Dysarthria as a predictor of dysphagia following stroke.

Dysarthria as a predictor of dysphagia following stroke.

NeuroRehabilitation. 2016 Feb 18;

Authors: Bahia MM, Mourã LF, Chun RY

Abstract
BACKGROUND: Stroke is the leading cause of mortality and disability in worldwide. Important sequels are frequent, including dysphagia and communication disorders.
OBJECTIVE: to determine the prevalence of dysphagia and communication disorders following stroke, and to identify if communication disorders can predict dysphagia.
METHODS: Thirty-one prospective and consecutive patients were admitted to the Otolaryngology-Dysphagia Outpatient Clinic with diagnosis of ischemic or hemorrhagic stroke. Stroke was confirmed by computed tomography or magnetic resonance imaging, and medical evaluation. All patients had a swallowing and communication evaluation. We compared patients with and without dysphagia, and established the co-occurrence among dysphagia and communication disorders.
RESULTS: Twenty-five patients presented dysphagia. Aphasia occurred in 32.3% of the patients; dysarthria in 45.2% . Dysphagia and aphasia co-occurred in 29% of the population; dysphagia and dysarthria in 45.2% ; the three conditions co-occurred in 22.6% . Dysarthria was a predictor of dysphagia, and it was associated with the presence of oral stage problems.
CONCLUSIONS: A comprehensive evaluation of dysphagia, aphasia, and dysarthria are important to improve clinical outcome following stroke. The identification of dysarthria as a predictor of dysphagia can help identify risk for dysphagia in stroke and assist in the therapeutic process of swallowing problems.

PMID: 26923355 [PubMed - as supplied by publisher]

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