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http://dx.doi.org/10.22683/tsnr.2022.11.4.069

Effect of Oral Motor Facilitation Technique (OMFT) and Neuromuscular Electrical Stimulation (NMES) Applied to a Patient With Wallenberg's Syndrome: A Case Study  

Son, Yeong Soo (Brain Rehabilitation Geriatric Hospital)
Min, Kyoung Chul (Seoul Metropolitan Children's Hospital)
Woo, Hee-Soon (Dept. of Occupational Therapy, Wonkwang University)
Publication Information
Therapeutic Science for Rehabilitation / v.11, no.4, 2022 , pp. 69-83 More about this Journal
Abstract
Objective : This study aimed to confirm the possibility of the clinical application of oral motor facilitation technique (OMFT) protocol and neuromuscular electrical stimulation (NMES) in patients with Wallenberg syndrome. Methods : One patient with Wallenberg syndrome was treated with OMFT and NMES applied 40 times each, 5 days a week, twice a day for 4 weeks. The Comprehensive Oral-Facial Function Scale (COFFS), Korean-Mann Swallowing Ability Assessment (K-MASA), and Penetration-Aspiration Scale (PAS) were used to compare the changes before and after the intervention. Data analysis was used to compare the score changes before and after the intervention. Results : Orofacial function and swallowing ability improved after the intervention in the individual who participated in this study. Among oral motor functions, relatively greater functional improvement was observed in tongue movement compared to other functions, which was evaluated to the extent that pharyngeal swallowing was possible. Conclusions : Early swallowing rehabilitation using systematic OMFT and NMES of exercise intensity confirmed the possibility of improving oral motor function and dysphagia. In the future, complementary studies on the effects of interventions applying the OMFT and NMES will be needed.
Keywords
Dysphagia; Neuromuscular electrical stimulation; Oral motor facilitation technique; Stroke; Wallenberg syndrome;
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Times Cited By KSCI : 6  (Citation Analysis)
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1 Arvedson, J., Clark, H., Lazarus, C., Schooling, T., & Frymark, T. (2010). The effects of oral-motor exercises on swallowing in children: An evidence-based systematic review. Developmental Medicine & Child Neurology, 52(11), 1000-1013. https://doi.org/10.1111/j.1469-8749.2010.03707.x   DOI
2 Aydogdu, I., Ertekin, C., Tarlaci, S., Turman, B., Kiylioglu, N., & Secil, Y. (2001). Dysphagia in lateral medullary infarction (Wallenberg's syndrome) An acute disconnection syndrome in premotor neurons related to swallowing activity? Stroke, 32(9), 2081-2087. https://doi.org/10.1161/hs0901.094278   DOI
3 Baghbadorani, M. K., Soleymani, Z., Dadgar, H., & Salehi, M. (2014). The effect of oral sensorimotor stimulations on feeding performance in children with spastic cerebral palsy. Acta Medica Iranica, 52(12), 899-904.
