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Original Article

Prognostic Indicators in Dysphagia Recovery.

Lee, Kang Woo , Kwon, Jeong Yi
Journal of the Korean Academy of Rehabilitation Medicine 1997;21(1):13-19.
Department of Rehabilitation Medicine, Samsung Medical Center, Korea.
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The purpose of this study was to find prognostic indicators of dysphagia recovery after stroke. 26 dysphagic patients with history of aspiration divided into two groups, oral feeding group and persisting aspirating group(continue tube feeding after acute stage of stroke rehabilitation). We evaluated the neurologic locus of stroke lesion, Functional Independence Measure(FIM) score, parameters of the bedside swallowing test and videofluoroscopic modified barium swallow. The neurologic locus of stroke lesion was not correlate with the recovery of aspiration due to stoke. The low FIM score(less than 50), large amount of pharyngeal residue, decreased clearing ability of residue, and delayed pharyngeal transit time(over 3 sec) were bad prognostic indicators of dysphagia recovery. We may use these criteria for the recommendation of continuous tube feeding especially, Percutaneous Endoscopic Gastrostomy(PEG) in dysphagic patients after stroke

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