Effects of Neuromuscular Electrical Stimulation for Masseter Muscle on Oral Dysfunction After Stroke Kyeong
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objective To determine positive effect of neuromuscular electrical stimulation (NMES) in conventional dysphagia therapy on masseter muscle oral dysfunction of patients after subacute stroke. Methods Among subacute stroke patients who were diagnosed as oropharyngeal dysphagia by videofluoroscopy swallowing study (VFSS), those with oral dysfunction were enrolled. They were randomly assigned to a study group or a control group. The study group received NMES on masseter muscle and suprahyoid muscle simultaneously, while the control group received NMES only on suprahyoid muscle. NMES therapy session as applied 30 minutes each time, two times per day for a total of 20 sessions. Both groups received conventional dysphagia therapy for 2 weeks. All enrolled patients were evaluated by VFSS after 2 weeks. Oropharyngeal swallowing function was evaluated by Penetration-Aspiration Scale, Functional Dysphagia Scale (FDS), and American Speech-Language- Hearing Association National Outcome Measurement System swallowing scale based on results of VFSS. Results Patients were randomly assigned to the study group (n=20) or the control group (n=20). There were no significant differences in baseline characteristics or initial values between the two groups. After 2 weeks of NMES, both groups showed improvement in scores of total FDS and pharyngeal phase FDS. Additionally, the study group showed improvement in oral phase FDS. Changes in all measurements were similar between the two groups. Conclusion In this preliminary study, NMES for masseter muscle has a therapeutic effect on oral dysfunction of patients after subacute stroke.
Abstract
Objective To determine positive effect of neuromuscular electrical stimulation (NMES) in conventional dysphagia therapy on masseter muscle oral dysfunction of patients after subacute stroke. Methods Among subacute stroke patients who were diagnosed as oropharyngeal dysphagia by videofluoroscopy swallowing study (VFSS), those with oral dysfunction were enrolled. They were randomly assigned to a study group or a control group. The study group received NMES on masseter muscle and suprahyoid muscle simultaneously, while the control group received NMES only on suprahyoid muscle. NMES therapy session as applied 30 minutes each time, two times per day for a total of 20 sessions. Both groups received conventional dysphagia therapy for 2 weeks. All enrolled patients were evaluated by VFSS after 2 weeks. Oropharyngeal swallowing function was evaluated by Penetration-Aspiration Scale, Functional Dysphagia Scale (FDS), and American Speech-Language- Hearing Association National Outcome Measurement System swallowing scale based on results of VFSS. Results Patients were randomly assigned to the study group (n=20) or the control group (n=20). There were no significant differences in baseline characteristics or initial values between the two groups. After 2 weeks of NMES, both groups showed improvement in scores of total FDS and pharyngeal phase FDS. Additionally, the study group showed improvement in oral phase FDS. Changes in all measurements were similar between the two groups. Conclusion In this preliminary study, NMES for masseter muscle has a therapeutic effect on oral dysfunction of patients after subacute stroke.
참고문헌 (30)
- Martino R, "Dysphagia after stroke : incidence, diagnosis, and pulmonary complications", Stroke, 36, pp.2756~2763 (2005)
- Gonzalez-Fernandez M, "Dysphagia after stroke : an overview", Curr Phys Med Rehabil Rep, 1, pp.187~196 (2013)
- Huang KL, "Functional outcome in acute stroke patients with oropharyngeal Dysphagia after swallowing therapy", J Stroke Cerebrovasc Dis, 23, pp.2547~2553 (2014)
- Bosma JF, "Deglutition : pharyngeal stage", Physiol Rev, 37, pp.275~300 (1957)
- Dodds WJ, "Physiology and radiology of the normal oral and pharyngeal phases of swallowing", AJR Am J Roentgenol, 154, pp.953~963 (1990)
- Armstrong JR, "Aspiration pneumonia after stroke : intervention and prevention", Neurohospitalist, 1, pp.85~93 (2011)
- Broadley S, "Predictors of prolonged dysphagia following acute stroke", J Clin Neurosci, 10, pp.300~305 (2003)
- Finestone HM, "Malnutrition in stroke patients on the rehabilitation service and at follow-up : prevalence and predictors", Arch Phys Med Rehabil, 76, pp.310~316 (1995)
- Gordon C, "Dysphagia in acute stroke", Br Med J(Clin Res Ed), 295, pp.411~414 (1987)
- Hughes T, "Management of adult neurogenic dysphagia", Brain, 122, pp.1604~1605 (1999)
- Geeganage C, "Interventions for dysphagia and nutritional support in acute and subacute stroke", Cochrane Database Syst Rev, 10, pp.CD000323~ (2012)
- Chen YW, "The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia : a systemic review and meta-analysis", Clin Rehabil, 30, pp.24~35 (2016)
- Kiger M, "Dysphagia management : an analysis of patient outcomes using VitalStim therapy compared to traditional swallow therapy", Dysphagia, 21, pp.243~253 (2006)
- Park JW, "Effortful swallowing training coupled with electrical stimulation leads to an increase in hyoid elevation during swallowing", Dysphagia, 24, pp.296~301 (2009)
- Han TR, "Quantifying swallowing function after stroke : a functional dysphagia scale based on videofluoroscopic studies", Arch Phys Med Rehabil, 82, pp.677~682 (2001)
- Vose A, "Dysphagia management in acute and subacute stroke", Curr Phys Med Rehabil Rep, 2, pp.197~206 (2014)
- Palmer JB, "A protocol for the videofluorographic swallowing study", Dysphagia, 8, pp.209~214 (1993)
- Sallum RA, "Analytic review of dysphagia scales", Arq Bras Cir Dig, 25, pp.279~282 (2012)
- Rosenbek JC, "A penetration-aspiration scale", Dysphagia, 11, pp.93~98 (1996)
- Wang JS, "Effects of neuromuscular electrical stimulation on masticatory muscles in elderly stroke patients", J Phys Ther Sci, 27, pp.2767~2770 (2015)
- Alivizatos V, "Feeding tube-related complications and problems in patients receiving long-term home enteral nutrition", Indian J Palliat Care, 18, pp.31~33 (2012)
- Metheny NA, "Complications related to feeding tube placement", Curr Opin Gastroenterol, 23, pp.178~182 (2007)
- Rowat A, "Enteral tube feeding for dysphagic stroke patients", Br J Nurs, 24, pp.138~145 (2015)
- Moon HI, "Lesions responsible for delayed oral transit time in post-stroke dysphagia", Dysphagia, 33, pp.321~328 (2018)
- Daniels SK, "The relationship between lesion localization and dysphagia in acute stroke", Dysphagia, 32, pp.777~784 (2017)
- Gallas S, "Sensory transcutaneous electrical stimulation improves post-stroke dysphagic patients", Dysphagia, 25, pp.291~297 (2010)
- Kimberley TJ, "Electrical stimulation driving functional improvements and cortical changes in subjects with stroke", Exp Brain Res, 154, pp.450~460 (2004)
- Shin HK, "Cortical effect and functional recovery by the electromyography-triggered neuromuscular stimulation in chronic stroke patients", Neurosci Lett, 442, pp.174~179 (2008)
- Schimmel M, "Oral tactile sensitivity and masticatory performance are impaired in stroke patients", J Oral Rehabil, 44, pp.163~171 (2017)
- Palmer JB, "Coordination of mastication and swallowing", Dysphagia, 7, pp.187~200 (1992)