4 Carnaby-Mann, G. D., & Crary, M. A. (2007). Examining the evidence on neuromuscular electrical stimulation for swallowing: A meta-analysis. Archives of Otolaryngology-Head & Neck Surgery, 133(6), 564-571. https://doi.org/10.1001/archotol.133.6.564   DOI
5 Chen, Y. W., Chang, K. H., Chen, H. C., Liang, W. M., Wang, Y. H., & Lin, Y. N. (2016). The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: A systemic review and meta-analysis. Clinical Rehabilitation, 30(1), 24-35. https://doi.org/10.1177/0269215515571681   DOI
6 Christiaanse, M. E., Mabe, B., Russell, G., Simeone, T. L., Fortunato, J., & Rubin, B. (2011). Neuromuscular electrical stimulation is no more effective than usual care for the treatment of primary dysphagia in children. Pediatric Pulmonology, 46(6), 559-565. https://doi.org/10.1002/ppul.21400   DOI
7 Clark, H., Lazarus, C., Arvedson, J., Schooling, T., & Frymark, T. (2009). Evidence-based systematic review: Effects of neuromuscular electrical stimulation on swallowing and neural activation. American Journal of Speech-Language Pathology, 18, 361-375. https://doi.org/10.1044/1058-0360(2009/08-0088)   DOI
8 Clark, H. M., Henson, P. A., Barber, W. D., Stierwalt, J. A., & Sherrill, M. (2003). Relationships among subjective and objective measures of tongue strength and oral phase swallowing impairments. American Journal of Speech-Language Pathology, 12(1), 40-50. https://doi.org/10.1044/1058-0360(2003/051)   DOI
9 Clark, H. M., O'Brien, K., Calleja, A., & Corrie, S. N. (2009). Effects of directional exercise on lingual strength. Journal of Speech, Language, and Hearing Research, 52, 1034-1047. https://doi.org/10.1044/1092-4388(2009/08-0062)   DOI
10 Clark, H. M., & Solomon, N. P. (2012). Age and sex differences in orofacial strength. Dysphagia, 27(1), 2-9. https://doi.org/10.1007/s00455-011-9328-2   DOI
11 Currier, R. D., Giles, C. L., & DeJong, R. N. (1961). Some comments on Wallenberg's lateral medullary syndrome. Neurology, 11(9), 778-791. https://doi.org/10.1212/WNL.11.9.778   DOI
12 Daniels, S. K., Anderson, J. A., & Willson, P. C. (2012). Valid items for screening dysphagia risk in patients with stroke: A systematic review. Stroke, 43(3), 892-897. https://doi.org/10.1161/STROKEAHA.111.640946   DOI
13 Dodds, W. J. (1989). The physiology of swallowing. Dysphagia, 3(4), 171-178. https://doi.org/10.1007/BF02407219   DOI
14 Elia, M., Stratton, R. J., Holden, C., Meadows, N., Micklewright, A., Russell, C., Scott, D., Thomas, A., Shaffer, J., Wheatley, C., & Woods, S. (2001). Home enteral tube feeding following cerebrovascular accident. Clinical Nutrition, 20(1), 27-30. https://doi.org/10.1054/clnu.2000.0146   DOI
15 Hamdy, S., Rothwell, J. C., Aziz, Q., & Thompson, D. G. (2000). Organization and reorganization of human swallowing motor cortex: Implications for recovery after stroke. Clinical science, 99(2), 151-157. https://doi.org/10.1042/cs0990151   DOI
16 Freed, M. L., Freed, L., Chatburn, R. L., & Christian, M. (2001). Electrical stimulation for swallowing disorders caused by stroke. Respiratory Care, 46(5), 466-473.
17 Gisel, E. G., Alphonce, E., & Ramsay, M. (2000). Assessment of ingestive and oral praxis skills: Children with cerebral palsy vs. controls. Dysphagia, 15(4), 236-244. https://doi.org/10.1007/s004550000033   DOI
18 Hamdy, S., Jilani, S., Price, V., Parker, C., Hall, N., & Power, M. (2003). Modulation of human swallowing behaviour by thermal and chemical stimulation in health and after brain injury. Neurogastroenterology & Motility, 15(1), 69-77. https://doi.org/10.1046/j.1365-2982.2003.00390.x   DOI
19 Han, T. R., & Bang, M. S. (2008). Rehabilitation medicine (3rd ed.). Koonja,
20 Han, T. R., Lim, S. H., Kim, L. S., Choi, D. H., Kim, Y. S., Jung, S. H., & Kang, B. S. (2005). Videofluoroscopic finding of dysphagia in lateral medullary infarction: Comparison with middle cerebral artery territory infarction. Korean Journal of Stroke, 7(2), 186-190.
