Effects of swallowing therapy combined with tongue pressure resistance feedback training on ingestion and swallowing functions in patients with post-stroke dysphagia
Objective To explore the effects of swallowing therapy combined with tongue pressure resistance feedback training on ingestion and swallowing functions in patients with post-stroke dysphagia(PSD).Methods A total of 82 patients with PSD who were admitted to our hospital between May 2021 and October 2023 were enrolled.According to different treatment methods,the patients were divided into routine group(n=40,swallowing therapy)and combination group(n=42,swallowing therapy+tongue pressure resistance feedback training).The curative effect,ingestion and swallowing functions,quality of life,and complications were compared between the two groups.Results The total response rate of the combination group was higher than that of the routine group(P<0.05).After treatment,the score of functional oral intake scale(FIOS)and the proportion of patients orally intaking were increased,while the score of eating assessment tool-10(EAT-10)and independent eating time were decreased in both groups;and the improvements in the combination group were superior to the routine group(all P<0.05).After treatment,oral transport time,lifting time of soft palate,video fluoroscopic dysphagia scale(VDS)score and standardized swallowing assessment(SSA)score were decreased in both groups,and these parameters in the combination group were lower than those in the routine group(all P<0.05).Dysphagia-specific quality of life(SWAL-QOL)score and Barthel index(BI)were increased after treatment in both groups,and SWAL-QOL score and BI in the combination group were higher than those in the routine group(all P<0.05).The incidence of complications in the combination group was lower than that in the routine group(P<0.05).Conclusion Swallowing therapy combined with tongue pressure resistance feedback training can effectively improve ingestion and swallowing functions,improve quality of life,and reduce the complications in PSD patients.
Post-stroke dysphagiaSwallowing therapyTongue pressure resistance feedback trainingIngestionSwallowing function
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