Physical Medicine and Rehabilitation Clinics of North America, volume 35, issue 2, pages 433-443

Dysphagia and Enteral Feeding After Stroke in the Rehabilitation Setting

Robynne Braun 1, 2, 3
Jodi Arata 4
Marlís González-Fernández 5, 6
Publication typeJournal Article
Publication date2024-05-01
scimago Q2
SJR0.554
CiteScore3.3
Impact factor1.1
ISSN10479651, 15581381
Rehabilitation
Physical Therapy, Sports Therapy and Rehabilitation
Abstract
Physiatrists play a vital role in post-stroke dysphagia management not only by providing guidance on the risks, benefits, and efficacy of various treatment options but also as advocates for patients' independence and quality of life . While swallow study results are often discussed broadly by acute stroke clinicians as "pass/fail" findings, physiatrists need a more nuanced working knowledge of dysphagia diagnosis and treatment that encompasses swallow pathophysiology , targeted treatment strategies, and prognosis for recovery. To that end, this review summarizes current clinical practice guidelines on dysphagia, nutrition and oral care, risks and benefits of differing enteral access routes, prognostic factors , and approaches to rehabilitation.

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