Management of Dysphagia Following Traumatic Brain Injury

Dysphagia is a common morbidity and cause of mortality following traumatic brain injury (TBI). Despite this, there is a paucity of evidence demonstrating the efficacy of dysphagia management strategies and treatments in this population. Typically, subjects with dysphagia following TBI are placed int...

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Bibliographic Details
Published in:Current physical medicine and rehabilitation reports 2014-12, Vol.2 (4), p.219-230
Main Authors: Howle, Alison A., Baguley, Ian J., Brown, Louise
Format: Article
Language:English
Subjects:
Cognition & reasoning
Communication
Dysphagia
Food
Impulsivity
Intubation
Malnutrition
Medicine
Medicine & Public Health
Neck
Patients
Physiology
Pneumonia
Population
Rehabilitation
Rehabilitation Medicine
Section Editor
Swallowing
Swallowing Disorders (RE Martin
Tongue
Trauma
Traumatic brain injury
Ventilators
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Summary:Dysphagia is a common morbidity and cause of mortality following traumatic brain injury (TBI). Despite this, there is a paucity of evidence demonstrating the efficacy of dysphagia management strategies and treatments in this population. Typically, subjects with dysphagia following TBI are placed into non-specific ‘neurogenic’ dysphagia subject groups, which include subjects with degenerative neurological diseases, neurological cancers, and cerebrovascular accident. However, dysphagia following TBI has a multifactorial presentation, with causative and contributory factors including cognitive-communication, behavioral, neurological, and mechanical issues. As such, the management for dysphagia post-TBI must be multifactorial, team-based and involve the patients’ families and carers. Much of the research regarding the management and treatment of dysphagia in general is in its infancy: larger and more rigorous studies are required to demonstrate treatment efficacy. More studies specifically examining dysphagia and its management in the TBI population are required to ensure the future efficacy and accuracy of treatment.
ISSN:2167-4833
2167-4833
DOI:10.1007/s40141-014-0064-z