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Assessment and rehabilitation of post stroke dysphagia

Assessment and rehabilitation of post stroke dysphagia (swallowing problems)

What we are doing:

We are validating a dysphagia-trained nurse assessment for its use in identifying and managing dysphagia in the early stages after stroke. 

We are also conducting a randomised controlled trial to see whether dysphagia therapy augmented with biofeedback is feasible and helps improve swallowing in the early stages after stroke.

Why we are doing it:

About 50% of people who have a stroke have swallowing difficulties. There are no comprehensive dysphagia-trained nurse assessments that have been validated in the UK with stroke patients.

There is some evidence that dysphagia therapy with biofeedback can improve swallow physiology but further research is needed to see whether it is suitable for acute stroke patients and whether it results in meaningful improvements 

What the benefits will be:

Early comprehensive swallowing assessment reduces pneumonia and means patients with mild and moderate difficulties can begin to eat and drink earlier.

Biofeedback, augmented dysphagia therapy may lead to improvements in swallowing, quality of life, clinical outcomes and associated health costs in the early stage post stroke. 

Who we are working with:

  • Derby Stroke Centre at Royal Derby Hospital, University Hospitals of Derby and Burton NHS Foundation Trust
  • University of Nottingham

Contact:

Jacqui Benfield, Jacqueline.benfield@nottingham.ac.uk@JB_SLT