Prevalence of Swallowing-Related Fatigue and Its Association With Self-Perceived Swallowing Impairments Across Phases of Stroke, Site of Lesion, and Stroke Severity

Uzair Chilwan; K. Vijaya Kumar; Sudhin Karuppali; Venkataraja U. Aithal; Radish Kumar Balasubramanium

doi:10.1044/2026_ajslp-25-00362

April 1, 2026American Journal of Speech-Language Pathology

Prevalence of Swallowing-Related Fatigue and Its Association With Self-Perceived Swallowing Impairments Across Phases of Stroke, Site of Lesion, and Stroke Severity

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Key Points

The study aims to assess the prevalence of swallowing-related fatigue in stroke patients and its relationship with perceived swallowing issues.
Assessed prevalence of swallowing-related fatigue using the SERF scale.
Evaluated associations with stroke phases, site of lesion, and severity.
Conducted routine assessments during early recovery post-stroke.
Swallowing-related fatigue occurs significantly in early stroke recovery.
Individuals with brainstem lesions show higher rates of fatigue.
The SERF scale allows for early identification of those at risk for mealtime endurance issues.

Implication

This analysis examines swallowing-related fatigue in stroke survivors, suggesting early intervention may improve mealtime endurance.

Abstract

Swallowing-related fatigue emerges as a notable and unique complication of stroke, especially prominent in early recovery and among individuals with brainstem involvement. Incorporating the SERF scale into routine assessment may enable early identification of patients at risk of reduced mealtime endurance and guide targeted rehabilitation.

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Cite This Study

Chilwan et al. (2026) studied this question.

synapsesocial.com/papers/69cf5eee5a333a821460dae2 https://doi.org/10.1044/2026_ajslp-25-00362

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Prevalence of Swallowing-Related Fatigue and Its Association With Self-Perceived Swallowing Impairments Across Phases of Stroke, Site of Lesion, and Stroke Severity

Key Points

Implication

Abstract

Discussion

Cite This Study

Prevalence of Swallowing-Related Fatigue and Its Association With Self-Perceived Swallowing Impairments Across Phases of Stroke, Site of Lesion, and Stroke Severity

Key Points

Implication

Abstract

Discussion

Cite This Study

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