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The Effects of Neuromuscular Electrical Stimulation on Swallowing Function in Acute Stroke Patients with Dysphagia

  • Received : 2011.07.19
  • Accepted : 2011.11.05
  • Published : 2011.12.28

Abstract

In this study, we investigated the effects of neuromuscular electrical stimulation (NMES) on the treatment of 20 acute stroke patients with dysphagia. For both the treated and control groups, the basic facial stimulation training was conducted for 30 minutes, five times a week, for four weeks. NMES was performed on the treated group only, for 30 minutes each time. Both groups were evaluated according to the functional dysphagia scale (FDS) using a videofluoroscopic swallowing study (VFSS). After the treatment was performed for four weeks, the FDS results of the treated group showed a significance difference in oral transit time in the oral phase and in the triggering of pharyngeal swallow fluid, laryngeal elevation and epiglottic closure, nasal penetration, residue in valleculae, coating of pharyngeal wall after swallow fluid, and pharyngeal transit time in the pharyngeal phase. In addition, the treated group showed a significant difference in laryngeal elevation and epiglottic closure, nasal penetration, and pharyngeal transit time in the pharyngeal phase after the treatment compared to the control group. The results of this study showed that neuromuscular electrical stimulation may be an effective method of treating dysphagia in acute phase stroke patients.

Keywords

References

  1. Y. S. Kim, H. M. Jung, "Effects of the leisure activity program on physical, physiological, psychological functions and activities of daily living in elderly," Journal of the Korean Data Analysis Society, vol.8, no. 3, 2006, pp. 971-987.
  2. Y. J. Son, Y. S. Kim, H. M. Jung, K. H. Shon, "Effect of the upper meridian massage on the upper extremity function and ADL in stroke patients," Journal of the Korean Data Analysis Society, vol.8, no.5, 2006, pp1747-1764.
  3. D. Dogget, K. Tappe, M. Mitchell,"Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: an evidence-based comprehensive analysis of the literature," Dysphagia, vol.16, no.4, 2001, pp279-295. https://doi.org/10.1007/s00455-001-0087-3
  4. M. L. Freed, L. Freed, R. L. Chatburn, M. Christian, "Electrical stimulation for swallowing disorders caused by stroke," Respiratory Care, vol.46, no.5, 2001, pp466-474.
  5. I. Aydogdu, C. Ertekin, S. Tarlaci, "Dysphagia in lateral medullary infarction (Wallenberg's syndrome): an acute disconnection syndrome in premotor neurons related to swallowing activity?," Stroke, vol.32, no.9, 2001, pp.2081-2087. https://doi.org/10.1161/hs0901.094278
  6. C. L. Ludlow, S. Bielamowicz, M. Daniels Rosenberg, R. Ambalavanar, K. Rossini, M. Gillespie, V. Hampshire, R Testerman, D. Erickson, U. Carraro, "Chronic intermittent stimulation of the thyroaytenoid muscle maintains dynamic control of glottal adduction," Muscle Nerve, vol.23, no.1, 2004, pp.44-57.
  7. S. E. Langmore, R. M. Miller, "Behavioral treatment for adults with oropharyngeal dysphagia," Archives of Physical Medicine Rehabilitation, vol.75, no.10, 1994, pp.1154-1160. https://doi.org/10.1016/0003-9993(94)90094-9
  8. C. L. Park, P. A. O'Neill, D. F. Martin, "A pilot exploratory study of oral electrical stimulation on swallow function following stroke; An innovative technique," Dysphagia, vol.12, no.3, 1997, pp161-166. https://doi.org/10.1007/PL00009531
  9. M. L. Power, C. H. Fraser, A. Hobson, S. Singh, P. Tyrrell, D. A. Nicholson, L. Turnbull, D. G. Thompson, S. Hamdy, "Evaluating oral stimulation as a treatment for dysphagia after stroke," Dysphagia, vol.21, no.1, 2006, pp49-55. https://doi.org/10.1007/s00455-005-9009-0
  10. T. R. Han, N. J. Paik, J. W. Park, "Quantifying swallowing function after stroke: a functional dysphagia scale based on videofluoroscopic studies," Archives of Physical Medicine Rehabilitation, vol.82, no.5, 2001, pp677-682. https://doi.org/10.1053/apmr.2001.21939
  11. W. M. Jeong, T. H. Kim, H. Y. Jung, "Neuromuscular Electrical Stimulation of the Neck Muscles for Dysphagia," The Korean Society of Occupational Therapy, vol.13, no.1, 2005, pp15-23.
  12. V. Leelamanit, C. Limsakul, A. Greater, "Synchronized electrical stimulation in treating pharyngeal dysphagia", Laryngoscope, vol.112, no.12, 2002, pp2204-2210. https://doi.org/10.1097/00005537-200212000-00015
  13. Y.S. Yoon, J.T. Lim., S.B. Yun, B.Y. Ohm., J.Y Kang, H.Y. Lim, B.H. Chung, J.H. Kim, "The effct of functional electrical stimulation on swallowing function in stroke patients with dysphagia" Journal of Korean Academy of Rehabilitaion Medicine, vol.30, no.5, 2006, pp 417-423.