Inclusion Criteria1. Admitted to participate in the Day Rehabilitation Center rehabilitation programme;
2. Had moderate to severe functional disability- Barthel Index (BI) scores of <70;
3. Able to follow a one-step command (as an assessment of communication)
Exclusion Criteria1. edentulous;
2. more than mild cognitive ability- Mini Mental State Examination (MMSE) less than18;
3. had an indwelling naso-gastric feeding tubes.