Functional magnetic stimulation using a parabolic coil for dysphagia after stroke
| Autor: | Ryo Momosaki, Wataru Kakuda, Naoki Yamada, Masahiro Abo, Kenjiro Mochio, Shu Watanabe |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Magnetic Field Therapy Stimulation Severity of Illness Index Statistics Nonparametric Physical medicine and rehabilitation Swallowing otorhinolaryngologic diseases medicine Humans Stroke Aged Aged 80 and over business.industry Significant difference General Medicine Middle Aged medicine.disease Dysphagia Transcranial magnetic stimulation Anesthesiology and Pain Medicine medicine.anatomical_structure Treatment Outcome Neurology Electromagnetic coil Anesthesia Suprahyoid muscles Pharyngeal Muscles Female Neurology (clinical) medicine.symptom business Deglutition Disorders |
| Zdroj: | Neuromodulation : journal of the International Neuromodulation Society. 17(7) |
| ISSN: | 1525-1403 |
| Popis: | Recently, the usefulness of neuromuscular electrical stimulation and repetitive transcranial magnetic stimulation for poststroke dysphagia has been reported. However, there is no report that describes the effectiveness of functional magnetic stimulation (FMS) for dysphagia. The purpose of this study is to clarify the effectiveness of FMS for poststroke dysphagia.Twenty poststroke dysphagic patients (age at treatment: 51-80 years; interval between onset of stroke and treatment: 6 to 36 months) were randomly assigned to a real group or a sham group. In the real group, FMS of 30 Hz was applied for suprahyoid muscles in a 20-sec train using a parabolic coil for 10 min (total 1200 pulses). In the sham group, sham stimulation was applied for 10 min at the same site. Swallowing function was evaluated by the timed water swallow test, interswallow interval (ISI), swallowing volume velocity (speed), and volume per swallow (capacity) were measured before and after stimulation.All patients completed the stimulation and none showed any adverse reactions throughout the stimulation. The improvement of speed and capacity of swallowing after stimulation was significantly larger in the real group compared with the sham group (all p0.05). However, no significant difference in the ISI was found between the groups.FMS using a parabolic coil can potentially improve swallowing function in poststroke dysphagic patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect