Johns Hopkins University
The purpose of this study is to determine a standardized protocol for swallowing therapy and this protocol's effects on recovery after a stroke
This study will include adults, aged 18-99, who are admitted to Johns Hopkins Bayview (JHBMC) Rehabilitation Unit following an acute ischemic stroke with a diagnosis of dysphagia, determined by instrumental assessment with a Video Fluoroscopic Swallowing Study (VFSS). All participants will be asked to complete an informed consent form prior to admission to the study. Initial objective assessment of swallowing with video fluoroscopic swallowing assessment will be completed within 72 hours of admission to the unit. Participants with PAS scores of greater than or equal to 3 and FOIS scores of les…
Inclusion Criteria: 1. Ages 18-99 2. Ischemic Stroke 3. Identified to have acute dysphagia s/p ischemic stroke 4. Able to follow 1-step commands for swallowing directions Exclusion Criteria: 1. Younger than 18, older than 100 2. Hemorrhagic Stroke, Subarachnoid hemorrhage, subdural hematoma, epidural hematoma 3. h/o dysphagia 4. Advanced progressive neurological disease
Intensive swallowing interventions with Speech Language Pathologists to begin within 24 hours of video swallow study results. Daily treatment will include two 30-minute sessions, 5-6 days a week which will include the evidence-based dysphagia exercises focusing on tongue resistance, head lift/chin tuck against resistance and expiratory muscle strength training tasks
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