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Dysphagia Evaluation
Aka: Dysphagia Evaluation, Swallowing Exam, Dysphagia after Cerebrovascular Accident, Swallowing Evaluation after Stroke
- See Also
- Dysphagia
- Dysphagia Diet
- Implications
- Dysphagia may occur in 55% of patients after CVA
- Silent aspiration occurs 40-70% of Dysphagia patients
- Risk of Aspiration Pneumonia and other complications
- Predictors of Aspiration Risk after CVA
- Criteria
- Dysphonia
- Dysarthria
- Abnormal Gag Reflex
- Abnormal volitional cough (weak cough on command)
- Cough within 1 minute of water ingestion (5,10,20 cc)
- Voice changes after swallowing (5, 10, 20 cc)
- Interpretation
- One or less criteria: Mild or no Dysphagia
- Two or more criteria: Moderate to severe Dysphagia
- Management for moderate to severe Dysphagia
- See Dysphagia Diet
- References
- Daniels (2000) Arch Phys Med Rehabil 81:1031 [PubMed]