21 Heijnen, B. J., Speyer, R., Baijens, L. W. J., & Bogaardt, H. C. A. (2012). Neuromuscular electrical stimulation versus traditional therapy in patients with Parkinson's disease and oropharyngeal dysphagia: Effects on quality of life. Dysphagia, 27(3), 336-345. https://doi.org/10.1007/s00455-011-9371-z   DOI
22 Kang, B. M., Kwon, H. C., Kim, H., & Cho, Y. N. (2013). Effect of orofacial exercise on the swallowing function of stroke patients. The Journal of Korean Society of Occupational Therapy, 21(1), 57-69.
23 Humbert, I. A., Poletto, C. J., Saxon, K. G., Kearney, P. R., Crujido, L., Wright-Harp, W., Payne, J., Jeffries, N., Sonies, B. C., & Ludlow, C. L. (2006). The effect of surface electrical stimulation on hyolaryngeal movement in normal individuals at rest and during swallowing. Journal of Applied Physiology, 101(6), 1657-1663. https://doi.org/10.1152/japplphysiol.00348.2006   DOI
24 Ickenstein, G. W., Stein, J., Ambrosi, D., Goldstein, R., Horn, M., & Bogdahn, U. (2005). Predictors of survival after severe dysphagic stroke. Journal of neurology, 252(12), 1510-1516. https://doi.org/10.1007/s00415-005-0906-9   DOI
25 Kameda, W., Kawanami, T., Kurita, K., Daimon, M., Kayama, T., Hosoya, T., & Kato, T. (2004). Lateral and medial medullary infarction: A comparative analysis of 214 patients. Stroke, 35(3), 694-699. https://doi.org/10.1161/01.STR.0000117570.41153.35   DOI
26 Kim, B. T., Hwang, S. C., Im, S. B., & Shin, W. H. (2008). Neuroanatomy of the medulla oblongata. Journal of Korean Brain Tumors Society, 2, 55-61.
27 Lazarus, C. (2006). Tongue strength and exercise in healthy individuals and in head and neck cancer patients. Seminars in Speech and Language, 27(4), 260-267. https://doi.org/10.1055/s-2006-955116   DOI
28 Lazarus, C., Clark, H., Arvedson, J., Schooling, T., & Fymark, T. (2011). Evidence-based systematic review: Effects of oral sensory-motor treatment on swallowing in adults. American Speech Language Hearing Association, 1-42.
29 Logemann, J. A. (1998). Evaluation and treatment of swallowing disorders (2nd ed.). Pro-Ed.
30 Logemann, J. A. (2007). Swallowing disorders. Best Practice & Research Clinical Gastroenterology, 21(4), 563-573. https://doi.org/10.1016/j.bpg.2007.03.006   DOI
31 Mann, G. (2002). MASA: The Mann assessment of swallowing ability (Vol. 1). Thomson Learning Inc.
32 Marcus, S., & Breton, S. (2013). Infant and child feeding and swallowing: Occupational therapy assessment and intervention (1st ed.). AOTA Press.
33 Martin, R. E., & Sessle, B. J. (1993). The role of the cerebral cortex in swallowing. Dysphagia, 8(3), 195-202. https://doi.org/10.1007/BF01354538   DOI
34 McCallum, S. L. (2003). The national dysphagia diet: Implementation at a regional rehabilitation center and hospital system(Solution Center). Journal of the American Dietetic Association, 103(3), 381-385.   DOI
35 Miller, A. J. (1993). The search for the central swallowing pathway: The quest for clarity. Dysphagia, 8(3), 185-194. https://doi.org/10.1007/BF01354537   DOI
36 Min, K. C., & Kim, B. K. (2022). The effect of early feeding therapy by Oral Motor Facilitation Technique(OMFT) on feeding development of Prader-Willi Syndrome baby-based on the development: Case study. Journal of Convergence for Information Technology, 12(1), 180-188. https://doi.org/10.22156/CS4SMB.2022.12.01.188   DOI
37 Min, K. C., & Seo, S. M. (2021). The Effect of Oral Motor Facilitation Technique (OMFT) on oral praxis of Down Syndrome Child: Case Study. Journal of Convergence for Information Technology, 11(4), 153-160. https://doi.org/10.22156/CS4SMB.2021.11.04.153   DOI
38 Min, K. C., Seo, S. M., & Woo, H. S. (2021a). Oral-Motor Facilitation Technique (OMFT): Part I-theoretical base and basic concept. Therapeutic Science for Rehabilitation, 10(1), 37-52. https://doi.org/10.22683/tsnr.2021.10.1.037   DOI
39 Morgan, A. T., Dodrill, P., & Ward, E. C. (2012). Interventions for oropharyngeal dysphagia in children with neurological impairment. Cochrane Database of Systematic Reviews, (10), 1-39. https://doi.org/10.1002/14651858.CD009456.pub2   DOI
40 Min, K. C., Seo, S. M., & Woo, H. S. (2021b). Oral-Motor Facilitation Technique (OMFT): Part II-conceptual hierarchy and key point technique. Therapeutic Science for Rehabilitation, 10(1), 53-61. https://doi.org/10.22683/tsnr.2021.10.1.053   DOI
41 Morris, S. E., & Klein, M. D. (2000). Pre-feeding skills: A comprehensive resource for mealtime development. Therapy Skill Builders.
