Neurogenic dysphagia. Frequency, progression, and outcome in adults following head injury.

A retrospective chart review was conducted to determine the frequency, progression, and outcome of neurogenic dysphagia in head-injured adults admitted to a rehabilitation facility. Approximately 25 percent of the sample demonstrated swallowing or oral motor problems on admission. Ninety-four percent of this group ultimately became successful oral feeders. The majority of these patients participated in a feeding program planned and implemented by the physical therapist. The average time from injury for the nonoral feeders to successful completion of their first oral meal was about three months. A concomitant resolution of cognitive problems, primitive oral motor reflexes, and neurogenic dysphagia occurred.