Abstract:

Swallow therapy, also known as dysphagia treatment, is a therapeutic intervention for individuals with difficulty swallowing due to conditions such as head and neck cancer, stroke, and ageing. The aim is to enhance swallowing safety and efficiency while minimising the risk of choking and aspiration. This study evaluated the efficacy of swallow therapy in 60 patients who had suffered a cerebrovascular accident (CVA) at Saveetha Medical College and Hospital. Initial assessments of swallowing function and aspiration risk were conducted, followed by a therapy regimen that included various exercises. Results showed that after therapy, 57% of patients achieved normal swallowing function, while 30% had mild aspirations, and 13% had moderate aspirations, with no severe cases reported. The swallowing ability of CVA patients significantly improved within seven days. In conclusion, swallow therapy significantly enhances recovery and quality of life for CVA patients while reducing healthcare costs and preventing complications.

References:

[1]. Elsaid, R. A. A., & Shabaan, A. E. A., 2019. Effectiveness of Exercises Based Dysphagia Therapy on Swallowing Ability for Patients with Cerebrovascular Accident. IOSR Journal of Nursing and Health Science, 8(6), 27-34.

[2]. Kalpana, V., & Maheshwari, R., 2022. Effectiveness of Swallow Therapy on Swallowing Ability among Patients with Cerebrovascular Accident. Cardiometry, (23), 148-153.

[3]. Al-Jubouri, A. S. H., & Abd Ali, D. K., 2020. Effectiveness of Interventional Rehabilitation Program on Swallowing Ability of Patients with Cerebrovascular Accident. International Journal of Psychosocial Rehabilitation, 24(01).

[4]. Padmavathi, M., Minolin, M., & KalaBarathi, S., 2023. Effectiveness of Swallowing Exercises on Dysphagia Among Patients with Cerebrovascular Accident. Cardiometry, (26), 731-736.

[5]. Gamal Mohamed Ellatif Abouelezz, Z., Mohammed Ahmed Mohammed, E., Farahat Ibrahim Ahmed, H., & Saber Shafek Abdelkhalek, W., 2020. Effect of Shaker’s Swallowing Exercises on Swallowing Ability among Dysphagic Patients with Cerebrovascular Accident. Egyptian Journal of Health Care, 11(1), 1153-1169.

[6]. Abdelhamed, Reham & Shaaban, Amal., 2019. Effectiveness of Exercises Based Dysphagia Therapy on Swallowing Ability for Patients with Cerebrovascular Accident. 8. 27-34. 10.9790/1959-0806062734.

[7]. Abdelmotelb Kwan, M. A., Zanaty, M. M., Abosaeda, A., & Fathallah, M., 2024. Effect of Swallowing Exercises on Improving Dysphagia among Stroke Patients in Neurocritical Care Unit. Mansoura Nursing Journal, 11(1), 149-159.

[8]. Bhuvaneshwari, S., & Tamilselvi, S., 2018. A study to assess the effectiveness of Buerger Allen exercise on lower extremity perfusion among patients with type 2 diabetes mellitus in Saveetha Medical College and Hospital in Chennai. International Journal for Advance Research and Development, 3(9), 15-20.

[9]. Masoud Elsaid Hafez, D., & Abo-Baker Mohamed, H., 2023.  Effect of Swallowing Exercise Training on Dysphagia and Quality of Life among Patients Following Cerebrovascular Stroke. Egyptian Journal of Health Care, 14(1), 1007-1015.

[10]. Gomah Yousef, S., El-Deeb, A. A. E. M., & Elsayed Rady, S., 2020. Effect of Swallowing Training Rehabilitation Program on Severity of Dysphagia and Swallowing Trial among Patients with Cerebrovascular Stroke. Egyptian journal of health care, 11(3), 510-529.

[11]. El-Nshar, N. A. H. M., Younis, G. A., Fayed, H. A. R., & Elgendi, S. Z. M., 2024. Effect of Implementing Swallowing Training Exercises on Neurogenic Dysphagia among Acute Stroke Patients. Tanta Scientific Nursing Journal, 33(2), 245-263.

