehabilitation is effective, the management of poststroke dysphagia remains a neglected area of research. More research is needed to determine the optimal management protocols in areas including diagnosis, investigation and treatment.

Language

Traditional Chinese

First Page

129

Last Page

145

Download

Share

COinS