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OBJECTIVE@#To observe the clinical efficacy of acupoint injection combined with Vitalstim electrical stimulation for post-stroke dysphagia.@*METHODS@#A total of 98 patients with dysphagia after first stroke were randomized into an acupoint injection group (35 cases, 2 cases dropped off), an electrical stimulation group (31 cases, 3 cases dropped off) and a combination group (32 cases, 3 cases dropped off). Injection of mecobalamin into Tunyan point, Vitalstim electrical stimulation and the combination of injection of mecobalamin into Tunyan point and Vitalstim electrical stimulation were applied respectively in the 3 groups, once a day, 10 times as one course, 2 courses were required. Before and after treatment, the tongue muscle thickness and video fluoroscopic swallowing study (VFSS) score were observed in the 3 groups.@*RESULTS@#After treatment, the tongue muscle thickness was decreased (P<0.05), the VFSS scores were increased (P<0.05) compared with before treatment in the 3 groups, and the variation of tongue muscle thickness and VFSS score in the combination group was greater than the acupoint injection group and the electrical stimulation group (P<0.05).@*CONCLUSION@#Both acupoint injection of mecobalamin and Vitalstim electrical stimulation have therapeutic effect on dysphagia after stroke, and the two have synergistic effect.
Assuntos
Humanos , Pontos de Acupuntura , Terapia por Acupuntura , Deglutição , Transtornos de Deglutição/terapia , Estimulação Elétrica , Resultado do TratamentoRESUMO
Objective To investigate the effect of VitalStim electrical stimulation combined with traditional swallowing therapy on severe dysphagia in patients with Parkinson's disease (PD). Methods In all, 36 PD pa-tients with severe dysphagia were randomly divided into a treatment group and a control group, each of 18. Both groups were given the traditional swallowing therapy, while the treatment group was additionally provided with VitalStim electrical stimulation. Before and 15 days after the intervention, both groups were assessed using the modi-fied Mann assessment of swallowing ability ( MMASA) and standardized swallowing assessment ( SSA) . ResultsAfter the intervention the average SSA score of the control group had dropped significantly, but no significant change was observed in their average MMASA score. However, significant improvement was observed in both the average MMASA score and the average SSA score of the treatment group. Moreover, the cure rate of the treatment group was 47.1％, significantly higher than that of the control group. Conclusion VitalStim electrical stimulation combined with traditional swallowing therapy is effective for alleviating severe dysphagia among PD patients. It is worthy of ap-plication and further study in clinical practice.
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Objective@#To investigate the effect of VitalStim electrical stimulation combined with traditional swallowing therapy on severe dysphagia in patients with Parkinson′s disease (PD).@*Methods@#In all, 36 PD patients with severe dysphagia were randomly divided into a treatment group and a control group, each of 18. Both groups were given the traditional swallowing therapy, while the treatment group was additionally provided with VitalStim electrical stimulation. Before and 15 days after the intervention, both groups were assessed using the modified Mann assessment of swallowing ability (MMASA) and standardized swallowing assessment (SSA).@*Results@#After the intervention the average SSA score of the control group had dropped significantly, but no significant change was observed in their average MMASA score. However, significant improvement was observed in both the average MMASA score and the average SSA score of the treatment group. Moreover, the cure rate of the treatment group was 47.1%, significantly higher than that of the control group.@*Conclusion@#VitalStim electrical stimulation combined with traditional swallowing therapy is effective for alleviating severe dysphagia among PD patients. It is worthy of application and further study in clinical practice.
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Objective To observe the clinical efficacy of acupuncture at three tongue points plus Vitalstim electrical stimulation in treating deglutition disorder after cerebral stroke. Method Seventy patients with deglutition disorder after cerebral stroke were randomized to treatment and control groups, with 35 cases in each group. Both groups received conventional medication treatment. In addition, the treatment group was intervened by acupuncture at three tongue points plus Vitalstim electrical stimulation, while the control group was intervened by swallowing rehabilitation training. Kubota water swallowing test assessment rating, Standardized Swallowing Assessment (SSA) score and Swallow Quality-of-life Questionnaire (SWAL-QOL) score in the two groups were observed before and at the end of the treatment, and the clinical efficacies of the two groups were compared. Result The Kubota water swallowing test assessment rating, SSA score and SWAL-QOL score all showed a significant change after the treatment in the two groups (P<0.05). After the treatment, the Kubota water swallowing test assessment rating, SSA score and SWAL-QOL score in the treatment group were significantly different from those in the control group (P<0.05). The total efficacy rate was 87.5％ in the treatment group and 73.3％ in the control group, and there was a statistically significant difference between the two groups (P < 0.05). Conclusion Acupuncture at three tongue points plus Vitalstim electrical stimulation is an effective approach in treating deglutition disorder after cerebral stroke. It can improve swallowing function and quality of life in the patients.
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Objective To observe the clinical effect of tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation in patients with dysphagia caused by stroke. Methods Sixty patients with dysphagia caused by stroke from July 2016 to December 2017 were divided into electric stimulation group, atomize group and combine group by random digits table method with 20 cases each. The patients of 3 groups were treated according to different etiologies, then the patients in electric stimulation were given the VitalStim electric stimulation, the patients in atomize group were given tongqiaoliyan traditional Chinese medicine compound atomize, and the patients in combine group were given tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation. The dysphagia was evaluated by drinking water test, and the curative effect was evaluated. Results The dysphagia after treatment in 3 groups was significantly improved. The improvement of dysphagia in combine group was significantly better than that in electric stimulation group and atomize group, and there was statistical difference (P<0.05). The total effective rate in combine group was significantly higher than that in electric stimulation group and atomize group: 95.0％(19/20) vs. 70.0％ (14/20) and 75.0％ (15/20), and there was statistical difference (P<0.05); and there was no statistical difference between electric stimulation group and atomize group (P>0.05). During the treatment period, none of the patients in 3 groups had obvious adverse effects. Conclusions Tongqiaoliyan traditional Chinese medicine compound atomize combined with VitalStim electric stimulation can improve the dysphagia caused by stroke, and the curative effect is better than that of monotherapy. There is no obvious adverse reaction, and the operation is convenient and the patient is easy to accept.
