Clinical observation of supplementing catheter balloon dilation therapy with transcranial magnetic stimulation in the treatment of swallowing dysfunction caused by cricopharyngeal muscle dysfunction after stroke
10.3760/cma.j.issn.0254-1424.2021.08.011
- VernacularTitle:导管球囊扩张术联合重复经颅磁刺激治疗脑卒中后环咽肌失弛缓致吞咽功能障碍的临床观察
- Author:
Wei WANG
1
;
Yaqun LIU
;
Na YANG
Author Information
1. 海军青岛特勤疗养中心，青岛 266071
- Keywords:
Balloon dilation therapy;
Transcranial magnetic stimulation;
Dysphagia;
Stroke
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2021;43(8):717-720
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical efficacy of combining catheter balloon dilation therapy with transcranial magnetic stimulation in the treatment of stroke survivors with swallowing dysfunction caused by cyclopharyngeal muscle dysfunction.Methods:Ninety stroke survivors with swallowing dysfunction caused by cyclopharyngeal muscle dysfunction were randomly divided into a balloon dilation group, an rTMS group and a combination treatment group, each of 30. The groups received balloon dilation therapy, repetitive transcranial magnetic stimulation or both respectively for 4 weeks. A water swallowing test and the Standardized Swallowing Assessment were administered before and after the treatment.Results:After the treatment there was a significant decrease in the average scores of all three groups on both tests, but the improvement in the combination treatment group was significantly greater than in the other two groups. The total effectiveness rate of the combination treatment was 96.7%, significantly higher than the 70.0% of the balloon dilation treatment and the 63.3% with magnetic stimulation alone.Conclusion:Combining catheter balloon dilation therapy with repetitive transcranial magnetic stimulation can significantly improve the swallowing function of stroke survivors caused by cyclopharyngeal muscle dysfunction.
