Objective To investigate the therapeutic effect of neuromuscular electrical stimulation(NMES)on dysphagia after traumatic brain injury(TBI).Methods Prospective data were collected from 60 patients with dysphagia after TBI from June 2021 to May 2022,and they were randomly divided into control group(n=30)and NMES group(n=30).The patients in the control group received swallowing training,including eating training,swallowing training,breath-holding training,and speech training.The patients in the NMES group received NMES based on the treatment in the control group.The treatment course was 4 weeks in both groups.The Kubota drinking water test(KDWT)score and the penetration-aspiration scale(PAS)score based on the videofluoroscopic swallowing study were used to assess the swallowing function.Results Before treatment,the KDWT score and the PAS score in the two groups were not statistically significant(P>0.05).After 4 weeks of treatment,the KDWT score was significantly decreased and the PAS score was significantly increased in both groups(P<0.05).Moreover,the KDWT score and the PAS score in the NMES group were significantly better than those in the control group(P<0.05).Conclusion For patients with dysphagia after TBI,NMES treatment based on active swallowing training significantly promotes recovery of swallowing function.
关键词
颅脑损伤/吞咽功能障碍/神经肌肉电刺激/康复
Key words
Traumatic brain injury/Swallowing function disorder/Neuromuscular electrical stimulation/Rehabilitation
维普
万方数据