Indonesia Journal of Physical Medicine and Rehabilitation
Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation

Evaluation of Swallowing Disorder in Ischemic Stroke Patients By Flexible Endoscopic

Nur Indah Lestari Lestari (Department of Physical Medicine and Rehabilitation, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta)
Widjajalaksmi Kusumaningsih (Department of Physical Medicine and Rehabilitation, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta)
Salim Harris (Department of Neurology, Faculty of Medicine, University of Indonesia, Jakarta)
Susyana Tamin (Department of Ear, Nose, and Throat-Head and Neck, Faculty of Medicine, University of Indonesia, Jakarta)
Retno Asti Werdhani (Department of Community Medicine, Faculty of Medicine, University of Indonesia, Jakarta)



Article Info

Publish Date
01 Jun 2019

Abstract

Introduction: Dysphagia is one of the complications of stroke and closely associated with increasing of aspiration pneumonia. Evaluation of dysphagia was necessary to prevent pneumonia due to aspiration has effectively done by fiberoptic endoscopic evaluation of swallowing (FEES).Methods: The study was a cross sectional study with convenience sampling. The subjects were stroke outpatients from July to December 2018. The FEES was conducted to assess the swallowing dysfunction and the data were collected.Results: There was six post ischemic stroke subjects, mean age (SD) was 55.17 (9.13) years and 4 subjects were male. All subjects had standing secretion in pre-swallowing assessment. 3 subjects used nasogastric tube (NGT) to fulfill the intake safely. In swallowing assessment, all subjects had residue at vallecula and/or pyriformis sinus. 2 subjects had penetration only and 4 subjects had penetration with aspiration. There was inadequate cough reflex in 2 subjects.Conclusion: Standing secretion and residue became the most dominant findings in post ischemic stroke patients, which a risk to have Aspiration.Keywords: Swallowing Disorder, Stroke, Flexible Endoscopic Evaluation of Swallowing (FEES)

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Journal Info

Abbrev

IJPMR

Publisher

Subject

Decision Sciences, Operations Research & Management Neuroscience Physics

Description

Indonesian Journal of Physical Medicine and Rehabilitation publishes peer reviewed original articles, literature review and case report. This journal is published two times a year with 6 articles. Subjects suitable for publication include but are not limited to the following fields of Acute and ...