Dysphagia Following Stroke

Third Edition

Stephanie K. Daniels, Maggie-Lee Huckabee, Kristin Gozdzikowska

Details: 500 pages, B&W, Softcover, 6" x 9"

ISBN13: 978-1-63550-030-1

© 2019 | Available

For Instructors

Request 90 Day Exam Copy


Add to Cart

Now with videos!

Dysphagia Following Stroke, Third Edition is a practical and easy-to-use resource for clinicians treating swallowing disorders in the stroke population. The authors bridge the gap between academic and clinical practice with up-to-date research and clinical case examples throughout.

In addition to a thorough overview of dysphagia diagnosis and management, this text focuses heavily on evaluation and management of stroke. Key topics include neural underpinnings of normal and disordered swallowing, swallowing screening, the clinical swallowing examination including cough reflex testing, the expanding array of instrumental swallowing modalities, and the rehabilitation of swallowing including strength training, non-invasive brain stimulation, and skill training. While geared toward practicing clinicians, Dysphagia Following Stroke is also useful for students in professional training programs.

New to the Third Edition

  • A third author, Kristin Gozdzikowska, bring a fresh perspective as a young clinician and researcher with particular expertise in high resolution manometry and various cutting-edge treatment techniques
  • New larger 6" x 9" trim size
  • Updated chapters on assessment to include new and emerging instrumental technologies, including high resolution manometry, impedance, and ultrasound
  • Updated chapters on management to include the newly described International Dysphagia Diet Standardization Initiative
  • New and expanded framework for rehabilitation, with a shift from peripherally focused rehabilitation to neuromodulation of cortical swallowing control
  • New and updated research and trends in clinical practice throughout
  • Access to a PluralPlus companion site with videos and clinical forms

This thoroughly updated and enhanced edition of Dysphagia Following Stroke is sure to remain a valued resource for clinicians working with stroke patients in all settings.


"Named to Doody's Core Titles in the Health Sciences - Speech, Language & Hearing 2020 list."
Doody's (May 2020)

"This is an excellent resource for clinicians working with dysphagia patients, and not just the stroke population. The material is easily generalizable to other dysphagia etiologies. It easily competes with other adult dysphagia books that provide a comprehensive overview of assessment and management. This update is necessary not only because of the new evidence available since the previous edition, but also the technological advances in dysphagia, such as high-resolution manometry." Kendrea Layne Garand, PhD, CScD, University of South Alabama, Doody's Book Reviews (April 2019)

Watch Theresa Richard, MA, CCC-SLP, BCS-S, discuss why Dyphagia Following Stroke is on her top three list of books for SLPs! 


Foreword by Karen French Montoya
Online Resources

Chapter 1. Introduction to Dysphagia and Stroke
Overview of Stroke
Dysphagia in Stroke
Multidisciplinary Management of Dysphagia in Stroke

Chapter 2. The Neural Control of Swallowing: From Central to Peripheral
Methods for Understanding Neural Control
Higher Nervous System Control
Brainstem Mechanisms
Peripheral Neuromuscular Mechanisms

Chapter 3. Normal Swallowing Anatomy and Physiology
Defining Normal and Abnormal Swallowing
Phases of Swallowing

Chapter 4. Swallowing Screening in Patients with Acute Stroke
Background of Screening Swallowing in Stroke
Components of a Good Screening Tool
Models for Screening Implementation
Implementation of a Nursing-Administered Swallowing Screening Tool
Available Swallowing Screening Tools

Chapter 5. The Clinical Swallowing Examination: History, Patient Interview, Informal Cognitive and Communication Assessment
Introduction to the Clinical Swallowing Examination
Patient History
Patient and Family Interview
Informal Assessment of Cognition and Communication

Chapter 6. The Clinical Swallowing Examination: The Evaluation of the Oral Mechanism
Structural Integrity
The Cranial Nerve Examination: Inferring Physiology
Extending the Cranial Nerve Examination: The Cough Reflex Test
Case Example

Chapter 7. The Clinical Swallowing Examination: Assessment of Oral Intake
Executing the Assessment of Oral Intake
Interpreting the Assessment of Oral Intake

