The Effects of Neuromuscular Electrical Stimulation on Swallowing Function in Acute Stroke Patients with Dysphagia
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초록
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.
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.
참고문헌 (13)
- 김이순, "여가프로그램이 지역사회 고령노인의 신체생리 및 심리적 기능과 일상생활활동에 미치는 효과", Journal of The Korean Data Analysis Society, 8(3), pp.971~987 (2006), 한국자료분석학회
- 손윤정, "상지경락마사지가 뇌졸중 환자의 상지기능과 일상생활활동에 미치는 효과", Journal of The Korean Data Analysis Society, 8(5), pp.1747~1764 (2006), 한국자료분석학회
- D. Dogget, "Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: an evidence-based comprehensive analysis of the literature", Dysphagia, 16(4), pp.279~295 (2001)
- M. L. Freed, "Electrical stimulation for swallowing disorders caused by stroke", Respiratory Care, 46(5), pp.466~474 (2001)
- I. Aydogdu, "Dysphagia in lateral medullary infarction (Wallenberg’s syndrome): an acute disconnection syndrome in premotor neurons related to swallowing activity", Stroke, 32(9), pp.2081~2087 (2001)
- C. L. Ludlow, "Chronic intermittent stimulation of the thyroaytenoid muscle maintains dynamic control of glottal adduction", Muscle Nerve, 231(1), pp.44~57 (2004)
- S. E. Langmore, "Behavioral treatment for adults with oropharyngeal dysphagia", Archives of Physical Medicine Rehabilitation, 75(10), pp.1154~1160 (1994)
- C. L. Park, "A pilot exploratory study of oral electrical stimulation on swallow function following stroke; An innovative technique", Dysphagia, 12(3), pp.161~166 (1997)
- M. L. Power, "Evaluating oral stimulation as a treatment for dysphagia after stroke", Dysphagia, 21(1), pp.49~55 (2006)
- T. R. Han, "Quantifying swallowing function after stroke: a functional dysphagia scale based on videofluoroscopic studies", Archives of Physical Medicine Rehabilitation, 82(5), pp.677~682 (2001)
- 정원미, "신경근 전기자극을 이용한 연하곤란의 치료효과 -삼킴 장애를 중심으로-", 대한작업치료학회지, 13(1), pp.15~23 (2005), 대한작업치료학회
- V. Leelamanit, "Synchronized electrical stimulation in treating pharyngeal dysphagia", Laryngoscope, 122(12), pp.2204~2210 (2002)
- 윤용순, "뇌졸중 환자의 연하 장애에 대한 기능적 전기자극의 효과", Annals of Rehabilitation Medicine, 30(5), pp.417~423 (2006), 대한재활의학회