Biofeedback training can significantly improve dysphagia among stroke survivors
10.3760/cma.j.issn.0254-1424.2023.12.010
- VernacularTitle:基于BiSSkiT理论的强化咽喉上升电子生物反馈训练联合表面肌电生物反馈对脑卒中恢复期患者吞咽障碍的影响
- Author:
Yang MENG
1
;
Chuan HU
;
Shanshan WANG
;
Xin WANG
Author Information
1. 山东省立第三医院，济南 250000
- Keywords:
Stroke;
Dysphagia;
Pharyngeal rise biofeedback;
Electromyographic biofeedback;
Strength training, Skill training
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(12):1114-1118
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of combining surface electromyography biofeedback with intensive pharyngeal ascending e-biofeedback training on dysphagia among stroke survivors.Methods:Sixty stroke survivors with dysphagia were randomly divided into a biofeedback group, a pharyngeal ascending group and a combination group, each of 20. In addition to routine swallowing training, the biofeedback group received 20 minutes of surface electromyographic biofeedback training daily while the pharyngeal ascending group did pharyngeal rising reinforcement training based on biofeedback for strength and skill training (BiSSkiT) theory. The combination group was given both. Before and after 4 weeks of the interventions, videofluoroscopy was used to evaluate everyone′s swallowing. The Swallowing Function Assessment Scale (SSA) and the Dysphagia Outcome and Severity Scale (DOSS) were also applied.Results:Significant improvement was observed in all 3 groups in terms of their average VFSS, SSA and DOSS scores. The average videofluoroscopy, SSA and DOSS results of the combination group were then significantly better than the other two groups′ averages, and those of the pharyngeal ascending group were significantly superior to those of the biofeedback group.Conclusion:Combining intensive pharyngeal ascending electronic biofeedback training with surface EMG biofeedback can significantly improve the swallowing function of stroke survivors.