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Objective To investigate the therapeutic effect of acupuncture combined with Vitalstim electric stimulation therapy for treatment of patients with dysphagia after ischemic stroke.Methods Ninety-two patients with dysphagia after ischemic stroke in accord with the criteria of enrollment in this study were admitted to the Department of Acupuncture of the First Affiliated Hospital of Tianjin Traditional Chinese Medicine University from May 2014 to November 2016, and they were divided into a control group and an observation group by random number table, 46 cases in each group. Both groups were treated with stroke conventional drug therapy and feeding swallowing rehabilitation training, in addition, Vitalstim swallowing therapeutic electrical stimulation therapy was used in the control group, and acupuncture combined with Vitalstim stimulation were applied in observation group. The changes of swallowing ability score, video fluoroscopic swallowing study (VFSS) score and adverse reactions were observed before and after treatment in the two groups, and the curative effect of combined method was evaluated.Results Compared with those before treatment, the swallowing ability and VFSS score of two groups after treatment were obviously higher, and the degrees of changesin observation group were more significant than those in control group (swallowing score: 8.12±1.13 vs. 7.45±1.04, VFSS score: 7.97±1.05 vs. 5.67±0.88, allP < 0.05); the total efficiency in the observation group was markedly higher than that in the control group [95.7% (44/46) vs. 78.3%(36/46)], the adverse reactions (wrong aspiration, pulmonary infection) in the observation group were significantly lower than those in the control group [10.9% (5/46) vs. 28.3% (13/46)], and there were statistically significant differences between the two groups (bothP < 0.05).Conclusions Acupuncture combined with Vitalstim electric stimulation therapy can improve the swallowing ability in patients with dysphagia after ischemic stroke, and the therapy has less adverse reactions; compared with the simple Vitalstim electric stimulation therapy, in the aspect of improving swallowing ability, the therapeutic effect of combined therapy is more significant.
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Objective To observe the clinical efficacy of acupoint injection plus nerve electrical stimulation in treating deglutition disorders after cerebral stroke. Method Seventy-seven patients with deglutition disorders after cerebral stroke were randomized into an electrical stimulation group of 24 cases, a hydroacupuncture group of 26 cases, and a comprehensive group of 27 cases, to respectively receive Vitalstim electrical stimulation, acupoint injection of Mecobalamin, and both of the treatments, 5 d as a treatment course, with 2-day interval between two courses, for 4 courses in total. The modified water-drinking test and Standardized Swallowing Assessment (SSA) were adopted to evaluate the therapeutic efficacy before the intervention, after 20-day treatment, and after 60-day treatment, and the therapeutic efficacies were compared. Result The modified water-drinking test and SSA scores were significantly changed in the three groups after 20-day treatment compared with that before the intervention, and the scores in the comprehensive group were superior to that of the electrical stimulation group and hydroacupuncture group. However, on the 60th day, the scores were equivalent among the three groups. Conclusion The Vitalstim electrical stimulation and acupoint injection of Mecobalamin both can produce certain treatment effects for deglutition disorders after cerebral stroke;the two methods can work in a synergistic way and can boost the improvement of swallowing function.
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To investigate the effects of VitalStim therapy coupled with conventional swallowing training on recovery of post-stroke dysphagia,a total of 120 patients with post-stroke dysphagia were randomly and evenly divided into three groups:conventional swallowing therapy group,VitalStim therapy group,and VitalStim therapy plus conventional swallowing therapy group.Prior to and after the treatment,signals of surface electromyography (sEMG) of swallowing muscles were detected,swallowing function was evaluated by using the Standardized Swallowing Assessment (SSA) and Videofluoroscopic Swallowing Study (VFSS) tests,and swallowing-related quality of life (SWAL-QOL) was evaluated using the SWAL-QOL questionnaire.There were significant differences in sEMG value,SSA,VFSS,and SWAL-QOL scores in each group between prior to and after treatment.After 4-week treatment,sEMG value,SSA,VFSS and SWAL-QOL scores were significantly greater in the VitalStim therapy plus conventional swallowing training group than in the conventional swallowing training group and VitalStim therapy group,but no significant difference existed between conventional swallowing therapy group and VitalStim therapy group.It was concluded that VitalStim therapy coupled with conventional swallowing training was conducive to recovery of post-stroke dysphagia.
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@#ObjectiveTo observe the effect of VitalStim electrical stimulation on disorder of swallowing function induced by stroke.Methods60 patients with disorder of swallowing function after stroke were randomly divided into the treatment group and control group with 30 cases in each group. The patients in the treatment group were treated by VitalStim electrical stimulation and swallowing exercise and the cases of the control group were treated by swallowing exercise only. All patients were evaluated with the standard of swallowing exercise effect reported by Tengdao-Lang (Japan) before and after treatment.ResultsAfter treatment, the total recovery rate of the treatment group was 93.3%, that of the control group was 66.7%, there was a significant difference between two groups ( P<0.05).ConclusionThe effect of VitalStim electrical stimulation combined with swallowing exercise on disorder of swallowing function induced by stroke is better than swallowing exercise only.