Interventions for dysphagia and nutritional support in acute and subacute stroke
Abstract
Background Dysphagia (swallowing problems) are common after stroke and can cause chest infection and malnutrition. Dysphagic, and malnourished, stroke patients have a poorer outcome. Objectives To assess the effectiveness of interventions for the treatment of dysphagia (swallowing therapy), and nutritional and fluid supplementation, in patients with acute and subacute (within six months from onset) stroke. Search methods We searched the Cochrane Stroke Group Trials Register (February 2012), MEDLINE (1966 to July 2011), EMBASE (1980 to July 2011), CINAHL (1982 to July 2011) and Conference Proceedings Citation Index- Science (CPCI-S) (1990 to July 2011). We also searched the reference lists of relevant trials and review articles, searched Current Controlled Trials and contacted researchers (July 2011). For the previous version of this review we contacted the Royal College of Speech and Language Therapists and equipment manufacturers. Selection criteria Randomised controlled trials (RCTs) in dysphagic stroke patients, and nutritional supplementation in all stroke patients, where the stroke occurred within six months of enrolment. Data collection and analysis Two review authors independently applied the inclusion criteria, assessed trial quality, and extracted data, and resolved any disagreements through discussion with a third review author. We used random-effects models to calculate odds ratios (OR), 95% confidence intervals (95% CI), and mean differences (MD). The primary outc…
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Enteral feeding strategies may be needed when aspiration risk is high in acute stroke.
“Early screening and structured dysphagia management improve outcomes (Arnold et al., 2016; Martino et al., 2005), and enteral feeding strategies may be needed when aspiration risk is high (Duncan et al., 2020; Geeganage et al., 2012).”
From Autonomic nervous system and gastrointestinal manifestations with an emphasis on gastric dysfunction (2026) · cites this paper as Geeganage et al., 2012
Cites
The Effects of Lingual Exercise in Stroke Patients With Dysphagia
Robbins, J., Kays, S. A., Gangnon, R. E., Hind, J. A., Hewitt, A. L., Gentry, L. R., & Taylor, A. J. (2007) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2006.11.002 · Cited by 523 · see citing works
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Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., Deruyter, F., Eng, J. J., Fisher, B., Harvey, R. L., et al. (2016) · Stroke · doi:10.1161/str.0000000000000098 · Cited by 3,293 · see citing works
Gastrointestinal motility disorders in neurologic disease
Camilleri, M. (2021) · Journal of Clinical Investigation · doi:10.1172/jci143771 · Cited by 211 · see citing works
Castiglia, S. (2017) · Functional Neurology · doi:10.11138/fneur/2017.32.4.221 · Cited by 66 · see citing works
Autonomic nervous system and gastrointestinal manifestations with an emphasis on gastric dysfunction
Shouman, K., Camilleri, M., & Singer, W. (2026) · Autonomic Neuroscience · doi:10.1016/j.autneu.2026.103474
- Authors
- Geeganage, C. M., Beavan, J., Ellender, S., & Bath, P. M.
- Affiliations
- University of Colombo (LK)
- Royal Derby Hospital (GB)
- University of Nottingham (GB)
- ORCID
- Philip M. Bath
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- Wiley
- Published
- 2012-10-17
- Volume
- 10
- Pages
- CD000323-CD000323
- ISSN
- 1361-6137 (ISSN-L)
- 1465-1858
- OpenAlex
- W2114246762
- Cited by
- 282
- References
- 1
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 13 · 2023: 16 · 2022: 26 · 2021: 23 · 2020: 25 · 2019: 31 · 2018: 30 · 2017: 20 · 2016: 26 · 2015: 18 · 2014: 25 · 2013: 20
- FWCI
- 4.41
- Type
- journal article
- Language
- en
- Update notices
- new_version (2018-10-30)
- Open access
- closed
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Keywords
- dysphagia, stroke, swallowing therapy, nutritional support, fluid replacement, acupuncture, neuromuscular electrical stimulation, pharyngeal electrical stimulation, transcranial direct current stimulation, transcranial magnetic stimulation, behavioral interventions, malnutrition, functional outcome, case fatality, dependency, chest infection, rehabilitation therapy
- MeSH terms
- Stroke Rehabilitation, Acute Disease, Deglutition, Deglutition Disorders, Humans, Physical Stimulation, Acupuncture Therapy, Randomized Controlled Trials as Topic, Nutritional Support, Stroke
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