Background: Neurogenic dysphagia is one of the most dangerous consequences of stroke leading to 
pulmonary infections and even death in stroke survivors. Aim: Evaluate the effect of implementing 
swallowing training exercises on neurogenic dysphagia among acute stroke patients. Design: A 
quasi-experimental research design. Setting: This study was conducted at Neurological Intensive 
Care Units of Tanta Main University Hospital which affiliated to Ministry of Higher Education and 
Scientific Research. Subjects: A purposive sampling of 60 patients with acute stroke aged from 21 to 
60 years old, both sexes. Tools: Four tools were used in this study Tool I: Acute Stroke Patients' 
Assessment: It included three parts as the following: Part (1): Patients' demographic characteristics, 
Part (2): Patients' medical data, and Part (3): Patients' swallowing reflexes examination, Tool II: 
Functional Oral Intake Scale (FOIS), Tool (III): The 8-Point Penetration-Aspiration Scale (PAS), 
and Tool (IV): Dysphagia Observational Checklist. Results: The study finding revealed a highly 
statistically significant difference was observed among control & study group at 5th day of admission 
with (p= 0.000) post application of the swallowing training exercises regarding penetration
aspiration scale. Conclusions: Neurogenic dysphagia is a common problem notified among acute 
stroke patients that need special intervention to improve patients' status and decreased its 
complications. Recommendation: Manual log book about care of dysphagia and stroke patients 
should be available to nurses at Neurological Intensive Care Units as a teaching guide for patients 
with neurogenic dysphagia and Continues health education programs for patients and relatives to 
increase practices and knowledge on swallowing exercises.