Effects of neuromuscular electrical stimulation combined with tongue muscle training on patients with swallowing dysfunction after stroke
Objective:To observe effects of neuromuscular electrical stimulation combined with tongue muscle training on patients with swallowing dysfunction after stroke.Methods:The clinical data of 84 patients with swallowing dysfunction after stroke admitted to this hospital from May 2021 to July 2023 were retrospectively analyzed.According to different treatment plans,they were divided into control group and observation group,42 cases in each group.The control group was treated with tongue muscle training,while the observation group was treated with neuromuscular electrical stimulation on the basis of that of the control group.The clinical efficacy,the swallowing function[standardized swallowing assessment(SSA)]score,the quality of life[swallowing quality of life scale(SWAL-QOL)],the surface electromyography(sEGM)index levels of infrahyoid muscles during swallowing,and the hyoid-laryngeal complex mobility before and after treatment,and the incidence of complications were compared between the two groups.Results:The total effective rate of the observation group was 92.86%(39/42),which was higher than 76.19%(32/42)of the control group,and the difference was statistically significant(P<0.05).After treatment,the SSA score of the observation group was lower than that of the control group,the SWAL-QOL score was higher than that of the control group,and the differences were statistically significant(P<0.05).After the treatment,the average amplitude of sEGM in the infrahyoid muscles and the distance of hyoid bone and thyroid cartilage moving up and forward in the observation group were greater than those in the control group,the swallowing time was shorter than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 7.14%(3/42),which was lower than 23.81%(10/42)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Neuromuscular electrical stimulation combined with tongue muscle training is effective in the treatment of the patients with swallowing dysfunction after stroke.It can improve the swallowing function and the quality of life,improve the levels of sEGM index of swallowing muscle group and the hyoid-laryngeal complex mobility,and reduce the incidence of complications.Moreover,it is superior to simple tongue muscle training.
万方数据
维普
