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Effects of Electrical Stimulation for Dysphagia Caused by Stroke  

Kim, Dai-Youl (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Koh, Eun-Sil (Department of Rehabilitation Medicine, Seoul National University College of Medicine)
Kang, Bo-Sung (Department of Rehabilitation Medicine, Seoul National University College of Medicine)
Han, Tai-Ryoon (Department of Rehabilitation Medicine, Seoul National University College of Medicine)
Lee, Shi-Uk (Department of Rehabilitation Medicine, Seoul National University Boramae Metropolitan Hospital)
Publication Information
Annals of Rehabilitation Medicine / v.32, no.1, 2008 , pp. 9-14 More about this Journal
Abstract
Objective: To investigate the benefit of electrical stimulation for dysphagia caused by stroke. Method: Ten consecutive stroke patients with dysphagia for 3 months or more were enrolled in this study and assigned to one of the two group (electrical stimulation group or sham group) according to randomization table. Five patients were allocated to electrical stimulation group and 5 patients to sham group. One patient in the sham group dropped out because of transfer to other hospital. Electrical stimulation with a maximal tolerable intensity was applied on both digastric muscles and both thyrohyoid muscles for 1 hour, 5 days a week for 4weeks in electrical stimulation group. Sham group received electrical stimulation in same condition except stimulation intensity of 1 mA. Clinical dysphagia scale, functional dysphagia scale and kinematic analysis of hyoid bone movement were assessed at baseline (before treatment), 2 weeks later (during treatment), 4 weeks later (after treatment). Results: The clinical dysphagia scale decreased in both group, of which the difference was not statistically significant. The functional dysphagia scale decreased significantly in the electrical stimulation group. The electrical stimulation group revealed greater improvement in clinical dysphagia scale and functional dysphagia scale compared to sham group. Conclusion: Electrical stimulation therapy with a maximally tolerable intensity to digastric and thyroid muscles might be effective in chronic stroke patients with dysphagia. (J Korean Acad Rehab Med 2008; 32: 9-14)
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1 Paciaroni M, Mazzotta G, Corea F, Caso V, Venti M, Milia P, Silvestrelli G, Palmerini F, Parnetti L, Gallai V. Dysphagia following stroke. Eur Neurol 2004; 51: 162-167   DOI   ScienceOn
2 Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke 2005; 36: 2756-2763   DOI   ScienceOn
3 Park CL, O'Neill PA, Martin DF. A pilot exploratory study of oral electrical stimulation on swallow function following stroke: an innovative technique. Dysphagia 1997; 12: 161-166   DOI
4 Jung SH, Lee KJ, Hong JB, Han TR. Validation of clinical dysphagia scale: based on videofluoroscopic swallowing study. J Korean Acad Rehab Med 2005; 29: 343-350
5 Ludlow CL, Humbert I, Saxon K, Poletto C, Sonies B, Crujido L. Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal dysphagia. Dysphagia 2007; 22: 1-10   DOI
6 Crary MA, Carnaby-Mann GD, Faunce A. Electrical stimulation therapy for dysphagia: descriptive results of two surveys. Dysphagia 2007; 22: 165-73   DOI
7 Freed ML, Freed L, Chatburn RL, Christian M. Electrical stimulation for swallowing disorders caused by stroke. Respiratory Care 2001; 46: 466-474
8 Logeman JA. Manual for the videofluorographic study of swallowing, 2nd ed, Austin: Pro-ed, 1993, pp157-162
9 Han TR, Paik NJ, Park JW. Quantifying swallowing function after stroke: a functional dysphagia scale based on videofluoroscopic studies. Arch Phys Med Rehabil 2001; 82: 677-682   DOI   ScienceOn
10 Daniels SK, Brailey K, Priestly DH, Herrington LR, Weisberg LA, Foundas AL. Aspiration in patients with acute stroke. Arch Phys Med Rehabil 1998; 79: 14-19   DOI   ScienceOn
11 Paik NJ, Kim IS, Kim JH, Oh BM, Han TR. Clinical validity of the functional dysphagia scale based on videofluoroscopic swallowing study. J Korean Acad Rehab Med 2005; 29: 43-49
12 Braddom RL. Physical medicine & rehabilitation, 3rd ed, Philadelphia: Elsevier Inc, 2007, pp601-608
13 Logeman JA. Evaluation and treatment of swallowing disorders, 2nd ed, San Diego: College Hill Press, 1998, pp191-222
14 Finestone HM, Greene-Finestone LS, Wilson ES, Teasell RW. Malnutrition in stroke patients on the rehabilitation service and at follow-up. prevalence and predictors. Arch Phys Med Rehabil 1995; 76: 310-316   DOI   ScienceOn
15 Mann G, Hankey GJ, Cameron D. Swallowing function after stroke: prognosis and prognostic factors at 6 months. Stroke 1999; 30: 744-748   DOI   ScienceOn
16 Carnaby-Mann GD, Crary MA. Examining the evidence on neuromuscular electrical stimulation for swallowing: a meta-analysis. Arch Otolaryngol Head Neck Surg 2007; 133: 564-571   DOI   ScienceOn