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The effect of swallowing rehabilitation on quality of life of the dysphagic patients with cortical ischemic stroke

机译:吞咽康复对吞咽困难的皮质缺血性卒中患者的生活质量的影响

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Background: Swallowing and swallowing-related quality of life studies following stroke were almost always performed by including both patients with brainstem and cortical involvement. It was aimed in this study to show the presence of dysphagia in patients with only cortical ischemic stroke and to investigate the interaction between dysphagia and quality of life as well as to evaluate the effect of a rehabilitation program in the acute phase.Methods: Seventy-two patients with cortical stroke (between 0 and 30 days) and dysphagia were included. Swallowing function of patients was assessed by dysphagia screen questionnaire and fiberoptic endoscopic assessment. Also, functional impairment and swallowing quality of life were assessed. The swallowing rehabilitation program for 4 weeks was given to all patients.Results: All patients demonstrated disorders related to oral phase (n = 69, 95.8%), pharyngeal phase (n = 4, 5.6%) or both phases. The swallowing function, swallowing quality of life and functional impairment were improved at the end of therapy.Conclusion: Swallowing quality of life is severely affected in cortical hemispheric stroke patients and can be improved with an early rehabilitation program.
机译:背景:中风后吞咽和与吞咽相关的生活质量研究几乎总是通过包括脑干和皮层受累患者来进行。该研究旨在显示仅皮质缺血性卒中患者存在吞咽困难,并研究吞咽困难与生活质量之间的相互作用,并评估急性期康复计划的效果。方法:七十包括两名患有皮质中风(0至30天)和吞咽困难的患者。通过吞咽困难筛查问卷和光纤内窥镜评估来评估患者的吞咽功能。此外,还评估了功能障碍和吞咽生活质量。所有患者均接受了4周的吞咽康复计划。结果:所有患者均表现出与口腔阶段(n = 69,95.8%),咽喉阶段(n = 4,5.6%)或两个阶段有关的疾病。治疗结束后吞咽功能,吞咽生活质量和功能障碍得到改善。结论:大脑半球性卒中患者的吞咽生活质量受到严重影响,可以通过早期康复计划加以改善。

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