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Related Concept Videos

Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...

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Related Experiment Video

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Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Orofacial dysfunction after stroke-A multidisciplinary approach.

Pia Skott1,2,3, Elisabet Åkesson4,5, Kerstin Johansson6

  • 1Folktandvården Stockholm AB, Public Dental Services, Stockholm, Sweden.

Gerodontology
|September 11, 2023
PubMed
Summary

Oral screen training may help post-stroke swallowing issues. Baseline data showed varied results, highlighting the need for personalized care in stroke rehabilitation for dysphagia and orofacial dysfunction.

Keywords:
dysphagiamultidisciplinary approachoral screenorofacial trainingrehabilitationstroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Speech-Language Pathology

Background:

  • Stroke is a leading cause of long-term disability.
  • Dysphagia (swallowing difficulties) is a common post-stroke complication.
  • Oral screen training is a potential intervention for post-stroke swallowing dysfunction, but evidence is limited.

Purpose of the Study:

  • To describe the protocol for a clinical trial evaluating oral screen training in post-stroke rehabilitation.
  • To collect baseline data on dysphagia, lip function, masticatory performance, and patient-reported outcomes.
  • To assess the feasibility and characteristics of patients with post-stroke orofacial dysfunction.

Main Methods:

  • A clinical trial protocol was designed.
  • 25 stroke patients with persistent swallowing dysfunction were enrolled.
  • Objective measures included swallowing capacity test (SCT), lip force, and masticatory performance. Subjective measures included EAT-10, NOT-S, and patient-related outcome measures (PROM) via LiSat-11 and ESAS.

Main Results:

  • Baseline data showed significant heterogeneity and no clear association between objective and subjective measures of dysfunction.
  • Most participants (80%) exhibited impaired swallowing capacity on the SCT.
  • A high prevalence of orofacial dysfunction (96%) was observed based on NOT-S, with chewing and swallowing problems being the most frequent subjective complaint.

Conclusions:

  • The heterogeneity in findings underscores the need for multidisciplinary approaches to accurately assess and manage post-stroke orofacial dysfunction.
  • Individualized, evidence-based care is crucial for stroke survivors with dysphagia.
  • The study population is representative of stroke patients with dysphagia, supporting the continuation of the planned oral screen training intervention.