Chapter 8. The Clinical Swallowing Examination: Predicting Dysphagia and Aspiration
The Clinical Swallowing Examination with a Focus on Clinical Features Predicting
Dysphagia and Aspiration
The Mann Assessment of Swallowing Ability

Chapter 9. Adjuncts to the Clinical Swallowing Examination
The Timed Water Swallowing Test
The Test of Masticating and Swallowing Solids
Assessment of lingual palatal pressure
Pulse Oximetry
Cervical Auscultation

Chapter 10. The Instrumental Swallowing Examination: The Videofluoroscopic Swallowing Study
The Need for Diagnostic Specificity
The Videofluoroscopic Swallowing Study

Chapter 11. The Instrumental Swallowing Examination: Evaluation of Swallowing Respiratory Coordination-An Auxiliary to the Videofluoroscopic Swallow Study
Executing the Evaluation of Swallowing Respiratory Coordination
Interpreting the Evaluation of Swallowing Respiratory Coordination

Chapter 12. The Instrumental Swallowing Examination: Videoendoscopic Evaluation of Swallowing
Executing the Videoendoscopic Evaluation of Swallowing
Interpreting the Videoendoscopic Evaluation of Swallowing

Chapter 13. The Instrumental Swallowing Examination: Manometric Evaluation of Swallowing
Low Resolution Manometry
High Resolution Manometry
What Can Manometry Offer to Clinical Practice?

Chapter 14. The Instrumental Swallowing Examination: Ultrasound Evaluation of Swallowing
The Need for Diagnostic Specificity
Ultrasound Imaging: The Method
Muscle Morphometry
Swallowing Kinematics
Emerging Applications

Chapter 15. Professional Responsibilities: Dysphagia Diagnosis in Stroke
Case Example

Chapter 16. Diagnosis of Dysphagia in Stroke
Oral Phase
Pharyngeal Phase
Oral and Pharyngeal Dysmotility in Stroke

Chapter 17. Diet Considerations: To Feed or Not to Feed
An Overview of Options for Feeding the Patient with Dysphagia
Non-oral, Enteral Feeding Options
Decision Making for Non-oral Nutrition
Free Water
Oral Hygiene

Chapter 18. Compensatory Management of Oropharyngeal Dysphagia
Postural Changes
Sensory Enhancement
Volitional Control of Oral Transfer
Breath-holding Techniques
Bolus Modification

Chapter 19. Principles of Rehabilitation for Oropharyngeal Dysphagia
Diagnostic Precision for Rehabilitative Effectiveness
Principles of Neural Plasticity
The Take-Home Point

Chapter 20. Rehabilitation of the Peripheral Sensorimotor Swallowing System
Peripheral Muscle Strengthening
Peripheral Sensory Stimulation

Chapter 21. Central Rehabilitation for Oropharyngeal Dysphagia: Extrinsic Modulation
Central Stimulation Techniques
Translating rTMS and tDCS into Clinical Dysphagia Rehabilitation
The Need for Intelligent Enthusiasm

Chapter 22. Central Rehabilitation for Oropharyngeal Dysphagia: Behavioral Adaptation
Skill based training paradigms: Dysphagia as a motor planning disorder
Biofeedback Modalities
Take-Home Points

Chapter 23. Medical and Surgical Management
Medical Management
Surgical Intervention

Chapter 24. Lagniappe
Management Effectiveness with Stroke Patients
Last Thoughts


Stephanie K. Daniels

Stephanie K. Daniels, PhD, CCC-SLP is a Professor in the Department of Communication Sciences and Disorders at the University of Houston. She worked as a hospital-based speech pathologist for approximately 20 years prior to focusing on a research career. Her research, funded by the Department of Veterans Affairs, is focused on neurogenic dysphagia, primarily in stroke. She has pursued an understanding of the neural underpinnings of swallowing as well as evidence-based evaluation of neurogenic dysphagia. She is an ASHA Fellow and past President of the Dysphagia Research Society.

Learn More

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.

