Article PDF (Українська)


dysphagia, aspiration, stroke, rehabilitation, screening, aspiration pneumonia

How to Cite

Valentina Buivalo, Olga Yezhova, & Anatoliy Krasnyukov. (2021). USE OF THERAPEUTIC EXERCISES FOR POST-STROKE CORRECTION OF SWALLOWING. Eastern Ukrainian Medical Journal, 9(2), 129-137.;9(2):129-137


Dysphagia (Greek. Dys + phagein ­­– eat, swallow) ­– is a violation of swallowing, in which there is a feeling of discomfort or difficulty in transporting the food bolus from the mouth to the stomach. Because the disorder of the act of swallowing in stroke is usually of neurogenic origin and is defined by a number of neurologic disturbances and dysfunctions, it is better to use the term "neurogenic dysphagia" for patients with acute disturbance of cerebral circulation. The urgency of this problem is especially emphasized in the development of a set of therapeutic exercises for such socially important disease as acute cerebrovascular accident. One of the formidable complications of stroke is a violation of the act of swallowing. This leads to a significant reduction in quality of life increasing the risk of secondary complications, which, in turn, significantly increases the likelihood of death.

Violation of the act of swallowing is observed in 26–45% of patients due to acute ischemic stroke. Dysphagia leads to the development of life-threatening complications such as aspiration pneumonia, dehydration, and significantly reduces the quality of life of such patients. Thus, the correction of the act of swallowing by means of physical rehabilitation after brain injury is a very important task of the rehabilitologist. For a long time, speech therapy was the only method of rehabilitation of dysphagia; now we can widely use therapeutic exercises to restore the functions of facial muscles and masticatory muscles.

Screening for swallowing disorders allows us to assess the function of the masticatory muscles in five stages, which makes it possible to develop a more individual and thorough set of therapeutic exercises after each stage of the screening study. Depending on the phase of swallowing in which disorders are observed, we have developed an individual set of therapeutic exercises that will be performed by the patient in each of the five stages of the screening study, if the patient could not overcome this stage.;9(2):129-137
Article PDF (Українська)


1. Allen CM. Predicting the outcome of acute stroke: a prognostic score. J Neurol Neurosurg Psychiatry. 2017 May; 47(5): 475–480. doi: 10.1136/jnnp.47.5.475
2. Anderson CS, Huang Y, Wang JG, Arima H, Neal B, Peng B, Heeley E, Skulina C, Parsons MW, Kim JS, Tao QL, Li YC, Jiang JD, Tai LW, Zhang JL, Xu E, Cheng Y, Heritier S, Morgenstern LB, Chalmers J; INTERACT Investigators. Intensive blood pressure reduction in acute cerebral haemorrhage trial (INTERACT): a randomised pilot trial. Lancet Neurol. 2018;7:391–399. doi: 10.1016/S1474-4422(08)70069-3
3. Dennis M, Sandercock P, Reid J, Graham C, Forbes J, Murray G; CLOTS (Clots in Legs Or sTockings after Stroke) Trials Collaboration. Effectiveness of intermittent pneumatic compression in reduction of risk of deep vein thrombosis in patients who have had a stroke (CLOTS 3): a multicentre randomised controlled trial [published corrections appear in Lancet. 2013;382:506 and Lancet. 2013;382:1020]. Lancet. 2013;382:516–524. doi: 10.1016/S0140-6736(13)61050-8
4. Hemphill JC, Greenberg SM, Anderson CS, et al. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2015;46(7):2032-2060. doi:10.1161/STR.0000000000000069
5. Iijima Yu, Ajiki T, Murayama A, Takeshita K. Effect of artificial nerve conduit vascularization on peripheral nerve in a necrotic bed. Plastic and reconstructive surgery – global open. 2016 Mar; 4(3): e665. doi: 10.1097/GOX.0000000000000652
6. Mamin FA, Islam MS, Rumana FS, Faruqui F. Profile of stroke patients treated at a rehabilitation centre in Bangladesh. BMC Res Notes. 2017; Oct 27;10(1):520. doi: 10.1186/s13104-017-2844-x
7. Moullaali TJ, Wang X, Martin RH, et al. Blood pressure control and clinical outcomes in acute intracerebral haemorrhage: a preplanned pooled analysis of individual participant data. Lancet Neurol. 2019;18(9):857-864. doi:10.1016/S1474-4422(19)30196-6
8. Fiebach JB, Schellinger PD, Gass A, Kucinski T, Siebler M, Villringer A, Olkers P, Hirsch JG, Heiland S, Wilde P, Jansen O, Rother J, Hacke W, Sartor K. Stroke magnetic resonance imaging is accurate in hyperacute intracerebral hemorrhage: a multicenter study on the validity of stroke imaging. Stroke. 2014; 35(2):502–506. [PubMed: 14739410]
9. Vinychuk SM, Fartushna OYe. [Early rehabilitation after acute ischemic cerebrovascular events]. International Neurological Journal. 2016; 8(86): 34-39. doi: 10.22141/2224-0713.8.86.2016.90909
10. Wang XC, Liu T, Wang JH, Zhang JJ. Poststroke hand spasm treated with penetrating acupuncture combined with kinesiotherapy: a randomized controlled trial. Zhongguo Zhen Jiu. 2020; Jan 12;40(1):21-5. doi: 10.13703/j.0255-2930.20190106-k0003
11. Zirk M, Storm V. Subjective Stroke Impact and Depressive Symptoms: Indications for a Moderating Role of Health-Related Locus of Control. Front Psychiatry.2019; Dec 19;10:918. doi: 10.3389/fpsyt.2019.00918
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.