THE EFFECT OF SHAKER EXERCISE AND EFFORTFUL SWALLOW ON CHANGES IN THE DEGREE OF DYSPHAGIA IN PATIENTS WITH STROKE: A CASE STUDY
English
Abstract
Introduction: Stroke can cause various kinds of complications. One of the complications of stroke is
dysphagia. Therefore, dysphagia management is necessary for stroke patients with dysphagia. Dysphagia
management can be done by screening stroke patients with dysphagia and carrying out swallowing
therapy with shaker exercise and effortful swallow. Purpose: This case study aims to evaluate the effect
of shaker exercise and effortful swallowing on changes in the degree of dysphagia in patients with stroke.
Methods: The method used is case study analysis based on nursing intervention with description analysis.
The sample used was a dysphagia patient with a stroke. The instrument used to measure the degree of
dysphagia is the Gugging Swallowing Screen (GUSS). Discussion: After the shaker exercise and effortful
swallow intervention for 5 consecutive days in the morning and evening, there was a change in the degree
of dysphagia from initially getting 4 which means a severe degree of dysphagia with a high risk of
aspiration to 18 which means mild dysphagia with a low risk of aspiration. Conclusion: Shaker exercise
and effortful swallowing can improve the degree of dysphagia in stroke patients.
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