Combining biofeedback based on virtual reality technology with transcranial magnetic stimulation aids the recovery of dysphagic stroke survivors
10.3760/cma.j.issn.0254-1424.2022.05.005
- VernacularTitle:基于虚拟现实的生物反馈联合重复经颅磁刺激对脑卒中恢复期患者吞咽障碍的影响
- Author:
Ran WANG
1
;
Chuan HU
;
Xin WANG
;
Min LIU
;
Fangzhen CAO
;
Yang MENG
;
Ying GU
Author Information
1. 山东省立第三医院康复治疗中心,济南 250000
- Keywords:
Dysphagia;
Biofeedback;
Transcranial magnetic stimulation;
Virtual reality;
Stroke
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(5):407-411
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of combining biofeedback therapy (BFT) based on virtual reality technology with repeated transcranial magnetic stimulation (rTMS) on dysphagia among stroke survivors.Methods:Eighty patients were randomly divided into a control group, an rTMS group, a BFT group and a combined treatment group, each of 20. In addition to routine dysphagia rehabilitation, the rTMS and BFT groups were given those treatments, while the combined treatment group was given both for 4 weeks. Swallowing function was evaluated before and after the treatment using the standardized swallowing assessment (SSA) and the functional oral intake scale (FOIS). Videofluoroscopy was used to quantify the subjects′ oral and pharyngeal phases and their aspiration status.Results:Significant improvement was observed in the average FOIS and SSA scores, as well as in the average oral and pharyngeal phases and in aspiration. The combined treatment group′s results were significantly better in all those aspects than those of the other 3 groups.Conclusion:The combined application of biofeedback therapy based on virtual reality technology and repeated transcranial magnetic stimulation can improve the swallowing function of stroke survivors with dysphagia. It is worthy of clinical promotion.