Electroacupuncture in the treatment of stroke survivors with oropharyngeal dysphagia
10.3760/cma.j.issn.0254-1424.2023.02.005
- VernacularTitle:电针夹廉泉穴治疗脑卒中后口咽期吞咽障碍的临床研究
- Author:
Xingyu KANG
1
;
Zhuangli GUO
;
Chengfei GAO
;
Yiling WU
;
Naisu TANG
;
Menghan SONG
Author Information
1. 青岛大学附属医院康复医学科，青岛 266071
- Keywords:
Electroacupuncture;
Dysphagia;
Neuromuscular electrical stimulation;
Videofluoroscopy;
Surface electromyography
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(2):119-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of electroacupuncture applied to the Jialianquan points in treating post-stroke oropharyngeal dysphagia.Methods:Forty-five stroke survivors with oropharyngeal dysphagia were randomly divided into an electroacupuncture group ( n=15), a neuromuscular electrical stimulation group ( n=15) and a control group ( n=15). All groups received 30 minutes of routine swallowing function training 5 times a week for 3 weeks. The electroacupuncture group was additionally provided with 30 minutes of electroacupuncture applied to the Jialianquan (CV23) points, and the neuromuscular electrical stimulation group instead received 30 minutes of neuromuscular electrical stimulation over the bilateral submental muscles. Videofluoroscopic swallowing studies were performed before and after the 3 weeks of treatment. Standardized swallowing assessment was conducted producing functional oral intake scale ratings, modified barium swallow impairment profiles and the penetration-aspiration scale scores. Surface electromyography was also employed to evaluate submental muscle functioning through measuring the swallowing time, average EMG (AEMG) value and peak amplitude. Results:After the treatment, significant improvement was observed in all of the evaluations with both groups, but the average scores were significantly better in the electroacupuncture and neuromuscular electrical stimulation groups compared with the control group and significantly better in the electroacupuncture group than in the neuromuscular electrical stimulation group.Conclusion:Electroacupuncture at the Jialianquan point can significantly improve the swallowing of stroke survivors with oropharyngeal dysphagia. It is more effective than neuromuscular electric stimulation.
