The Essentials: Dysphagia and CVA
Presented by Angela Mansolillo
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Dysphagia is a symptom, not a disease unto itself. Difficulty swallowing can be a symptom of a wide variety of medical diagnoses. The underlying diagnosis is a critical factor to consider when developing a treatment approach. Dysphagia clinicians must guard against a “one-size-fits-all” approach and instead develop an understanding of the causative factors and pathophysiology of swallowing disorders in each disease process.
This course will discuss dysphagia in the setting of cerebrovascular accident (CVA), or stroke. The characteristics of dysphagia in stroke will be reviewed in light of stroke type and location. Specific considerations for assessment of patients with stroke will be reviewed, including the importance of swallow screening in this population. The evidence base for treatment strategies specific to stroke will be provided, with a focus on exercise and sensory enhancements, in addition to compensatory strategies and diet modification. Participants will be provided with an opportunity for problem-solving through case review.
This course is appropriate for dysphagia clinicians working in medical settings, including acute care, outpatient rehabilitation, inpatient rehabilitation, and long-term care.
Meet your instructor
Angela Mansolillo
Angela Mansolillo is a speech-language pathologist and board-certified specialist in swallowing disorders with more than 25 years of experience. She is currently a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts, where she provides evaluation and treatment services for adults and…
Chapters & learning objectives
1. CVA: What the Dysphagia Clinician Needs to Know
This chapter will provide an overview of stroke for the dysphagia clinician. Stroke type and location, as well as stroke sequalae, will be discussed to provide the clinician with an understanding of the relationship between swallowing and stroke.
2. Dysphagia and Stroke
This chapter will describe dysphagia as it manifests in patients who have sustained a stroke.
3. Intervention Strategies
This chapter will provide a discussion of the evidence base for treatment strategies for dysphagia in patients with stroke. Intervention techniques that have been specifically targeted for patients with stroke will be highlighted, including sensory enhancements and interventions, dietary modifications, and compensations. The role of exercise in improving oral, pharyngeal, and respiratory muscle functions will be discussed as well.
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