Plural Publishing produces leading academic, scientific and clinical publications in the fields of speech-language pathology, audiology, and otolaryngology.


Dysphagia Following Stroke

Second Edition
Stephanie K. Daniels, Maggie-Lee Huckabee
464 pages, Illustrated (B/W), Softcover, 5 x 7.5"
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This practical and easy-to-use handbook provides up-to-date coverage of the evaluation and treatment of swallowing disorders in the stroke population. The gap between academics and clinical practice is narrowed with the latest research packaged for clinical application. Particular focus is on the clinical and instrumental evaluation of swallowing, measurements of dysphagia, principles of care for patients with dysphagia following stroke, rehabilitation and risk management. Clinical examples are incorporated throughout the text to facilitate clinical integration and relevance.

For the second edition, the authors have revised the text to reflect new research to guide clinical practice in evaluation and treatment, particularly the section on emerging modalities. A section on swallowing screening has been added, and the section on videofluoroscopic interpretation and treatment has been updated.

With its updates and revision, Dysphagia Following Stroke, Second Edition, is sure to remain a favorite resource for clinicians treating swallowing disorders in the stroke population.

Case Studies in Dysphagia Malpractice Litigation by Dennis Tanner, PhD
Drawing on his experiences as an expert witness in numerous medico-legal cases, Dr. Tanner provides reviews issues that may lead to malpractice litigation.
Click here for more information.


  • Grace McCann, Deputy Editor, Royal College of Speech and Language Therapists, Bulletin (2009):
    "Written by two very experienced practicing SLTs, each with a very solid research background, the book provides the reader with a thorough description of the current evidence base for the assessment and management of dysphagia. Among the 22 chapters, clear tables of evidence are provided, for example on the epidemiology of dysphagia in stroke, clinical features of aspiration, and rehabilitation strategies. [Refers to first edition.]"

  • Julia Edgar, PhD (Washington University School of Medicine), Doody's Review Service (2009):
    "This book provides a unique level of detail on dysphagia in the stroke population, thus making it a valuable contribution to the literature. The authors are clearly in tune with commonly occurring clinical practices as they provide substantial rationale to support the need for adequate objective testing as a prelude to appropriate intervention. [Refers to first edition.]"

  • Stacey A. Skoretz, MSc, CCC-SLP, PhD Candidate, Canadian Journal of Speech-Language Pathology and Audiology (2009):
    "With its clinically relevant content and well-written text, this book provides information both for the junior and senior dysphagia clinician. The authors provide balanced and objective information which is well-grounded in research. The book's up-to-date discussion of challenging issues provide the readers with insights and methods by which to approach their roles and responsibilities. [Refers to first edition.]"

  • Jess Karol, Advanced SLT for We Do Therapy, Royal College of Speech & Language Therapists (2014):
    "The authors describe this book as ‘practical and easy-to-use’. This is an accurate synopsis. It is a complete resource for clinicians working within stroke settings. Students and newly-qualified therapists may also find it an excellent guide.

    It provides practical advice from assessment and diagnosis to management, intervention and remediation strategies. Although the focus is on the assessment and management of dysphagia, importance is also placed on cognition and communication assessments – areas that may have a significant impact upon the assessment and management of swallowing disorders.

    Sequentially and logically written, the book details how to assess and manage various types of dysphagia following stroke. It outlines models for screening, clinical and instrumental assessment techniques, interpreting assessment findings and making a diagnosis, to teaching remediation strategies for rehabilitation. Tables make information clear and accessible, and clinical examples and case studies facilitate implementation in clinical settings. Research is also presented in a practical way so it can be applied to everyday practice."

