Electrical, taste, and temperature stimulation in patients with chronic dysphagia after stroke: a randomized controlled pilot trial.

Autor: Cola PC; Medicine Department, Marília University-UNIMAR, Av. Hygino Muzzi Filho, 1001, Mirante, Cep: 17.525-902, Marília,, São Paulo, Brazil. paccola@hotmail.com.; Dysphagia Research Rehabilitation Center, Paulista State University-UNESP, Marília, São Paulo, Brazil. paccola@hotmail.com., Onofri SMM; Dysphagia Research Rehabilitation Center, Graduate of Speech, Language and Hearing Sciences Department, Paulista State University-UNESP, Marília, São Paulo, Brazil., Rubira CJ; Medicine Department, Marília University-UNIMAR, Av. Hygino Muzzi Filho, 1001, Mirante, Cep: 17.525-902, Marília,, São Paulo, Brazil.; Dysphagia Research Rehabilitation Center, Paulista State University-UNESP, Marília, São Paulo, Brazil., Pedroni CR; Graduate of Physiotherapy Department, Paulista State University-UNESP, Marília, São Paulo, Brazil., Clavé P; Gastrointestinal Physiology Laboratory, Hospital de Mataró, Mataró, Barcelona, Spain., da Silva RG; Dysphagia Research Rehabilitation Center, Graduate of Speech, Language and Hearing Sciences Department, Paulista State University-UNESP, Marília, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Acta neurologica Belgica [Acta Neurol Belg] 2021 Oct; Vol. 121 (5), pp. 1157-1164. Date of Electronic Publication: 2021 Feb 14.
DOI: 10.1007/s13760-021-01624-2
Abstrakt: The objective of present study was compare a traditional swallowing therapy program with a new combined swallowing therapy program including neuromuscular electrical stimulation in patients with oropharyngeal dysphagia after stroke. This pilot study included eight patients with chronic oropharyngeal dysphagia after stroke. These patients underwent traditional therapy with gustative-thermic-tactile stimulation (group A), or a new combined program adding neuromuscular electrical stimulation (group B). Study participants were evaluated before and after the intervention using fiberoptic endoscopic evaluation of swallowing with temporal measures of posterior oral spillage and whiteout time, functional oral intake scale and a visual analog scale classifies an individual's swallowing ability. The two groups did not differ in terms of posterior oral spillage time, whiteout time and functional oral intake scale. Subjects in group B exhibited significant increases in visual analog scale scores. However, both groups demonstrated improvement with decreases in posterior oral spillage time, increased whiteout time, and increased functional oral intake scale and visual analog scale scores. There was no difference in the parameters studied in both therapeutic programs in individuals with chronic oropharyngeal dysphagia after stroke.
(© 2021. Belgian Neurological Society.)
Databáze: MEDLINE
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