Conference presentation
How much swallowing rehabilitation is possible post stroke: a report of dosage and outcomes in a metropolitan stroke unit
Vol.8(S2)
Smart strokes 2013 conference: Risk, recovery and reorganisation: 9th Australasian Nursing & Allied Health Stroke Conference (Queensland, Australia, 21/08/2013 - 22/08/2013)
2013
Metrics
33 Record Views
Abstract
<p><em><strong>Purpose:</strong></em> In swallowing rehabilitation post stroke, no study has described the dosage of practice of direct exercise that can be completed in clinical rehabilitation sessions. This study aims to: (i) describe the dosage of swallowing rehabilitation practice participants were able to complete and (ii) document swallowing outcomes.</p>
<p><strong><em>Methods:</em> </strong>A descriptive feasibility study was conducted in a metropolitan comprehensive stroke unit. 20 participants with persisting dysphagia underwent an instrumental assessment before being prescribed individualized evidence based swallowing rehabilitation programs of direct interventional exercises. Throughout the program each participant's total dosage (i.e. number of repetitions) of exercises was recorded. Participants' pre and post-treatment outcome measures included the Mann Assessment of Swallowing Ability (MASA) and the Functional Oral Intake Scale (FOIS).</p>
<p><em><strong>Results:</strong></em> Following a comprehensive swallowing rehabilitation program, there was a significant improvement (p < .01) in the MASA scores from moderate to nil dysphagia (148 vs. 179). Participants also showed a significant progression (p < .01) in their recommended diets on the FOIS (3.5 vs. 5.3). Dosage of swallowing rehabilitation practice achieved (μ = 3091 range 363 – 10,704) and number of therapy days (μ = 17 range 4–52) was variable.</p>
<p><strong><em>Conclusion</em></strong>: Dosage of swallowing rehabilitation practice will vary across stroke survivors, however rehabilitation of persisting dysphagia in the sub-acute phase of stroke may facilitate recovery.</p>
Details
- Title
- How much swallowing rehabilitation is possible post stroke: a report of dosage and outcomes in a metropolitan stroke unit
- Creators
- K Vickers - University of SydneyL Togher - University of SydneyBernice Mathisen - LaTrobe UniversityE Power - University of Sydney
- Publication Details
- Vol.8(S2)
- Conference
- Smart strokes 2013 conference: Risk, recovery and reorganisation: 9th Australasian Nursing & Allied Health Stroke Conference (Queensland, Australia, 21/08/2013 - 22/08/2013)
- Comment
SMART STROKES 2013 CONFERENCE. Risk, Recovery & Reorganisation, 9th Australasian Nursing & Allied Health Stroke Conference. 22-23 August 2013. Queensland, Australia.
- Identifiers
- 3829; 991012821980202368
- Academic Unit
- Faculty of Health; School of Health and Human Sciences; Allied Health and Midwifery
- Resource Type
- Conference presentation