The therapeutic effects of neuromuscular electric stimulation on patients with swallowing disorders after stroke
10.3760/cma.j.issn.0254-1424.2012.05.009
- VernacularTitle:神经肌肉电刺激治疗脑卒中后吞咽障碍的疗效观察
- Author:
Zhao JIANG
;
Yaping WANG
;
Chengcheng GUO
- Publication Type:Journal Article
- Keywords:
Neuromuscular electric stimulation;
Dysphagia;
Stroke,acute ischemic
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2012;34(5):357-360
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical therapeutic effects of neuromuscular electric stimulation (NMES) on patients with swallowing disorders after stroke. MethodsA total of 98 patients with a swallowing disorder after stroke were randomly divided into an NMES group (38 cases),a rehabilitation group (30 cases) and a control group (30 cases).In the control group the patients were treated with medication only; the in rehabilitation group they were treated with medication and swallowing rehabilitation training; in the NMES group they were treated with medication and NMES.The treatments lasted for 3 weeks in all groups.The swallowing function of patients in each group were observed and assessed with dysphagia scoring pre-and post-treatment.Complications of the swallowing disorders,side effects of treatment and the stomach tube leaving rate were observed. ResultsAfter treatment,the dysphagia scores of patients in the NMES and rehabilitation groups both increased,but the average scores in the NMES group were significantly higher than in the rehabilitation and control groups.The difference in therapeutic effect between the three groups was statistically significant.After treatment,the incidence of aspiration pneumonia in the NMES group was significantly lower than that in the control and rehabilitation groups.The average stomach tube leaving rate in the NMES group was significantly lower than that in the control group,but there was no significant difference in stomach tube leaving rates between the rehabilitation group and the NMES group.There was no significant difference among the three groups in malnutrition.No side effect was observed in any group.Conclusions NMES could alleviate post-stroke dysphagia and decrease the incidence of aspiration.The short-term therapeutic effect of NMES was better than that of swallowing rehabilitation training,but the long-term therapeutic effects were about the same in the two groups.
