Effects of Comprehensive Swallowing Intervention on Obstructive Sleep Apnea and Dysphagia After Stroke: A Randomized Controlled Trial.
| Autor: | Qian S; Department of Rehabilitation Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, China; Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, Jiangsu, China., Zhang X; Department of Rehabilitation Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, China., Wang T; Department of Rehabilitation Medicine, First Affiliated Hospital of Nanjing Medical University, No.300, Guangzhou Road, Nanjing, Jiangsu 210029, China. Electronic address: wangtong60621@163.com., Zhang L; Rehabilitation Department, Jiangsu Geriatric Hospital, No.269, Jiqingmen Street, Nanjing, Jiangsu 210024, China. Electronic address: lxzhang16@sina.com., Hu C; Department of Rehabilitation Medicine, First Affiliated Hospital of Nanjing Medical University, No.300, Guangzhou Road, Nanjing, Jiangsu 210029, China., Jia R; Department of Rehabilitation Medicine, First Affiliated Hospital of Nanjing Medical University, No.300, Guangzhou Road, Nanjing, Jiangsu 210029, China., Zhang L; Department of Rehabilitation Medicine, Changzhou DE 'an Hospital, Changzhou, Jiangsu, China., Li X; Department of Rehabilitation Medicine, Changzhou DE 'an Hospital, Changzhou, Jiangsu, China., Yan L; Department of Rehabilitation Medicine, Changzhou DE 'an Hospital, Changzhou, Jiangsu, China., Zhang Y; Department of Rehabilitation Medicine, Changzhou DE 'an Hospital, Changzhou, Jiangsu, China., Zhang J; Department of Rehabilitation Medicine, Changzhou DE 'an Hospital, Changzhou, Jiangsu, China., Yuan P; Department of Rehabilitation Medicine, Changzhou DE 'an Hospital, Changzhou, Jiangsu, China. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2022 Aug; Vol. 31 (8), pp. 106521. Date of Electronic Publication: 2022 May 26. |
| DOI: | 10.1016/j.jstrokecerebrovasdis.2022.106521 |
| Abstrakt: | Objective: This study aims to explore the effects of comprehensive swallowing intervention on obstructive sleep apnea (OSA) and dysphagia in stroke patients. Methods: We performed a randomized controlled trial in stroke patients with obstructive sleep apnea (OSA) complicated by dysphagia, divided into treatment group and control group. The treatment group underwent comprehensive swallowing intervention and received swallowing care for 4 weeks, while the control group received only swallowing care. Outcome measurements were obtained at baseline and after the 4-week intervention, evaluated by polysomnography (PSG), videoendoscopic swallowing study (VFSS) synchronized surface electromyography (sEMG), oropharyngeal magnetic resonance imaging (MRI) and swallowing assessment scales. Results: Sixty patients with stroke (30 treatment and 30 control) were eligible to participate in this study. There were no significant differences in any assessment between two groups at baseline. After a 4-week intervention, compared with to control group, there was a significant decrease in the apnea-hypopnea index (AHI) and oxygen desaturation index (ODI), and increased mean and minimal oxygen saturation (SaO Conclusions: The comprehensive swallowing intervention had therapeutic effects on OSA and dysphagia after stroke, and the mechanism was related to enhancing oropharyngeal muscle strength and changing upper airway structure. Competing Interests: Declaration of Competing Interest The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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