Effects of external diaphragmatic pacing combined with breathing training on swallowing and respiratory functions of patients with dysphagia after stroke
Objective To observe the effects of external diaphragmatic pacing combined with breathing training on swallowing and respiratory function and stroke-associated pneumonia(SAP)in patients with dysphagia after stroke.Methods Sixty patients with dysphagia after stroke hospitalized in Rehabilitation Medical Center of Jiaxing Second Hospital from March 2022 to February 2023 were selected and divided into treatment group(external diaphragm pacing+breathing and swallowing training)and control group(breathing and swallowing training)by random number table method,with 30 cases in each group.Patients in the two groups were evaluated for swallowing function[using standardized swallowing assessment(SSA)and functional oral intake scale(FOIS)]and respiratory function[using forced vital capacity(FVC),forced expiratory volume in one second(FEV1),and peak expiratory flow(PEF)]before and 4 weeks after treatment.The incidence of SAP in the two groups was also analyzed.Results After treatment,SSA and FOIS scores of the two groups were both significantly improved,with those in the treatment group significantly better than the control group(all P＜0.05).The FVC,FEV1and PEF of the two groups after treatment were statistically better when comapred with those before treatment,with those in the treatment group significantly better than the control group(all P＜0.05).The incidence of SAP in the two groups was 6.7％and 20.0％,respectively,which showed no statistical difference between them(P=0.255).Conclusion External diaphragmatic pacing therapy combined with breathing training can effectively improve the swallowing and respiratory functions of patients with dysphagia after stroke.However,the effect is not significant in reducing the incidence of SAP.
万方数据
维普
