Neural correlates in the development of and recovery from dysphagia after supratentorial stroke: A prospective tractography study

Kim, Youngkook; Han, Yeonjae; Park, Hae-Yeon; Park, Geun-Young; Jung, Moa; Lee, Soo‐Hwan; Im, Sun

doi:10.1016/j.nicl.2022.103103

Cited by 8 publications

(1 citation statement)

References 53 publications

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“…Eventually, Daniels et al [37] presented a model that framed swallowing with predominant cortical generation, discussing several cortical and subcortical areas that descend to the brainstem and modulate the pharyngeal response. More recently, the role of white matter structures-specifically, the pyramidal tract, corona radiata, internal capsule, corpus callosum, and superior longitudinal fasciculus-have also been identified as playing crucial roles in the neural control of swallowing [38,39].…”

Section: An Historical Prospectivementioning

confidence: 99%

Expanding Rehabilitation Options for Dysphagia: Skill-Based Swallowing Training

2022

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Over the past four decades, our understanding of swallowing neural control has expanded dramatically. However, until recently, advances in rehabilitation approaches for dysphagia have not kept pace, with a persistent focussing on strengthening peripheral muscle. This approach is no doubt very appropriate for some if not many of our patients. But what if the dysphagia is not due to muscles weakness? The purpose of this clinical manuscript is to reflect on where we have been, where we are now and perhaps where we need to go in terms of our understanding of swallowing motor control and rehabilitation of motor control impairments. This compilation is presented to clinicians in the hope that suggesting approaches “outside the box” will inspire clinicians to focus their attention “inside the box” to ultimately improve rehabilitation and long-term outcomes for patients with dysphagia.

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Section: An Historical Prospectivementioning

confidence: 99%

Expanding Rehabilitation Options for Dysphagia: Skill-Based Swallowing Training

2022

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Cerebral small vessel disease is an independent determinant of dysphagia after acute stroke

Wilmskoetter,

Bonilha,

Wolf

et al. 2024

NeuroImage: Clinical

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The neurorehabilitation of post‐stroke dysphagia: Physiology and pathophysiology

Sasegbon,

Cheng,

Hamdy

2024

The Journal of Physiology

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Swallowing is a complex process involving the precise contractions of numerous muscles of the head and neck, which act to process and shepherd ingested material from the oral cavity to its eventual destination, the stomach. Over the past five decades, information from animal and human studies has laid bare the complex network of neurones in the brainstem, cortex and cerebellum that are responsible for orchestrating each normal swallow. Amidst this complexity, problems can and often do occur that result in dysphagia, defined as impaired or disordered swallowing. Dysphagia is common, arising from multiple varied disease processes that can affect any of the neuromuscular structures involved in swallowing. Post‐stroke dysphagia (PSD) remains the most prevalent and most commonly studied form of dysphagia and, as such, provides an important disease model to assess dysphagia physiology and pathophysiology. In this review, we explore the complex neuroanatomical processes that occur during normal swallowing and PSD. This includes how strokes cause dysphagia, the mechanisms through which natural neuroplastic recovery occurs, current treatments for patients with persistent dysphagia and emerging neuromodulatory treatments. image

show abstract

Neural correlates in the development of and recovery from dysphagia after supratentorial stroke: A prospective tractography study

Cited by 8 publications

References 53 publications

Expanding Rehabilitation Options for Dysphagia: Skill-Based Swallowing Training

Expanding Rehabilitation Options for Dysphagia: Skill-Based Swallowing Training

Cerebral small vessel disease is an independent determinant of dysphagia after acute stroke

The neurorehabilitation of post‐stroke dysphagia: Physiology and pathophysiology

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