Foreword by Jay Rosenbeck, PhD

  1. Introduction to Dysphagia and Stroke
    • Overview of Stroke
    • Dysphagia in Stroke
    • Multidisciplinary Management of Dysphagia in Stroke
  2. Neural Control of Swallowing: From Central to Peripheral
    • Methods for Understanding Neural Control
    • Higher Nervous System Control
    • Brainstem Mechanisms
    • Peripheral Neuromuscular Mechanisms
  3. Normal Swallowing Anatomy and Physiology
    • Defining Normal and Abnormal Swallowing
    • Phases of Swallowing
  4. Screening for Dysphagia in Acute Stroke Patients
    • Background of Screening Swallowing in Stroke
    • Components of a Good Screening Tool
    • Models for Screening Implentation
    • Implementation of a Nurse-Administered Swallowing Screening Tool
    • Available Swallowing Screening Tools
  5. The Clinical Swallowing Examination: History and Patient Interview
    • Introduction to the Clinical Swallowing Examination
    • Patient History
    • Patient and Family Interview
  6. The Clinical Swallowing Examination: Assessment of Oral Intake
    • The Cognitive Assessment
    • The Communication Assessment
  7. The Clinical Swallowing Examination: The Evaluation of the Oral Mechanisms
    • Structural Integrity
    • The Cranial Nerve Examination: Inferring Physiology Case Example
  8. The Clinical Swallowing Examination: Assessment of Oral Intake
    • Executing the Assessment of Oral Intake
    • Interpreting the Assessment of Oral Intake
  9. The Clinical Swallowing Examination: Predicting Dysphagia and Aspiration
    • The Water Swallow Test
    • The Clinical Swallowing Examination with a Focus on Clinical Features
    • Preciting Dysphagia and Aspiration
    • The Mann Assessment of Swallowing Ability
  10. Adjuncts to the Clinical Swallowing Examination
    • Pulse Oximetry
    • Cervical Auscultation
    • Cough Reflex Testing
  11. The Instrumental Examination: The Videofluoroscopic Swallowing Study
    • The Need for Diagnostic Specificity
    • The Videofluoroscopic Swallowing Study
  12. The Instrumental Swallowing Examination: Evaluation of Swallowing Respiratory Coordination- An Auxiliary to the Videofluoroscopic Swallowing Study
    • Executing the Evaluation of Swallowing Respiratory Coordination
    • Interpreting the Evaluation of Swallowing Respiratory Coordination
  13. The Instrumental Swallowing Examination: Videoendoscopic Evaluation of Swallowing
    • Evaluating the Videoendoscopic Evaluation of Swallowing
    • Interpreting the Videoendoscopic Evaluation of Swallowing
  14. The Instrumental Swallowing Examination: Manometric Evaluation of Swallowing
    • Manometic Approaches
    • Executing the Manometric Evaluation
    • Interpreting the Manometric Evaluation
    • Variables Influencing Pharyngeal Pressure Measurement
    • What Can Discrete Sensor Manometry Offer to Clinical Practice?
  15. Professional Responsibilities: Dysphagia Diagnosis in Stroke
    • Case Example
  16. Diagnosis of Dysphagia in Stroke
    • Oral Phase
    • Pharyngeal Phase
    • Oral and Pharyngeal Dysmotility in Stroke
    • Summary
  17. Diet Considerations: To Feed or Not to Feed
    • An Overview of Options for Feeding the Patient with Dysphagia
    • Nonoral, Enteral Feeding Options
    • Decision Making for Nonoral Nutrition
    • Free Water
    • Summary
  18. Compensatory Management of Oropharyngeal
    • Postural Changes
    • Sensory Enhancement
    • Volitional Control of Oral Transfer
    • Breath-Holding Techniques
    • Bolus Modification
  19. Rehabilitation of Oropharyneal Dysphagia
    • Oral Motor Exercises
    • Effortful Swallow
    • Mendelsohn Maneuver
    • Masako Maneuver
    • Shaker Exercise
    • Expiratory Muscle Strength Training
    • Electrical Stimulation
    • Shifting Paradigms: Central Modulation through Intrinsic and Extrinsic Intervention
    • The Need for Intelligent Enthusiasm
    • Maximizing Rehabilitation Effectiveness
    • Biofeedback Modalities in Dysphagia Rehabilitation
    • Dose
  20. Medical and Surgical Management
    • Medical Management
    • Surgical Management
  21. Lagniappe
    • Management Effectiveness with Stroke Patients
    • Reassessment
    • Last Thoughts


About The Authors

Stephanie K. Daniels

Stephanie K. Daniels, PhD, CCC-SLP is a Professor at the University of Houston in the Department of Communication Sciences Disorders. She has practiced as a speech pathologist focused in stroke for over 20 years. Stephanie has published numerous peer-reviewed articles and book chapters. She is an ASHA Fellow and past President of the Dysphagia Research Society.

Maggie-Lee Huckabee

Maggie-Lee Huckabee, PhD practiced as a clinical speech language pathologist for 15 years before the frustration of never knowing 'the answers' led her to an academic career. She is now Founder and Director of the University of Canterbury Rose Centre for Stroke Recovery and Research and Professor in the Department of Communication Disorders in Christchurch, New Zealand. She still hasn’t found 'The Answers' but is trying, with research interests focusing on the complexities of behaviorally-driven neural adaptation and biomechanical change leading to swallowing recovery following neurological injury.

In her 15-year academic career, Maggie-Lee has co-authored three books, 14 book chapters and has published 80 peer reviewed scientific papers. A recent research programme has resulted in a reduction in pneumonia rates from 27 to 10%, with a subsequent savings in health care costs for the regional health board of over $1.4 million in one year. For this research, she was awarded one of the top research medals from the University of Canterbury: The Innovation Medal. She is well known as a clinical teacher and is an invited speaker by health systems worldwide to provide clinical training, particularly in rehabilitation practices.

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