[12]. Fahriza, E., & Huzaifah, Z., 2021. The Effect of Swallowing Exercises on Stroke Patients with Dysphagia. JNHS (Journal of Nursing and Health Sciences), 1(2), 102-104.

[13]. Adel Ebada El Sayed, R., & Mohamed Khalifa Ewees, A., 2020. Effect of Shaker Exercise on Dysphagia Level among Patients with Cerebral Vascular Stroke. Egyptian Journal of Health Care, 11(1), 477-490.

[14]. Elfetoh, E. E. E. A., & Karaly, S. F. M., 2018. Effect of swallowing training program on dysphagia following cerebrovascular stroke. Egyptian Nursing Journal, 15(2), 125-134.

[15]. Kang, J. H., Park, R. Y., Lee, S. J., Kim, J. Y., Yoon, S. R., & Jung, K. I., 2012. The effect of bedside exercise program on stroke patients with dysphagia. Annals of rehabilitation medicine, 36(4), 512.

[16]. Kusumaningsih, W., Lestari, N. I., Harris, S., Tamin, S., & Werdhani, R. A., 2019. The effectivity of pharyngeal strengthening exercise, hyolaryngeal complex range of motion exercise, and swallowing practice in swallowing function of ischemic stroke patients with neurogenic dysphagia. Journal of exercise rehabilitation, 15(6), 769.

[17]. Zheng, L., Li, Y., & Liu, Y., 2014. The individualized rehabilitation interventions for dysphagia: a multidisciplinary case control study of acute stroke patients. International Journal of Clinical and Experimental Medicine, 7(10), 3789.

[18]. Chacko, S. P., Joshi, A. A., Sangle, V. R., Arora, D. S., & Dubey, R. A., 2021. Incidence of Dysphagia in Acute Stroke Patients: An Early Screening and Management. Management, 11(2), 50-53.

[19]. Kandaswamy, K., & Guru, A., 2024. Comment on “Treatment factors to suppress delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage based on VASOGRADE: multicenter cohort study”. Neurosurgical Review, 47(1), 711.

[20]. Mary, P., Sivannan, S., Elumalai, K., Williams, H., Abhilash, V., Srinivasan, S., ... & Devaraji, M., 2023. An assessment of quality of life among stroke survivors at tertiary care teaching hospital in South India: A randomized clinical trial. Precision Medical Sciences, 12(3), 196-201.

[21]. Surapaneni, D., 2024. Biomarkers of hemorrhagic transformation of acute ischemic stroke–A cross-sectional study. Romanian Medical Journal, 71(2).

[22].  Ajith, M., & Vijayalakshmi, R. (2024, December 27). A study to assess the effectiveness of structured teaching program on knowledge on hand washing among school children at selected school. Texila International Journal of Public Health. Advance online publication. https://doi.org/10.21522/TIJPH.2013.SE.25.01.Art018

[23]. Paluchamy, T., Steni, D. S., & Stephen, S. (2024). Effect of green tea mouthwash on chemotherapy‑induced oral mucositis in cancer patients. Journal of Chemical Health Risks, 14(1). https://doi.org/10.60829/jchr.2024.1103158

[24]. Deepika, D., Rajavarshini, & Madaswamy, R. (2024, August 27). Effectiveness of Camphor Oil Application on Reduction of Joint Pain among Post‑Menopausal Women at Selected Rural Areas. Texila International Journal of Public Health, Summer Special Edition. Advance online publication. https://doi.org/10.21522/TIJPH.2013.SE.24.02.Art012

[25]. Thenmozhi, P., Dineshkumar, P., Bhuvaneswari, G., Mary Minolin, T., & Tamilselvi, S. (2025, February 28). Thoracic squeezing on airway secretion and respiratory parameters in mechanically ventilated patients: An interventional study. Journal of Education and Health Promotion, 14(1), 69. https://doi.org/10.4103/jehp.jehp_695_24