Efficacy of catheter balloon dilation and high-intensity Shaker training on treating post-brainstem stroke cricopharyngeal achalasia and the impact on post-stroke aspiration pneumonia
10.3969/j.issn.1001-1242.2025.07.011
- VernacularTitle:导尿管球囊扩张术治疗脑干卒中后环咽肌失弛缓症的疗效观察及对卒中后吸入性肺炎的影响
- Author:
Li ZHANG
1
;
Jige DONG
;
Dongyu WU
Author Information
1. 北京市羊坊店医院,北京市,100038
- Publication Type:Journal Article
- Keywords:
brainstem stroke;
balloon dilation;
Shaker training;
cricopharyngeal achalasia;
aspiration pneumonia
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(7):1047-1051
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the therapeutic effects of catheter balloon dilation and high-intensity Shaker training on cri-copharyngeal achalasia after brainstem stroke and the effect on post-stroke aspiration pneumonia.Method:Fifty patients with swallowing disorders after brainstem stroke admitted to Yangfangdian Hospital and Wangjing Hospital between July 2022 and December 2022 were selected for this non-blinded clinical trial.The pa-tients were divided into the control group(n=25)and the experimental group(n=25)according to the order of ad-mission and receipt of balloon dilation.The control group was treated with conventional swallowing therapy and increased the intensity of Shaker training,while the experimental group was treated with additional transoral bal-loon dilatation.The changes of swallowing function and incidence of aspiration pneumonia were compared using videofluoroscopic swallowing study(VFSS),the standard swallowing function assessment scale(SSA),Rosenbek infiltration/misaspiration scale,feeding function and the incidence of aspiration pneumonia.The self-assessment de-pression scale(SDS)and anxiety self-assessment anxiety scale(SAS)were used to assess the changes of pa-tients'psychological status.Result:There was no statistically significant differences in swallowing function and psychological status between the two groups before treatment(P>0.05).After 8 weeks of treatment,both groups showed improvement in SSA,VFSS and Rosenbek scores(P<0.05),and significant reductions in SAS and SDS,with significant improvement in feeding function.The improvement in swallowing and psychological status of both groups was better than pre-treatment,with significantly higher in the experimental group than the control group(P<0.05).Conclusion:Both the rehabilitation training method of swallowing with increasing the intensity of Shaker training and balloon dilation are effective in the recovery of swallowing disorder,but the combined treatment is more ef-fective.Both group showed improvements in Rosenbek score and reduced incidence of aspiration after treatment,indicating that the rehabilitation training with increasing intensity of Shaker training and balloon dilation can effec-tively reduce the incidence of aspiration pneumonia,and the combined treatment was more effective.
