The effect of the different swallowing training techniques on the pre-swallow peak pressure of upper esophageal sphinctor
10.3760/cma.j.issn.0254-1424.2013.12.015
- VernacularTitle:不同训练方法对环咽肌失弛缓患者食管上段腔内压力的影响
- Author:
Zhe LI
;
Guosheng WANG
;
Ganghua GUO
;
Chenxia GUAN
;
Lin YUE
- Publication Type:Journal Article
- Keywords:
Cricopharyngeal achalasia;
Rehabilitation;
Dysphagia;
Biomechanics
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2013;35(12):972-975
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the change of the pre-swallow peak pressure of upper esophageal sphincter (UES) in patients with post-stroke cricopharyngeal achalasia,and investigate the effect of pre-swallowing peak UES pressure on swallowing function by quantitative analysis.Methods Fifty-seven stroke patients with cricopharyngeal achalasia were recruited and divided into balloon dilation group,combined training group and routine swallowing training group with 19 patients in eachp.All the three groups accepted routine swallowing training.In addtion,the routine swallowing training group and balloon dilation group accepted larynx elevation training and balloon dilation training,respectively,while the combined training group accepted larynx elevation training and balloon dilation training simultaneously.The pre-swallow peak UES pressure was measured by using PC polygraph high rate gastrointestinal dynamical detection system (PC Polygraf HR,CTD-synectics,Sweden) before and after 8 weeks of treatment.The swallowing function was assessed using swallowing function classification and water swallowing test.Results Before treatment,there was no significant difference among the 3 groups in terms of the pre-swallow peak UES pressure,swallowing function classification,water swallowing test and VFSS (P ＞ 0.05).After treatment,pre-swallow peak UES pressure,swallowing function classification,water swallowing test and VFSS of the balloon dilation group and combined training group improved significantly compared with those before treatment (P ＜ 0.05),and the improvement in the combined training group was to a significantly better extent than in the balloon dilation group(P ＜O.05).Conclusion Balloon dilation and larynx elevation training plus routine swallowing training can increase pre-swallow peak UES pressure,decrease the UES resting pressure of stroke patients with cricopharyngeal achalasia,which is of great importance for their recovery.
