PROGNOSIS FOR SWALLOWING FUNCTION RECOVERY FOLLOWING CVA

100例新发单灶性CVA合并吞咽障碍患者 将根据神经解剖位置、血管位置分为CVA亚型 领土，以及临床症状和体征。临床吞咽障碍评估 和带改良吞钡的视频透视(VF/MBS)将 在CVA后3周、6周、12周和26周进行检查以确定是否存在 以及口咽吞咽障碍的严重程度。临床语言 目前将进行评估，以确定存在和 言语语言和神经行为缺陷的严重程度。个人饮食 将根据VF/MBS结果进行分配。每个病人都会收到 吞咽困难疗法，适用于已确定的吞咽障碍， 来自训练有素的言语病理学家或受过演讲训练的家庭成员 病理学家。这项为期五年的研究建议 定性和定量检查吞咽障碍的类型 发现于特定的CVA亚型和吞咽功能的变化 中风发病后26周内的CVA亚型。的影响 言语-语言和神经行为缺陷对能力的影响 吞咽困难治疗过程中的口服也将被研究。

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.