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Swallowing 

Swallowing
Chapter:
Swallowing
Author(s):

Manoj Sivan

, Margaret Phillips

, Ian Baguley

, and Melissa Nott

DOI:
10.1093/med/9780198785477.003.0009
Page of

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date: 11 July 2020

Dysphagia is the over-arching term referring to disorders of swallowing. Dysphagia is a common complication of many acute and chronic neurological conditions. Dysphagia is important in the rehabilitation setting as it can produce common and potentially avoidable complications, morbidity, and death. This chapter defines the normal physiology of swallowing, the assessment of dysphagia (a multidisciplinary process), and management strategies. These include examples for dysphagia originating from anatomical, physiological, and behavioural causes. Clinical indicators for assessment are listed, and various methods such as taking a detailed history, cognitive communication screening, behavioural observation, oromotor assessment, bedside swallowing assessment, instrumental assessment of swallowing (where indicated), and nutritional assessment are described.

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