Learn More

Kristin Gozdzikowska

Kristin Gozdzikowska, PhD, CCC-SLP received her Master's Degree from the University of Washington, and worked clinically as a Speech Language Pathologist in acute care and inpatient rehabilitation. Through this work, she developed a specific interest in the assessment and management of swallowing impairments after neurologic impairment. This was expanded in her doctoral research, completed in 2016 under the supervision of Prof Maggie-Lee Huckabee. Kristin completed a Post-Doctoral Fellowship investigating clinical application of High-Resolution Manometry at the University of Canterbury Rose Centre for Stroke Recovery and Research, and is now working in a dual clinical-research role at the Laura Fergusson Trust. Kristin has been as invited to speak at international conferences including the Dysphagia Research Society and the American Speech-Language Hearing Association Convention.

Learn More

Purchasers of this book receive complimentary access to supplementary materials hosted on a PluralPlus companion website.

To access the materials, log in to the website using the URL and Access Code located inside the front cover of your copy of Dysphagia Following Stroke, Third Edition.

Measuring Voice, Speech, and Swallowing in the Clinic and Laboratory

First Edition

Christy L. Ludlow, Raymond D. Kent, Lincoln C. Gray

Details: 566 pages, Full Color, Spiral Bound, 7" x 10"

ISBN13: 978-1-59756-464-9

© 2018 | Available

Medical Speech-Language Pathology: A Desk Reference

Fourth Edition

Lee Ann C. Golper, Bernice K. Klaben, Claire Kane Miller

Details: 663 pages, B&W, Spiral Bound, 7" x 10"

ISBN13: 978-1-94488-376-8

© 2019 | Available

The Adult Dysphagia Pocket Guide: Neuroanatomy to Clinical Practice

First Edition

Yvette M. McCoy, Tiffani Wallace

Details: 222 pages, B&W, Softcover, 4.5" x 8"

ISBN13: 978-1-63550-091-2

© 2019 | Available

Comprehensive Management of Swallowing Disorders

Second Edition

Ricardo L. Carrau, Thomas Murry, Rebecca J. Howell

Details: 576 pages, B&W, Softcover, 8.5" x 11"

ISBN13: 978-1-59756-730-5

© 2017 | Available

Management of Swallowing and Feeding Disorders in Schools

First Edition

Emily M. Homer

Details: 318 pages, B&W, Softcover, 6" x 9"

ISBN13: 978-1-59756-515-8

© 2016 | Available

Supporting Family Caregivers of Adults With Communication Disorders: A Resource Guide for Speech-Language Pathologists and Audiologists

First Edition

Joan C. Payne

Details: 304 pages, B&W, Softcover, 6" x 9"

ISBN13: 978-1-59756-502-8

© 2015 | Available

Communication and Swallowing in Parkinson Disease

First Edition

Deborah Theodoros, Lorraine Ramig

Details: 256 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-59756-205-8

© 2011 | Available

Dysphagia in Neuromuscular Diseases

First Edition

Robert M. Miller, Deanna Britton

Details: 250 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-59756-369-7

© 2011 | Available

Dysphagia in Rare Conditions: An Encyclopedia

First Edition

Harrison Jones, John C. Rosenbek

Details: 736 pages, Full Color, eBook

ISBN13: 978-1-59756-747-3

© 2010 | Available

Dysphagia Post Trauma

First Edition

Elizabeth C. Ward, Angela T. Morgan

Details: 264 pages, B&W, Softcover, 7" x 10"

ISBN13: 978-1-59756-236-2

© 2009 | Available

Rare Disorders that Cause Dysphagia: A Guide for Speech-Language Pathologists

First Edition

Violet O. Cox

Details: 217 pages, B&W, Softcover, 6" x 9"

ISBN13: 978-1-63550-142-1

© 2020 | Available

Clinical Management of Swallowing Disorders Workbook

Fifth Edition

Thomas Murry, Karen Chan

Details: 157 pages, B&W, Spiral Bound, 8.5" x 11"

ISBN13: 978-1-63550-253-4

© 2022 | Available

Adult Dysphagia Clinical Reasoning and Decision-Making Guide

First Edition

Yvette M. McCoy, Ed M. Bice

Details: 131 pages, B&W, Softcover, 6" x 9"

ISBN13: 978-1-63550-692-1

© 2025 | Available