Article

Although reported frequencies vary due to study design, patient characteristics,
and method of ascertainment, dysphagia is a commonly encountered morbidity after
stroke. Consequently, speech-language pathologists' clinical caseloads are
heavily populated with individuals with poststroke dysphagia. The body of
knowledge about swallowing and swallowing disorders has expanded exponentially
over the last 3 decades, and speech-language pathologists are increasingly
sophisticated in their evaluation and treatment of this patient population.
Nevertheless, clinical quandaries persist regarding the management of these
individuals. In this article, clinical challenges are discussed, including early
detection of dysphagia and aspiration risk, treatment efficacy, refractory
dysphagia, and noncompliance with treatment. Research relevant to these issues is
reviewed to aid in formulating sound clinical decisions.

Langue : ANGLAIS