42 Nam, K. W. (2018). Effects of a tongue self-resistance exercise on the swallowing function of patients with stroke: Case report. Therapeutic Science for Rehabilitation, 7(4), 43-55. https://doi.org/10.22683/tsnr.2018.7.4.043   DOI
43 Neumann, S., Bartolome, G., Buchholz, D., & Prosiegel, M. (1995). Swallowing therapy of neurologic patients: Correlation of outcome with pretreatment variables and therapeutic methods. Dysphagia, 10(1), 1-5. https://doi.org/10.1007/BF00261272   DOI
44 Nicosia, M. A., Hind, J. A., Roecker, E. B., Carnes, M., Doyle, J., Dengel, G. A., & Robbins, J. (2000). Age effects on the temporal evolution of isometric and swallowing pressure. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 55(11), 634-640. https://doi.org/10.1093/gerona/55.11.M634   DOI
45 Nishiwaki, K., Tsuji, T., Liu, M., Hase, K., Tanaka, N., & Fujiwara, T. (2005). Identification of a simple screening tool for dysphagia in patients with stroke using factor analysis of multiple dysphagia variables. Journal of Rehabilitation Medicine, 37(4), 247-251. https://doi.org/10.1080/16501970510026999   DOI
46 Norrving, B., & Cronqvist, S. (1991). Lateral medullary infarction: Prognosis in an unselected series. Neurology, 41, 244-248.   DOI
47 Rice, K. L. (2012). Neuromuscular electrical stimulation in the early intervention population: A series of five case studies. Internet Journal of Allied Health Sciences and Practice, 10(3), 1-7. https://doi.org/10.46743/1540-580X/2012.1410   DOI
48 Oh, J. C. (2014). Reliability and validity of Korean Mann Assessment of Swallowing Ability (K-MASA) (Doctoral dissertation). Yonsei University.
49 Park, J. S., Hwang, N. K., & Oh, D. H. (2015). Effects of neuromuscular electrical stimulation at different intensities in stroke patients with dysphagia: A randomized, single blind trial. Journal of Korean Society of Occupational Therapy, 23(1), 25-39. https://doi.org/10.14519/jksot.2015.23.1.03   DOI
50 Park, Y. G., Cha, T. H., & Jung, M. Y. (2011). Rehabilitation dysphagia therapy for individuals with dysphagia. Journal of the Korean Dysphagia Society, 1(1), 31-38.
