Effects of electronic biofeedback therapy combined with swallowing speech diagnosis and treatment instrument on language function in elderly pa-tients with true bulbar palsy swallowing dysphagia after cerebral infarction
Objective To explore the effect of electronic biofeedback therapy combined with swallowing speech diagnosis and treatment instrument on language function in elderly patients with true bulbar palsy swallowing dysphagia after cerebral infarction.Methods A total of 125 patients with true bulbar palsy swallowing dysphagia after cerebral infarction were selected from Zhuozhou City Hospital,Hebei Province from May 2019 to May 2022.According to random number table method,they were divided into swallowing diagnosis and treatment group(41 cases),biofeedback group(41 cases),and combined group(43 cases).The swallowing diagnosis and treatment group was given the swallowing speech diagnosis and treatment instrument;biofeedback group was treated with biostimulation feedback instrument;and combined group was treated with biostimulation feedback instrument combined with swallowing speech diagnosis and treatment instrument for 20 days.The swallowing function,water swallowing test(WST),and swallowing quality of life(SWAL-QOL)scores before and after treatment were compared among three groups.Results After treatment,the standard swallowing function rating scale(SSA)score was lower than before treatment,videofluoroscopic swallowing study(VFSS)score was higher than before treatment;and SSA score of combined group was lower than that of swallowing diagnosis and treatment group and biofeedback group,and VFSS score was higher than that of swallowing diagnosis and treatment group and biofeedback group,and the differences were statistically sig-nificant(P<0.05).After treatment,WST grading in three groups was better than before treatment,and combined group was better than swallowing diagnosis and treatment group and biofeedback group,and the differences were statistically significant(P<0.05).After treatment,SWAL-QOL scores in three groups were higher than before treatment,and combined group was higher than swallowing diagnosis and treatment group and biofeedback group,and the differences were statistically significant(P<0.05).Conclusion Electronic biofeedback therapy combined with swallow-ing speech diagnosis and treatment instrument can improve the language function and swallowing function of elderly patients with true bulbar palsy swallowing dysphagia after cerebral infarction,improve the clinical symptoms,and the therapeutic effect is remarkable.
Cerebral infarctionTrue bulbar palsy swallowing dysphagiaElectronic biofeedback therapySwallowing speech diagnosis and treat-ment instrumentLanguage function