DYSPHAGIA-RECOVERY AFTER STROKE

SUMMARY

1. Few studies available. Wilkinson et al. (2002): 12-month retrospective cohort study of 186 teaching hospital inpatients.

2. Subjects who tolerated grade 1 fluids (or thinner) & modified soft diet (or better) 7 days post-stroke did not require PEG.

3. Subjects who did not tolerate grade 2 fluids 7-14 days post-stroke could not tolerate a normal diet by 28 days post-stroke.

4. 50% of subjects who did not tolerate grade 3 thickened fluids & pureed diet 14 days post-stroke required PEG.

5. Of subjects who tolerated grade 3 fluids at day 7, 36% tolerated normal diet at day 28.

6. Logemann (1991): recovery of swallowing function in most brainstem strokes occurs in the first 3 weeks.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.