Effects of resistance expiratory muscle strength training in elderly patients with dysphagic stroke.

Autor: Mi-Ja Eom, Moon-Young Chang, Dong-Hwan Oh, Hyun-Dong Kim, Na-Mi Han, Ji-Su Park
Předmět:
Zdroj: NeuroRehabilitation; 2017, Vol. 41 Issue 4, p747-752, 6p
Abstrakt: BACKGROUND: Recently, resistance expiratory muscle strength training (EMST) has been reported as a remedial treatment for dysphagia. OBJECTIVE: To investigate the effect of resistance EMST on the swallowing function in stroke patients with oropharyngeal dysphagia. METHODS:Forty-two stroke patients with dysphagia were randomly assigned to two groups: an experimental group (n = 13) and a placebo group (n = 13). The experimental group performed EMST using a portable EMST device, while the placebo group performed EMST using a sham EMST device with no loading. The intervention was performed 5 days per week for 4weeks, in five sets of 5 breaths through the device for a total of 25 breaths per day. Both groups underwent conventional dysphagia treatment for 30 minutes/day, 5 days/week, for 4 weeks.Videofluoroscopic dysphagia scale (VDS) and penetrationaspiration scale (PAS) based on a videofluoroscopic swallowing study (VFSS) were assessed to analyze the oropharyngeal swallowing function. RESULTS: The experimental group showed more improvement in pharyngeal phase of the VDS (p = 0.018 and 0.006, respectively) and PAS compared to the placebo group (p = 0.014). CONCLUSIONS: We suggest that EMST could improve the effects of dysphagia observed in post-stroke elderly patients based on swallowing function. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index