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Volume 11,Issue 3

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26 March 2026

Construction and Application of Early Rehabilitation Protocol for Post-stroke Dysphagia Based on the Closed-loop Management of “Assessment-Intervention-Monitoring”

Peng Yu*1
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1 Huishan District Rehabilitation Hospital of Wuxi, Wuxi 214181, Jiangsu, China
APM 2026 , 11(3), 73–79; https://doi.org/10.18063/APM.v11i3.1650
© 2026 by the Author. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Objective: To analyze the efficacy and clinical value of an early rehabilitation protocol based on the closed-loop management mode of “Assessment-Intervention-Monitoring” in patients with post-stroke dysphagia. Methods: A total of 78 patients with post-stroke dysphagia admitted to our hospital from October 2023 to October 2024 were enrolled and randomly divided into two groups by the random number table method, with 39 cases in each group. The control group received routine rehabilitation treatment, while the observation group adopted the early rehabilitation protocol based on the closed-loop management of “Assessment-Intervention-Monitoring”. Nutritional indicators and immune function were compared between the two groups. Results: After treatment, the nutritional status of both groups was significantly improved compared with baseline (P < 0.05). The incidence of complications in the observation group was lower than that in the control group (P < 0. 05). In terms of immune function indexes and clinical effectiveness rate, the observation group was significantly superior to the control group (P < 0.05). Conclusion: For patients with post-stroke dysphagia, the early rehabilitation protocol based on “Assessment-Intervention-Monitoring” closed-loop management can effectively improve nutritional status and immune function, reduce complications, and enhance the comprehensive therapeutic effect.

Keywords
Closed-loop management
Early rehabilitation protocol
Stroke
Dysphagia
References

[1] Neurology Branch of Chinese Medical Association, Cerebrovascular Disease Group of Neurology Branch of Chinese Medical Association, 2018, Chinese Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke 2018. Chinese Journal of Neurology, 51(9): 666–682.

[2] Onishi Y, Sun QL, 2000, Practical Rehabilitation Techniques for Feeding and Swallowing Disorders. China Medical Science Press, 17–18.

[3] Chen F, Ya NR, Zhen ZR, et al., 2023, Efficacy and Clinical Value of Early Comprehensive Rehabilitation Therapy on Dysphagia After Stroke. Medical Innovation of China, 20(8): 143–146.

[4] Zhang QQ, 2024, Efficacy and Clinical Value of Early Comprehensive Rehabilitation Therapy on Dysphagia After Stroke. Weekly Digest · Elderly Care Weekly, (3): 114–116.

[5] Shang N, Liu J, Wang XL, 2023, Effect of Feeding Training Combined with Modified Rehabilitation Swallowing Exercise on Rehabilitation Outcome and Feeding-Swallowing Function in Stroke Patients with Dysphagia. Chinese General Practice, 26(S01): 28–31.

[6] Dai YY, Lin SS, Liu C, et al., 2023, Effect of Comprehensive Rehabilitation Therapy on Swallowing Function in Stroke Patients with Severe Post-Stroke Dysphagia. Chinese Journal of Frontier Health and Quarantine, 46(S02): 115–117.

[7] Liu R, Luo W, Li CH, et al., 2023, Study on the Effect of Comprehensive Rehabilitation Training in the Treatment of Stroke Patients with Dysphagia. Chinese Sci-Tech Journal Database (Full Text Version) Medicine & Health, (4): 4.

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