The effects of combining laryngopharyngeal ascent training with transcranial magnetic stimulation on dysphagia among stroke survivors based on the " central-peripheral-central" concept
10.3760/cma.j.cn421666-20240826-00688
- VernacularTitle:基于"中枢－外周－中枢"理念的咽喉上升强化训练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:
Yang MENG
1
;
Chuan HU
1
;
Shanshan WANG
1
;
Xin WANG
1
Author Information
1. 山东省立第三医院康复护理院康复治疗中心，济南 250000
- Publication Type:Journal Article
- Keywords:
Dysphagia;
Stroke;
Central-peripheral-central concept;
Throat rise strengthening training;
Transcranial magnetic stimulation
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(4):295-299
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of combining intensive laryngeal elevation training with repeated transcranial magnetic stimulation (rTMS) based on the concept of " central-peripheral-central" (CPC) on dysphagia in stroke survivors.Methods:Eighty stroke survivors with dysphagia were selected and randomly divided into a control group, a lift group, an rTMS group and a combination group, each of 20. In addition to neurologic drug therapy and routine swallowing training, the lift group received intensive throat elevation training, the rTMS group received rTMS, while the combination group underwent both before and after 4 weeks of treatment, all were evaluated using video swallowing angiography (VFSS), a leakage-aspiration scale (PAS) and a functional oral feeding scale (FOIS).Results:After the treatment, the average VFSS, PAS and FOIS scores had improved significantly in all 4 groups, with those of the lift group, the rTMS group and the combination group then significantly better than the control group′s averages. The combination group′s scores were significantly better than those of the other 3 groups. There was no significant difference in any of the indexes between the lift and TMS groups.Conclusions:CPC-based intensive laryngeal ascent training combined with rTMS can significantly improve the swallowing of stroke survivors with dysphagia in convalescence.
