Dysphagia Following Stroke
[DY 0490]

Dysphagia Following Stroke is a practical and easy-to-use handbook which provides up-to-date coverage of the evaluation and treatment of swallowing disorders in the stroke population. The gap between academics and clinical practice is narrowed with the latest research packaged for clinical application. Particular focus is on the clinical and instrumental evaluation of swallowing, measurements of dysphagia, principles of care for patients with dysphagia following stroke, rehabilitation and risk management. Clinical examples are incorporated throughout the text to facilitate clinical integration and relevance.

CONTENTS INCLUDES:

■ Foreword by Jay Rosenbek, PhD
■ Chapter 1: Introduction to Dysphagia and Stroke
○ Overview of Stroke
○ Dysphagia in Stroke
○ Multidisciplinary Management of Dysphagia in Stroke

■ Chapter 2: The Neural Control of Swallowing: From Central to Peripheral
○ Methods for Understanding Neural Control
○ Higher Nervous System Control
○ Central Pattern Generator/Brainstem Mechanisms
○ Peripheral Neuromuscular Mechanisms

■ Chapter 3: Normal Swallowing Anatomy and Physiology
○ Defining Normal and Abnormal Swallowing
○ Phases of Swallowing

■ Chapter 4: The Clinical Swallowing Examination: History and Patient Interview
○ Patient History
○ Patient and Family Interview

■ Chapter 5: The Clinical Swallowing Examination: Cognition and Communication
Assessments
○ The Cognitive Assessment
○ The Communication Assessment

■ Chapter 6: The Clinical Swallowing Examination: The Evaluation of the Oral
Mechanism
○ Structural Integrity
○ The Cranial Nerve Examination: Inferring Physiology
○ Case Example

■ Chapter 7: The Clinical Examination of Swallowing: Assessment of Oral Intake
○ Executing the Assessment of Oral Intake
○ Interpreting the Assessment of Oral Intake

■ Chapter 8: The Clinical Swallowing Examination: Predicting Dysphagia and Aspiration
○ The Water Swallow Test
○ The CSE with a Focus on Clinical Features Predicting Dysphagia and Aspiration
○ The Mann Assessment of Swallowing Ability

■ Chapter 9: Adjuncts to the Clinical Swallowing Examination
○ Pulse Oximetry
○ Cervical Auscultation
○ Cough Reflex Testing

■ Chapter 10: The Instrumental Examination: The Videofluoroscopic Swallow Study
○ The Need for Diagnostic Specificity

■ Chapter 11: The Instrumental Swallowing Examination: Evaluation of Swallowing
Respiratory Coordination—An Auxiliary to the Videofluoroscopic Swallow Study
○ Executing the Evaluation of Swallowing Respiratory Coordination
○ Interpreting the Evaluation of Swallowing Respiratory Coordination

■ Chapter 12: The Instrumental Swallowing Examination: Videoendoscopic Evaluation
of Swallowing
○ Executing the Videoendoscopic Evaluation of Swallowing
○ Interpreting the Videoendoscopic Evaluation of Swallowing

■ Chapter 13: The Instrumental Swallowing Examination: Manometric Evaluation of
Swallowing
○ Executing the Manometric Evaluation
○ Interpreting the Manometric Evaluation
○ Variables Influencing Pharyngeal Pressure Measurement
○ What Can Manometry Offer to Clinical Practice?
○ Case Examples

■ Chapter 14: Professional Responsibilities:Dysphagia Diagnosis in Stroke
○ Case Example

■ Chapter 15: Diagnosis of Dysphagia in Stroke
○ Oral Phase
○ Pharyngeal Phase
○ Oral and Pharyngeal Dysmotility in Stroke

■ Chapter 16: Diet Considerations: To Feed or Not to Feed **An Overview of Options
for Feeding the Dysphagic Patient **Non-Oral, Enteral Feeding Options
○ Decision Making for Non-Oral Nutrition
○ Free Water

■ Chapter 17: Compensatory Management
○ Postural Changes
○ Sensory Enhancement
○ Volitional Control of Oral Transfer
○ Breath-Holding Techniques
○ Bolus Modification

■ Chapter 18: Rehabilitation of Oropharyngeal Dysphagia
○ Oral Motor Exercises
○ Effortful Swallow
○ Mendelsohn Maneuver
○ Masako Maneuver (Tongue-Hold Maneuver)
○ Head-Lift Exercise

■ Chapter 19: Maximizing Rehabilitation Effectiveness
○ Biofeedback Modalities in Dysphagia Rehabilitation
○ Dose

■ Chapter 20: Emerging Modalities in Dysphagia Management
○ Expiratory Muscle Strength Training
○ Neuromuscular Electrical Stimulation
○ The Need for Intelligent Enthusiasm

■ Chapter 21: Medical and Surgical Management
○ Medical Management
○ Surgical Intervention

■ Chapter 22: Lagniappe
○ Management Effectiveness with Stroke Patients
○ Reassessment
○ Last Thoughts

■ References
■ Index

362 pages, Illustrated (B/W), Softcover, 5 x 7.5"