Efficacy of Kinesio Taping Combined with Vitalstim Electrical Stimulation Therapy in Patients with Post-Stroke Dysphagia
Objective To observe the efficacy of kinesio taping combined with Vitalstim electrical stimulation therapy in pa-tients with post-stroke dysphagia.Methods A total of 90 patients with post-stroke dysphagia treated in the Department of Acupunc-ture,Tuina and Rehabilitation and Neurosurgery Department of the First Hospital of Hunan University of Chinese Medicine from January 2021 to January 2023 were selected as the study subjects.They were randomly divided into kinesio tape group,Vitalstim electrical stimulation group,and combined group,with 30 cases in each group.All three groups received conventional swallowing rehabilitation treatment(including swallowing training,ice stimulation,1 time per day,20 minutes each time,10 times for 1 course of treatment,and a total of 2 courses of treatment).In addition,the kinesio tape group was treated with kinesio taping therapy(1 time per day and kept for at least 12 hours,10 sessions for 1 course of treatment,and a total of 2 courses of treatment),the Vitalstim elec-trical stimulation group received Vitalstim electrical stimulation therapy(1 time per day,20 minutes each time,10 times for a course of treatment,and a total of 2 courses of treatment)and the combined group was treated with the combination of the two.After treat-ment,the three groups were compared in terms of clinical efficacy,incidence of aspiration,standardized swallowing assessment(SSA),water swallowing test(WST),functional oral intake scale(FOIS),and indicators of nutritional status.Results The water swallowing test ratings of all three groups after treatment improved significantly compared with those before treatment(P<0.05),with the combined group showing a more pronounced improvement than those of the Vitalstim electrical stimulation group and the kinesio tape group(P<0.05),while there was no significant difference between the Vitalstim electrical stimulation group and the ki-nesio tape group(P>0.05).In terms of total effective rate,the combined group was significantly higher than that of the kinesio tape group and the Vitalstim electrical stimulation group(P<0.05),and there was no significant difference between the Vitalstim electri-cal stimulation group and the kinesio tape group(P>0.05).In comparison of the incidence of aspiration,the combined group showed significantly lower aspiration incidence than the kinesio tape group and the Vitalstim electrical stimulation group(P<0.05),and there was no statistical difference in the aspiration incidence between the Vitalstim electrical stimulation group and the kinesio tape group(P>0.05).SSA scores were reduced in all three groups after treatment(P<0.05),with the combined group showing a more pro-nounced reduction than the Vitalstim electrical stimulation group and the kinesio tape group(P<0.05),and the reduction of SSA scores in the Vitalstim electrical stimulation group being more pronounced than the kinesio tape group(P<0.05).FOIS scores in-creased in all three groups after treatment(P<0.05),with the increase of the combined group being more pronounced than the Vitals-tim electrical stimulation group and the kinesio tape group(P<0.05),and there was no significant difference between the Vitalstim electrical stimulation group and the kinesio tape group(P>0.05).Comparison of nutritional indicators showed that BMI,ALB,and Hb indexes increased in all three groups after treatment(P<0.05),with the increase in the combined group being more pronounced than the Vitalstim electrical stimulation group and the kinesio tape group(P<0.05),and no significant difference between the Vitals-tim electrical stimulation group and the the kinesio tape group(P>0.05).Conclusion The application of kinesio taping combined with Vitalstim electrical stimulation therapy in patients with post-stroke swallowing dysfunction can significantly improve therapeu-tic efficacy,reduce the incidence of aspiration,improve feeding safety,and improve swallowing function as well as nutritional status.
strokedysphagiakinesio tapeVitalstim electrical stimulation therapyaspirationnutritional status
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