The Effect of Early Neuromuscular Electrical Stimulation Therapy in Acute/Subacute Ischemic Stroke Patients With Dysphagia
Annals of Rehabilitation Medicine
; : 153-159, 2014.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-133139
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
To compare the outcome of an early application of neuromuscular electrical stimulation (NMES) combined with traditional dysphagia therapy (TDT) versus traditional dysphagia therapy only in acute/subacute ischemic stroke patients with moderate to severe dysphagia by videofluoroscopic swallowing study (VFSS).METHODS:
Fifty-seven dysphagic stroke patients were enrolled in a VFSS within 10 days after stroke onset. Patients were randomly assigned into two treatment groups. Thirty-one patients received NMES combined with TDT (NMES/TDT group) and 26 patients received TDT only (TDT group). Electrical stimulation with a maximal tolerable intensity was applied on both suprahyoid muscles for 30 minutes, 5 days per week during 3 weeks. The swallowing function was evaluated at baseline and 3, 6, and 12 weeks after baseline. Outcomes of the VFSS were assessed using the Functional Oral Intake Scale (FOIS).RESULTS:
The mean ages were 63.5+/-11.4 years in the NMES/TDT group and 66.7+/-9.5 years in the TDT group. Both groups showed a significant improvement on the FOIS after treatment. The FOIS score was significantly more improved at 3 and 6 weeks after baseline in the NMES/TDT group than in the TDT group (p<0.05).CONCLUSION:
An early application of NMES combined with TDT showed a positive effect in acute/subacute ischemic stroke patients with dysphagia. These results indicated that the early application of NMES could be used as a supplementary treatment of TDT to help rehabilitate acute/subacute dysphagic stroke patients by improving their swallowing coordination.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Deglutition Disorders
/
Electric Stimulation Therapy
/
Stroke
/
Deglutition
/
Electric Stimulation
/
Muscles
Limits:
Humans
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2014
Document type:
Article