51 Robbins, J., Kays, S. A., Gangnon, R. E., Hind, J. A., Hewitt, A. L., Gentry, L. R., & Taylor, A. J. (2007). The effects of lingual exercise in stroke patients with dysphagia. Archives of Physical Medicine and Rehabilitation, 88(2), 150-158. https://doi.org/10.1016/j.apmr.2006.11.002   DOI
52 Robinovitch, S. N., Hershler, C., & Romilly, D. P. (1991). A tongue force measurement system for the assessment of oral-phase swallowing disorders. Archives of Physical Medicine and Rehabilitation, 72(1), 38-42. https://doi.org/10.5555/uri:pii:000399939190077V   DOI
53 Rosenbek, J. C., Robbins, J. A., Roecker, E. B., Coyle, J. L., & Wood, J. L. (1996). A penetration-aspiration scale. Dysphagia, 11(2), 93-98. https://doi.org/10.1007/BF00417897   DOI
54 Sacco, R. L., Freddo, L., Bello, J. A., Odel, J. G., Onesti, S. T., & Mohr, J. P. (1993). Wallenberg's lateral medullary syndrome: Clinical-magnetic resonance imaging correlations. Archives of Neurology, 50(6), 609-614. https://doi.org/10.1001/archneur.1993.00540060049016   DOI
55 Solomon, N. P., Clark, H. M., Makashay, M. J., & Newman, L. A. (2008). Assessment of orofacial strength in patients with dysarthria. Journal of Medical SpeechLanguage Pathology, 16(4), 251-258.
56 Schleip, R. (2003). Fascial plasticity-a new neurobiological explanation: Part 1. Journal of Bodywork and movement therapies, 7(1), 11-19. https://doi.org/10.1016/S1360-8592(02)00067-0   DOI
57 Schindler, J. S., & Kelly, J. H. (2002). Swallowing disorders in the elderly. The Laryngoscope, 112(4), 589-602. https://doi.org/10.1097/00005537-200204000-00001   DOI
58 Shaw, G. Y., Sechtem, P. R., Searl, J., Keller, K., Rawi, T. A., & Dowdy, E. (2007). Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphagia: Myth or reality? Annals of Otology, Rhinology & Laryngology, 116(1), 36-44. https://doi.org/10.1177/000348940711600107   DOI
59 Son, Y. S., Min, K. C., & Woo, H. S. (2022). Development of comprehensive oro-facial function scale. Therapeutic Science for Rehabilitation, 11(1), 69-85. https://doi.org/10.22683/tsnr.2022.11.1.069   DOI
60 Song, W. J., Park, J. H., Jung, M. Y., & Yoo, E. Y. (2013). Effect of oral sensory treatment on oral function in dysphagic children with cerebral palsy. Journal of Korean Society Occupational Therapy, 21, 47-58.   DOI
61 Toyama, K., Matsumoto, S., Kurasawa, M., Setoguchi, H., Noma, T., Takenaka, K., Soeda, A., Shimodozono, M., & Kawahira, K. (2014). Novel neuromuscular electrical stimulation system for treatment of dysphagia after brain injury. Neurologia medico-chirurgica, 54(7), 521-528. https://doi.org/ 10.2176/nmc.oa.2013-0341   DOI
62 Tsai, K. H., Yeh, C. Y., Chang, H. Y., & Chen, J. J. (2001). Effects of a single session of prolonged muscle stretch on spastic muscle of stroke patients. ProceedingsNational Science Council Republic of China Part B Life Sciences, 25(2), 76-81.
63 Youmans, S. R., & Stierwalt, J. A. (2006). Measures of tongue function related to normal swallowing. Dysphagia, 21(2), 102-111. https://doi.org/10.1007/s00455-006-9013-z    DOI
64 White, R., Cotton, S. M., Hind, J., Robbins, J., & Perry, A. (2009). A comparison of the reliability and stability of oro-lingual swallowing pressures in patients with head and neck cancer and healthy adults. Dysphagia, 24(2), 137-144.   DOI
65 Yeates, E. M., Molfenter, S. M., & Steele, C. M. (2008). Improvements in tongue strength and pressuregeneration precision following a tongue-pressure training protocol in older individuals with dysphagia: Three case reports. Clinical Interventions in Aging, 3(4), 735-747. https:// doi.org/10.2147/cia.s3825   DOI