An Experimental Study on Effectiveness of Shaker's Swallowing Exercises on Improving Swallowing Ability among Dysphagic Patients with Cerebrovascular Accident

Background: Dysphagia is one of the most frequent symptoms in patient with stroke paralysis of throat muscles. This condition can disrupt the swallowing process and make eating, drinking, taking medicine and breathing difficulty. Objectives: 1. To assess the swallowing ability before and after shakers swallowing exercise among dysphagic patients with cerebrovascular accident.2. To find out the effectiveness of shakers swallowing exercise on improving swallowing ability among dysphagic patients with cerebrovascular accident.3. To find out association between pre-test swallowing ability score with selected demographic variables among dysphagic patients with cerebrovascular accident. Method: A study was conducted in selected hospitals to assess the effectiveness of shakers swallowing exercise in improving swallowing ability among dysphagic patients with cerebrovascular accident. The 30 samples was selected by using purposive sampling technique. The socio demographic data was collected by using questionnaire method on Age, Gender, Duration of illness in months and swallowing ability is assessed by using Modified Gugging Swallowing Screening Test. The pre-test was done by using liquid and post test was done after shakers swallowing exercise. It was done for 3 times for 5 days. Results: For the variables like Age and the Duration of illness p value of the association test with pre test score was less than 0.05. this concludes that, there was significant association of these demographic variables with pre-test score of swallowing ability test. For the variable the p value of the association test with pre-test score was more than 0.05. concludes that, there was significant association of these demographic variables with pre-test score of swallowing ability test. Hence the H2 hypothesis was accepted. The pre test average of day 1 was 11.73 with standard deviation of 1.36. The post test average score of the day 5 was 28.86 with standard deviation of 1.25. The statistic value of the paired t test was 271.42 with p value 0.000. Here p value less than 0.05, shows there was significant increase in the water intake capacity. The above findings reveals that H1 Hypothesis was accepted. The shakers swallowing exercise was effective in improving swallowing ability among dysphagic subjects with cerebrovascular accident. Conclusion: Thus the study concludes that Shakers swallowing exercise was effective on improving swallowing ability among dysphagic subject with cerebrovascular accident, thus the null hypothesis (Ho) is rejected and (H1) and (H2) was accepted. Shakers swallowing exercise used in clinical settings for subjects from Medical wards and Neurological ward in selected hospitals was effective.