Therapeutic effect of oral exercise method combined with shaker exercise on dysphagia in patients with cere-bral hemorrhage
10.3760/cma.j.issn.1008-6706.2015.13.027
- VernacularTitle:口腔锻炼联合雪克运动在脑出血后吞咽障碍患者中的应用效果分析
- Author:
Chunfang WU
;
Yong CHEN
;
Qishun ZHANG
;
Jun ZHAO
;
Lijiao GENG
- Publication Type:Journal Article
- Keywords:
cerebral hemorrhage;
dysphagia;
oral exercise method;
shake exercise
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(13):1998-2000,2001
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of oral exercise method combined with shaker exercise on dysphagia in patients with cerebral hemorrhage.Methods 112 patients with dysphagia caused by cerebral hemor-rhage were randomly divided into control group (28 cases,conventional treatment),oral exercise method group (28 cases,conventional treatment combined with oral exercise method),shaker exercise group (28 cases,conventional treatment combined with shaker exercise)and combination group (28 cases,conventional treatment combined with oral exercise method and shaker exercise).Four groups were assessed with video fluoroscopic swallowing study (VF-SS)before treatment and after treatment.Results (1)There were no differences on VFSS among four groups before treatment (P >0.05).After treatment,there were significant differences on VFSS among four groups(F =9.40,P <0.05).Combination group[(8.68 ±4.74)points]with the highest score,followed by shaker exercise group[(6.52 ± 3.12)points]and oral exercise method group[(6.43 ±2.84)points],control group[(3.96 ±2.02)points]with the lowest score.There were no differences on VFSS between before treatment and after treatment in control groups (F =0.945,P >0.05).In the remaining groups,the scores of VFSS after treatment were significant higher than that of before treatment (P <0.05).(2)The total effective rate in combination group was higher than that of the remaining groups(χ2 =37.76,P <0.01).Combination group (96.43%)combined with the highest total effective rate,followed by shaker exercise group (75.00%)and oral exercise method group (71.43%),control group (21.42%)combined with the lowest total effective rate.Conclusion The application of oral exercise method combined with shaker exercise on patients with dysphagia caused by cerebral hemorrhage could improve the swallowing function.
