Focus on stroke



We examined whether the location of brain damage, neurocognitive deficits, and/or the number of clinical features identified during a swallowing study affected stroke patients' swallowing outcomes. Identification of at least four of six clinical features (cough after swallow, voice change after swallow, abnormal volitional cough, abnormal gag reflex, dysphonia, and dysarthria) was associated with poor swallowing outcomes at admission and discharge from the hospital. In addition, specific neurocognitive deficits seemed to be related to swallowing outcomes; however, location of brain damage was not associated. More information about clinical indictors, neuroanatomical locations, and behavioral features will lead to earlier detection of swallowing disorders........
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