{"id":{"repo_id":"toronto-retro","oai_identifier":"oai:utoronto.scholaris.ca:1807/106405"},"canonical_url":"https://search.dev.ndltd.org/etd/toronto-retro/oai:utoronto.scholaris.ca:1807/106405","repository":{"repo_id":"toronto-retro","name":"University of Toronto","base_url":"https://utoronto.scholaris.ca/server/oai/request"},"display":{"title":"Early Identification of Dysphagia Post Pediatric Ischemic Stroke","abstract":"Pediatric stroke has received increasing attention over the last few decades. Dysphagia is commonly reported following acute stroke in adults, leading to negative health complications such as pneumonia and mortality; however, dysphagia is not a well understood outcome post-stroke in pediatrics. This dissertation sought to explore early identification of dysphagia, with a focus on pediatric stroke, and was comprised of four studies: 1) a meta-analysis of high-level evidence on the benefit of dysphagia screening in adult stroke, 2) a systematic review of available literature on pediatric stroke and dysphagia; 3) a retrospective chart review to identify frequencies, co-occurrence and associations of dysphagia, motor speech and language impairment in pediatric stroke; and 4) a prospective survey of dysphagia experts to determine opinion of relevance and feasibility of assessment items to move forward in the development of a dysphagia screening tool. This dissertation confirmed the benefit of dysphagia screening in the adult stroke population. Further, this work identified dysphagia as a relatively common impairment post-stroke in the acute phase in pediatrics, similar to adults, and especially highlighted the need for standardized assessment protocols in the younger population. Lastly, this dissertation identified a list of assessment items to move forward in the development of a pediatric dysphagia screening tool post-stroke. Future work is indicated and discussed to further advance this under-researched area of dysphagia and pediatric stroke.","abstract_html":"Pediatric stroke has received increasing attention over the last few decades. Dysphagia is commonly reported following acute stroke in adults, leading to negative health complications such as pneumonia and mortality; however, dysphagia is not a well understood outcome post-stroke in pediatrics. This dissertation sought to explore early identification of dysphagia, with a focus on pediatric stroke, and was comprised of four studies: 1) a meta-analysis of high-level evidence on the benefit of dysphagia screening in adult stroke, 2) a systematic review of available literature on pediatric stroke and dysphagia; 3) a retrospective chart review to identify frequencies, co-occurrence and associations of dysphagia, motor speech and language impairment in pediatric stroke; and 4) a prospective survey of dysphagia experts to determine opinion of relevance and feasibility of assessment items to move forward in the development of a dysphagia screening tool. This dissertation confirmed the benefit of dysphagia screening in the adult stroke population. Further, this work identified dysphagia as a relatively common impairment post-stroke in the acute phase in pediatrics, similar to adults, and especially highlighted the need for standardized assessment protocols in the younger population. Lastly, this dissertation identified a list of assessment items to move forward in the development of a pediatric dysphagia screening tool post-stroke. Future work is indicated and discussed to further advance this under-researched area of dysphagia and pediatric stroke.","abstract_has_math":false,"creators":["Sherman, Victoria"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":"Rehabilitation Science","school":null,"contributors":[],"advisors":["Martino, Rosemary"],"committee_chairs":[],"committee_members":[],"year":2021,"date_issued":"2021-06","date_published":"2021-06","updated_at":"2026-07-27T21:28:01Z","subjects":[],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/1807/106405","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Martino, Rosemary"]},{"key":"dc:contributor.department","label":"Department","values":["Rehabilitation Science"]},{"key":"dc:creator","label":"Author","values":["Sherman, Victoria"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2021-06"]},{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2021-06-30T15:57:46Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2021-06-30T15:57:46Z"]},{"key":"dc:date.issued","label":"Date","values":["2021-06"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/1807/106405"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Pediatric stroke has received increasing attention over the last few decades. Dysphagia is commonly reported following acute stroke in adults, leading to negative health complications such as pneumonia and mortality; however, dysphagia is not a well understood outcome post-stroke in pediatrics. This dissertation sought to explore early identification of dysphagia, with a focus on pediatric stroke, and was comprised of four studies: 1) a meta-analysis of high-level evidence on the benefit of dysphagia screening in adult stroke, 2) a systematic review of available literature on pediatric stroke and dysphagia; 3) a retrospective chart review to identify frequencies, co-occurrence and associations of dysphagia, motor speech and language impairment in pediatric stroke; and 4) a prospective survey of dysphagia experts to determine opinion of relevance and feasibility of assessment items to move forward in the development of a dysphagia screening tool. This dissertation confirmed the benefit of dysphagia screening in the adult stroke population. Further, this work identified dysphagia as a relatively common impairment post-stroke in the acute phase in pediatrics, similar to adults, and especially highlighted the need for standardized assessment protocols in the younger population. Lastly, this dissertation identified a list of assessment items to move forward in the development of a pediatric dysphagia screening tool post-stroke. Future work is indicated and discussed to further advance this under-researched area of dysphagia and pediatric stroke."]},{"key":"dc:description.degree","label":"Dc Description Degree","values":["Ph.D."]},{"key":"dc:title","label":"Title","values":["Early Identification of Dysphagia Post Pediatric Ischemic Stroke"]}]}],"canonical_facts":{"dc:contributor.advisor":["Martino, Rosemary"],"dc:contributor.department":["Rehabilitation Science"],"dc:creator":["Sherman, Victoria"],"dc:date":["2021-06"],"dc:date.accessioned":["2021-06-30T15:57:46Z"],"dc:date.available":["2021-06-30T15:57:46Z"],"dc:date.issued":["2021-06"],"dc:description.abstract":["Pediatric stroke has received increasing attention over the last few decades. Dysphagia is commonly reported following acute stroke in adults, leading to negative health complications such as pneumonia and mortality; however, dysphagia is not a well understood outcome post-stroke in pediatrics. This dissertation sought to explore early identification of dysphagia, with a focus on pediatric stroke, and was comprised of four studies: 1) a meta-analysis of high-level evidence on the benefit of dysphagia screening in adult stroke, 2) a systematic review of available literature on pediatric stroke and dysphagia; 3) a retrospective chart review to identify frequencies, co-occurrence and associations of dysphagia, motor speech and language impairment in pediatric stroke; and 4) a prospective survey of dysphagia experts to determine opinion of relevance and feasibility of assessment items to move forward in the development of a dysphagia screening tool. This dissertation confirmed the benefit of dysphagia screening in the adult stroke population. Further, this work identified dysphagia as a relatively common impairment post-stroke in the acute phase in pediatrics, similar to adults, and especially highlighted the need for standardized assessment protocols in the younger population. Lastly, this dissertation identified a list of assessment items to move forward in the development of a pediatric dysphagia screening tool post-stroke. Future work is indicated and discussed to further advance this under-researched area of dysphagia and pediatric stroke."],"dc:description.degree":["Ph.D."],"dc:identifier.uri":["http://hdl.handle.net/1807/106405"],"dc:title":["Early Identification of Dysphagia Post Pediatric Ischemic Stroke"],"dc:type":["Thesis"]},"updated_at":"2026-07-27T21:28:01Z"}