Treating post-stroke dysphagia with biofeedback: A meta-analysis / 中华物理医学与康复杂志

Objective To evaluate the effect of treating post-stroke dysphagia with biofeedback.Methods PubMed,the Cochrane library,EMbase,the Web of Science,the Chinese biomedical database,the Wanfang database,the China national knowledge infrastructure and the VIP database were searched for reports of randomized and controlled trials (RCTs) of biofeedback for treating post-stroke dysphagia.The search covered the period from each database's inception to December 31,2018.Version 5.3 of the RevMan software was used to analyze the data.Results A total of 17 studies were included,covering 1306 patients.The meta-analysis showed that the intervention group was significantly better than the control group in terms of the total effectiveness rate,the average Functional Oral Intake Scale score,and scores on the Standardized Swallowing Assessment and on the Swallowing Quality-of-Life Questionnaire.The incidence of aspiration pneumonia was also significantly lower in the biofeedback treatment group.Conclusion Biofeedback can be applied to improve swallowing,the level of ingestion and the quality of life of stroke survivors.It can also reduce the incidence of pneumonia.More high-quality RCTs with large samples are needed to further verify these conclusions.

Clinical observation on auricular magnetotherapy for convalescent stroke patients with depression / 中国针灸

OBJECTIVE@#To observe the effect of auricular magnetotherapy on depression and quality of life in stroke patients with depression after recovery.@*METHODS@#Ninety-three stroke patients with depression were randomly divided into a conventional group(a control group), a conventional combined with magnetotherapy group (an observation 1 group), a conventional combined with vaccaria seed group (an observation 2 group), 31 cases in each group. Conventional treatments were applied in the three groups. On the basis of conventional treatments, auricular magnetotherapy was added in the observation 1 group, and in the observation 2 group, vaccaria seed was applied at gan (CO), xin (CO), pi (CO), shen (CO), shenmen (TF), pizhixia (AT), press 3 times a day, replace once every 3 days, alternate ears and treating for 4 weeks. The scores of 17 Hamilton Depression Scales (HAMD-17) and stroke-specific quality of life scales (SS-QOL) were observed before and after treatment in each group. Depression was assessed at follow-up 4 weeks after treatment, and the clinical efficacy of each group was compared.@*RESULTS@#A total of 83 cases completed the test. After treatment and follow-up, the scores of HAMD decreased in the observation 1 group and observation 2 group compared with that before treatment (all 0.05). After treatment, the total score of SS-QOL in the observation 1 group and observation 2 group were higher than that in the control group (0.05). The scores of energy, family characters, and emotional dimensions in the observation 1 group were higher than those in the observation 2 group and control group (<0.05, <0.01). The score of personality and upper limb function were higher than those in the control group (<0.05, <0.01); the score of the family role dimension of the observation 2 group was significantly higher than that in the control group (<0.01). The total effective rate in the observation 1 group was 72.4% (21/29), which was higher than 44.4% (12/27) in the observation 2 group (<0.05) and 11.1% (3/27) in the control group (<0.01).@*CONCLUSION@#Auricular magnetotherapy can improve the depressive symptoms of convalescent stroke patients with depression and improve their quality of life.

Effect of listening zhidiao tone in the five elements music together with language training on depressed mood and clinical curative effect of language rehabilitation of the stroke patients with aphasia / 中国实用护理杂志

Objective To explore the effect of listening zhidiao tone in the five elements music together with language training on the rehabilitation of stroke patients with aphasia.Methods 57 subjects of stroke patients with aphasia were randomly divided into three groups,one was zhidiao music group,another was west music group,and the third was the control group.Four weeks later,using the scale called the Chinese Rehabilitation Research Center Standard Aphasia Examination (CRRCAE) and the Stroke Aphasic Depression Questionnaire Hospital Version(SADQ-H) to see the variance of scores of language function,and depression in the three groups before and after intervention.Results After the intervention,depressed mood scores of three groups decreased significantly,zhidiao music group experienced less depressed mood compared with the control group.According the Ridit analysis,the clinical curative effect was significantly better in the zhidiao music group than in the western music group or the control group.Conclusion Zhidiao music combined with language training can improve the patients’ depression status,and improve compliance and enthusiasm of language training,so as to promote the reha-bilitation of the language function.Listening to zhidiao music had a positive role in language rehabilitation in stroke patients with aphasia,and worthy of further promotion and application.