The effect of combining breathing training with electromyographic biofeedback on swallowing ability after cerebral infarction
10.3760/cma.j.issn.0254-1424.2022.03.007
- VernacularTitle:呼吸训练联合肌电生物反馈对脑梗死恢复期患者吞咽功能的影响
- Author:
Jinming LIU
1
;
Fang ZHOU
;
Yan MA
;
Liguo YU
;
Jun PENG
Author Information
1. 武汉市第一医院康复医学科，武汉 430030
- Keywords:
Breathing training;
Electromyography;
Biofeedback;
Swallowing function;
Cerebral infarction
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(3):221-225
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of supplementing breathing training with electromyographic biofeedback in treating the swallowing function soon after a cerebral infarction.Methods:A total of 96 cerebral infarction survivors with dysphagia were randomly divided into a control group, a biofeedback group and a comprehensive treatment group, each of 32. All received conventional rehabilitation treatment for dysphagia, while the biofeedback group was additionally provided with EMG biofeedback training and the comprehensive treatment group received both breathing training and the biofeedback training. Before and after 6 weeks of treatment, all were subjected to a swallowing contrast examination to observe the opening of the upper esophageal sphincter, the forward displacement of the hyoid bone, and the upward displacement of the hyoid bone. The Rosenbak Penetration-Aspiration Scale and Functional Imported Food Scoring were also used to evaluate their swallowing function.Results:Before, there were no significant differences between the groups in terms of any of the measures. After the 6 weeks of treatment, all of the measurements had improved significantly in both groups, but the improvement in the biofeedback and comprehensive treatment groups on all of the measures was significantly greater than in the control group. The average values of the comprehensive treatment group were then superior to the biofeedback group′s averages.Conclusion:Supplementing breathing training with EMG biofeedback can significantly improve the swallowing function of stroke survivors and reduce their risk of aspiration.
