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Use of the maximal phonation test for the screening of dysphagia in stroke patients: a preliminary study.
CONCLUSIONS: In stroke patients, MPT could be used to detect penetration or aspirations while swallowing. and seems to have appropriate validity and sensitivity. CLINICAL REHABILITATION IMPACT: MPT is proposed as a new screening tool for detecting dysphagia in stroke patients, especially airway aspiration. PMID: 31797658 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - December 2, 2019 Category: Rehabilitation Authors: Lim JY, Yoo YH, Park CH, Joa KL, Jung HY Tags: Eur J Phys Rehabil Med Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as an early predictor of post-stroke dysphagia
Conclusions The NIHSS >9 and FIM < 55 are moderately predictive of clinically relevant dysphagia. While the NIHSS clinical test characteristics are not as favorable as the FIM, NIHSS appears to be more sensitive than some other reported methods such as a 3-sip water test. Further study into development of paradigms that incorporate NIHSS into initial assessment of dysphagia risk may be appropriate.
Source: PMandR - January 15, 2015 Category: Rehabilitation Source Type: research

A stimulus for eating. The use of neuromuscular transcutaneous electrical stimulation in patients affected by severe dysphagia after subacute stroke: A pilot randomized controlled trial.
CONCLUSIONS: Laryngopharyngeal neuromuscular electrical stimulation may be considered as an additional and effective treatment option for dysphagia after stroke. PMID: 30714980 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - February 6, 2019 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Comprehensive Respiratory Muscle Training Improves Pulmonary Function and Respiratory Muscle Strength in Acute Stroke Patients.
CONCLUSION: Four weeks of comprehensive RMT in patients with acute stroke resulted in significantly greater improvements in both pulmonary function and respiratory muscle strength than SR. Therefore, RMT has the potential to reduce post-stroke respiratory complications. PMID: 33027217 [PubMed - as supplied by publisher]
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - October 5, 2020 Category: Rehabilitation Authors: Choi HE, Jo GY, Do HK, On CW Tags: J Cardiopulm Rehabil Prev Source Type: research

Efficacy of Bedside Respiratory Muscle Training in Patients With Stroke: A Randomized Controlled Trial
This study aimed to investigate the efficacy of bedside respiratory muscle training on pulmonary function and stroke-related disabilities in stroke rehabilitation. Design Patients with stroke (N = 40) in a rehabilitation unit were randomly assigned to either the intervention group (n1 = 20) or the control group (n2 = 20). Both groups participated in a conventional stroke rehabilitation program. During the study period, the intervention group received bedside respiratory muscle training twice a day for 3 wks. The respiratory muscle training consisted of (1) a breath stacking exercise, (2) inspiratory muscle training, and...
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 10 Source Type: research

Correlations between swallowing function and acoustic vowel space in stroke patients with dysarthria.
CONCLUSIONS: VSA and FCR values were correlated with swallowing function and may be helpful in predicting dysphagia severity associated with stroke. PMID: 31868693 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - December 25, 2019 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Comprehensive Respiratory Muscle Training Improves Pulmonary Function and Respiratory Muscle Strength in Acute Stroke Patients
Conclusion: Four weeks of comprehensive RMT in patients with acute stroke resulted in significantly greater improvements in both pulmonary function and respiratory muscle strength than SR. Therefore, RMT has the potential to reduce post-stroke respiratory complications.
Source: Journal of Cardiopulmonary Rehabilitation - April 30, 2021 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as An Early Predictor of Poststroke Dysphagia
Conclusions The NIHSS >9 and FIM <55 are moderately predictive of clinically relevant dysphagia. Although the NIHSS clinical test characteristics are not as favorable as the FIM, NIHSS appears to be more sensitive than some other reported methods such as a 3-sip water test. Further study into development of paradigms that incorporate NIHSS into initial assessment of dysphagia risk may be appropriate.
Source: PMandR - January 24, 2015 Category: Rehabilitation Source Type: research

Criteria to assess tongue strength for predicting penetration and aspiration in patients with stroke having dysphagia.
CONCLUSIONS: This study found that tongue strength has predictive abilities similar to clinical and bedside tests to screen penetration and aspiration in stroke patients with swallowing disorders. Therefore, it is a new screening test that clinical practitioners can choose to reduce the risk of pneumonia caused by post-stroke disorders. CLINICAL REHABILITATION IMPACT: As a new screening tool, tongue strength can be combined with other clinical and instrumental assessments to predict penetration and aspiration in stroke patients with dysphagia. PMID: 32329588 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - April 23, 2020 Category: Rehabilitation Authors: Lee JH, Choi SY Tags: Eur J Phys Rehabil Med Source Type: research

Does sensory transcutaneous electrical stimulation prevent pneumonia in the acute stage of stroke? A preliminary study
In this study, we investigated the efficacy of surface sensory e-stim therapy in preventing pulmonary infection in 53 acute stroke patients with dysphagia. The risk of pulmonary infection was significantly decreased in the general dysphagia/surface e-stim combination therapy group. We considered that surface e-stim therapy can impact dysphagia treatment in acute stroke patients, particularly in preventing pulmonary infection. Future large and randomized studies are needed to evaluate the effects of surface sensory e-stim therapy on acute stroke patients.
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Brief research reports Source Type: research

Effects of Shaker exercise in stroke survivors with orophagyngeal dysphagia.
CONCLUSIONS: The results of this study suggest that Shaker exercise is a effective exercise for recovery of swallowing function in stroke survivors with dysphagia. PMID: 28946582 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - September 29, 2017 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

The influence of pharyngeal width on post-stroke laryngeal aspiration
CONCLUSIONS: The pharyngeal width could be an ancillary method for detecting penetration and aspiration in stroke patients.PMID:34308916 | DOI:10.3233/NRE-210120
Source: NeuroRehabilitation - July 26, 2021 Category: Rehabilitation Authors: Wonil Kang Jane Chung Jeongeun Lee Kwang-Ik Jung Woo-Kyoung Yoo Suk Hoon Ohn Source Type: research

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