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Neurorehabilitation and Neural Repair
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A Randomized Control Study to Determine the Effects of Unlimited Oral Intake of Water in Patients with Identified Aspiration

Bernard R. Garon

Senior Speech/Language Pathologist, HealthEast Bethesda Lutheran Hospital and Rehabilitation Center, 559 Capitol Boulevard, St. Paul, Minnesota 55103

Molly Engle

Associate Professor, Behavioral Medicine Unit, Department of Medicine, The University of Alabama at Birmingham, 1717 11th Avenue South, Suite 101, Birmingham, Alabama 35294-44103

Charles Ormiston

HealthEast Bethesda Lutheran Hospital and Rehabilitation Center, 559 Capitol Boulevard, St. Paul, Minnesota 55103

No statistical differences were found in the moderator variables of age, gender, eth nicity, stroke location, amount of initial aspiration, or presence/absence of a cough reflex. Using a t-test for independent means, a significant difference (p = 0.03) oc curred between groups on average intake of thickened liquids.

Conclusion : Until further larger scale research utilizing water intake with known aspirators is conducted, it is recommended that water (and ice chips) be given presently only in instances of patient refusal to drink thickened liquids or when hydration is sues cause medical concern.

Key Words: Aspiration—Aspiration pneumonia—Hydration.

Neurorehabilitation and Neural Repair, Vol. 11, No. 3, 139-148 (1997)
DOI: 10.1177/154596839701100301
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