Analysis of the clinical effects of neuromuscular electrical stimulation combined swallowing training to treat dysphagia after stroke
- VernacularTitle:神经肌肉电刺激联合吞咽训练治疗脑卒中后吞咽障碍的临床效果分析
- Author:
Juqing ZHU
1
;
Ziping FENG
Author Information
1. 广东省东莞市桥头医院康复科
- Keywords:
Stroke;
Dysphagia;
Neuromuscular electrical stimulation;
Swallowing training
- From:
China Modern Doctor
2014;(20):12-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of the swallowing training joint neuromuscular electrical stimula-tion to treat dysphagia after stroke. Methods A total of 165 patients with swallowing dysfunction stroke were selected from Jan 2009 to Oct 2013 in our hospital, they were divided into two groups according to the order of admission, there were 83 cases in the observation group, which used neuromuscular electrical stimulation therapy combined with swal-lowing training, there were 82 cases in the control group treated by alone swallowing training therapy. The largest sEMG amplitude, SSA score, VFSS score and SWAL-QOL score of two groups were compared and its relevance was analyzed. Results The sEMG maximum amplitude, VFSS scores of The control group and the observation group after treatment were higher than before treatment, SSA score, SWAL-QOL scores were lower than before treatment, the dif-ference was significant (P<0.05), and the observation group after treatment with greater magnitude improvement than con-trol group, the difference was significant (P<0.05). sEMG negative correlation with SSA, SWAL-QOL, and positive cor-relation with VFSS (P <0.05), SSA negative correlation with VFSS, and positive correlation with SWAL-QOL (P<0.05), VFSS negative correlation with SWAL-QOL(P <0.05). Conclusion Neuromuscular electrical stimulation combined con-clusion after swallowing training in the treatment of stroke patients with dysphagia can promote the recovery of swallow-ing function and can be popularized in clinical application.
