Dysphagia in Acute Stroke Patients

Abstract

Dysphagia after acute stroke is common, and different locations of lesion result in distinct swallowing disturbance patterns. Based on accurate evaluation, we can select suitable rehabilitative approaches for individual patients, including respiratory therapy, food modification, postural changes, medication, and oral care. Subsequently, the incidence rate of aspiration and pneumonia decrease. The presence of dysphagia can be a predictor of the prognosis of acute stroke, and thus it is important to prevent aspiration and maintain adequate nutrition. In severe cases, botulinum toxin injection or surgery needs to be considered, in conjunction with continuous therapy by swallowing specialists and non-oral feeding. In addition, a regional alliance system is necessary for long-term dysphagia intervention.