Inclusion Criteria:  18-80 who were admitted for symptoms associated with acute ischemic CVA within the first month and confirmed by MRI. Diagnosis of dysphagia will be obtained by bedside swallowing exam and MBS/FEES studies.  Exclusion Criteria:  patients who have contraindications for electrical stimulation (malignancy, DVT/thrombophlebitis, hemorrhagic conditions, pregnancy, pacemaker or other electrical hardware), known premorbid swallowing disorders, GERD, dementia or psychiatric disorder, bilateral cerebral involvement, contraindications for FEES/MBS (infectious disease such as HIV, HCV, HBV, nasal obstruction, decompensated heart disease, risk of bleeding such as active ulcers, allergy to contrast).