Table 3 - Indicators of risk of aspiration in acute stroke
From the following article
Neurological disorders affecting oral, pharyngeal swallowing
Stephanie K. Daniels
GI Motility online (2006)
doi:10.1038/gimo34
| Indicator | Finding |
|---|---|
| Abnormal volitional cough | A weak response, verbalized response, or no response on command to cough |
| Abnormal gag reflex | Either absent or weakened velar or pharyngeal wall contraction, unilaterally or bilaterally, in response to tactile stimulation of the posterior tongue, faucial arches or posterior pharyngeal wall |
| Dysarthria | Speech disorder reflected by impaired respiration, articulation, phonation, resonance, or prosody |
| Dysphonia | Voice disorder reflected by impaired vocal quality, pitch, or intensity |
| Cough after swallow | Cough immediately or within 1 minute of ingestion of calibrated water volumes (5, 10, 20 ml presented in duplicate) |
| Voice change after swallow | Alteration in vocal quality from baseline following ingestion of calibrated water volumes |
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