PROGNOSIS FOR SWALLOWING FUNCTION RECOVERY FOLLOWING CVA

100例新发单灶性CVA和吞咽障碍患者 将根据神经解剖部位、血管、 领土和临床体征和症状。临床吞咽困难评估 和改良吞钡（VF/MBS）的视频荧光透视检查， 在CVA后3、6、12和26周进行，以确定 和口咽吞咽障碍的严重程度。临床语言 将同时进行评估，以确定是否存在， 言语语言和神经行为缺陷的严重程度。个体饮食 将根据VF/MBS结果进行分配。每一位患者都将获得 吞咽困难治疗，适用于已确定的吞咽障碍， 由受过训练的语言病理学家或家庭成员 病理学家这项为期五年的研究建议， 定性定量检查吞咽障碍类型 在特定的CVA亚型中发现， 中风发作后26周内CVA亚型的变化的影响 语言和神经行为缺陷的能力，增加 还将研究吞咽困难治疗过程中的口服摄入。

One-hundred patients with new-onset unifocal CVA and swallowing disorders will be classified into CVA subtypes by neuroanatomic site, vasoular territory, and clinical signs and symptoms. Clinical dyaphagia evaluation and videofluoroseopy with modified barium swallow (VF/MBS) will be performed 3, 6, 12, and 26 weeks following CVA to determine the presence and severity of oropharyngeal swallowing disorders. Clinical language evaluations will be performed coneurrently to determine the presence and severity of speech-language and neurobehavioral deficits. Individual diets will be assigned according to VF/MBS results. Each patient will receive dysphagia therapy, lappropriate to the identified swallowing disorders, from a trained speech pathologist or family member trained by a speech pathologist. This five-year study proposes to qualitatively and quantitatively examine types of swallowing disorders found in specific CVA subtypes and changes in swallowing function across CVA subtypes over a 26-week period following stroke onset. The effects of speech-language and neurobehavioral deficits on the ability to increase oral intake during the process of dysphagia therapy also will be studied.