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| Content Provider | frontiers |
|---|---|
| Author | Zhang, Yao-Wen Dou, Zu-Lin Zhao, Fei Xie, Chun-Qing Shi, Jing Yang, Chen Wan, Gui-Fang Wen, Hong-Mei Chen, Pei-Rong Tang, Zhi-Ming |
| Abstract | Objective: More than half of post-stroke patients develop dysphagia, which manifests as delayed swallowing initiation and is associated with a high risk of aspiration. In this study, we aimed to investigate the immediate effect of neuromuscular electrical stimulation (NMES) on swallowing initiation in post-stroke patients using videofluoroscopic swallowing study (VFSS) data. Methods: This study used randomised, self-controlled crossover design. Total of 35 patients with post-stroke dysphagia involved in this study. All selected patients received real and sham NMES while swallowing 5 ml of thin liquid. Participants completed the conditions in random order, with a 10-min interval between conditions. The primary evaluation indicators included the Modified Barium Swallow Impairment Profile-6 (MBSImp-6) and Penetration-Aspiration Scale (PAS). Secondary indicators included oral transit time (OTT), pharyngeal transit time (PTT), and laryngeal closure duration (LCD). Results: MBSImP-6 (P=0.008) and PAS (P<0.001) scores were significantly lower in the Real-NMES condition than in the Sham-NMES condition. OTT (P<0.001) was also significantly shorter during Real-NMES than during Sham-NMES. However, LCD (P=0.225) and PTT (P=0.161) did not significantly differ between the two conditions. Conclusion: NMES can immediately improve swallowing initiation in post-stroke patients and reduce the risk of penetration/aspiration. Thus it can be uesd as a supplementary approach for promoting early feeding training in patients with post-stroke dysphagia. |
| ISSN | 1662453X |
| DOI | 10.3389/fnins.2022.1011824 |
| Volume Number | 16 |
| Journal | Frontiers in Neuroscience |
| Language | English |
| Publisher Date | 2022-11-14 |
| Access Restriction | Open |
| Subject Keyword | Stroke VFSS Neuromuscular electrical stimulation (NMES) Delayed swallowing initiation Rehabilitation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neuroscience |
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