Abstract
Introduction: The rehabilitation in oropharyngeal dysphagia evidence-based implies the relationship
between the interventions and their results.
Objective: Analyze level of dysphagia, oral ingestion, anxiety levels and nutritional status
of patients with stroke diagnosis, before and after speech therapy.
Method: Clinical assessment of dysphagia partially using the Protocol of Risk Assessment
for Dysphagia (PARD), applying the scale Functional Oral Intake Scale for Dysphagia
in Stroke Patients (FOIS), Beck Anxiety Inventory (BAI) and the Mini Nutritional Assessment
MNA®. The sample consisted of 12 patients, mean age of 64.6 years, with a medical diagnosis
of hemorrhagic and ischemic stroke and without cognitive disorders. All tests were
applied before and after speech therapy (15 sessions). Statistical analysis was performed
using the chi-square test or Fisher's exact test, McNemar's test, Bowker's symmetry
test and Wilcoxon's test.
Results: During the pre-speech therapy assessments, 33.3% of patients had mild to moderate
dysphagia, 88.2% did not receive food orally, 47.1% of the patients showed malnutrition
and 35.3% of patients had mild anxiety level. After the therapy sessions, it was found
that 33.3% of patients had mild dysphagia, 16.7% were malnourished and 50% of patients
had minimal level of anxiety.
Conclusion: There were statistically significant evolution of the level of dysphagia (p = 0.017) and oral intake (p = 0.003) post-speech therapy. Although not statistically significant, there was considerable
progress in relation to the level of anxiety and nutritional status.
Keywords
swallowing disorders - anxiety - nutritional status - rehabilitation
