The effects of transcranial magnetic stimulation and peripheral magnetic stimulation of the mylohyoid muscle on post-stroke dysphagia
10.3760/cma.j.issn.0254-1424.2023.12.011
- VernacularTitle:下颌舌骨肌外周磁刺激联合中枢磁刺激对脑卒中后吞咽障碍的影响
- Author:
Zhiyong WANG
1
;
Junhui BAI
;
Keling CHENG
;
Jun NI
Author Information
1. 福建医科大学附属第一医院康复医学科，福州 350005
- Keywords:
Stroke;
Dysphagia;
Mylohyoid muscle;
Mylohyoid cortex;
Transcranial magnetic stimulation
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(12):1119-1124
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore any effect of transcranial magnetic stimulation and peripheral magnetic stimulation of the mylohyoid muscle on dysphagia among stroke survivors.Methods:Sixty stroke survivors with dysphagia were randomly divided into a control group, a peripheral magnetic stimulation group, a central magnetic stimulation group, and a central + peripheral magnetic stimulation group, each of 15. In addition to routine swallowing training, the subjects were given the appropriate magnetic stimulation daily, five times a week for two weeks. Before and after the intervention, swallowing was evaluated using the Functional Oral Intake Scale (FOIS), Penetration-Aspiration Scale (PAS) and a functional dysphagia scale (FDS).Results:The average FDS, PAS, and FOIS scores of all four groups had improved significantly after the treatment. Improvement significantly greater than in the control group was observed in the average FOIS, FDS and PAS scores of the other three groups. The peripheral + central magnetic stimulation group showed the greatest average improvement.Conclusion:Combining mylohyoid muscle magnetic stimulation with magnetic stimulation of the cerebral cortex can significantly relieve dysphagia. It is more effective than conventional swallowing rehabilitation or either magnetic stimulation alone.
