Treating neurogenic dysphagia
10.3760/cma.j.issn.0254-1424.2011.06.011
- VernacularTitle:吞咽功能训练结合神经肌肉电刺激对神经源性吞咽功能障碍疗效的影响
- Author:
Jing JI
;
Zhengsheng WANG
;
Jianwen WANG
;
Min YANG
- Publication Type:Journal Article
- Keywords:
Swallowing function training;
Neuromuscular electrical stimulation;
Neurogenic dysphagia;
Videofluoroscopic swallowing study
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2011;33(6):437-440
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the best treatment program for neurogenic dysphagia (ND) by observing the efficacy of three different rehabilitation programs.Methods Eighty-two dysphagic patients were randomly divi-ded into a swallowing training group (which received mouth,facial,and tongue function training along with cold sti-mulation of the pharynx,Mendelson's swallowing training,and swallowing behavior coordination training) and a group which received neuromuscular electrical stimulation (NMES) only.Low-frequency NMES was applied at the location of the swallowing obstacle using a biphase square wave 700ms long at 30-80 Hz with a current intensity of 0-15 mA.There was also a combined treatments group which received swallowing behavior therapy combined with NMES.All three groups were treated for 30 min daily for 20 days.Videofluoroscopy (VFSS) was conducted before and after treatment to assess swallowing function.Results After 20 days of treatment,swallowing function had improved in all three groups.The effectiveness rate was 73% in the swallowing training group,83% in the NMES group and 94% in the combined treatment group.The average VFSS score in the combined therapy group was significantly higher than that of either the swallowing training or NMES group.Conclusions NMES combined with swallowing behavior the-rapy can greatly improve swallowing function in patients with neurogenic dysphagia,especially those with pseudosupranuclear paralysis.
