A Study of Functional Dysphagia Scale Improvements after Neuromuscular Electrical Stimulation

Moon, Tae-Young; Kwon, Kui Hyang; Kim, Jin-Woo; Ko, Wi-Sug; Kim, Seon-Rye; Cho, Byung-Jun; Lee, Moon-Sook

doi:10.1589/jpts.25.61

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Swallowing function was also evaluated at baseline and following the 6-week training intervention using the videofluoroscopic dysphagia scale (VDS) based on videofluoroscopic swallowing study (VFSS). VFSSs were conduct based on a previous study 8 ) . The VDS consists of 14 items, which can largely be categorized into an oral phase (7 items: lip closure, bolus formation, mastication, apraxia, tongue to palate contact premature bolus loss, and oral transit time) and a pharyngeal phase (7 items: pharyngeal triggering, vallecular residues, pyriform sinus resides, laryngeal elevation, pharyngeal wall coating, pharyngeal transit time, and aspiration).…”

Section: Methodsmentioning

confidence: 99%

Effect of tongue strength training using the Iowa Oral Performance Instrument in stroke patients with dysphagia

Park

Kim

2015

J Phys Ther Sci

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[Purpose] The aim of this study was to evaluate the effectiveness of a structured program of resistance training for the tongue in order to improve swallowing function in stroke patients with dysphagia. [Subjects and Methods] Twenty-seven stroke patients with dysphagia were randomly divided into two groups. The experimental group participated in a resistance-training program involving a 1-repetition maximum, with an intensity of 80%, along with 50 repetitions per day each for the anterior and posterior regions of the tongue. Both groups received conventional therapy for dysphagia for 30 min per day, 5 times per week, for 6 weeks. [Results] The experimental group showed statistically significant improvements in both, the anterior and posterior regions of the tongue. In contrast, the control group showed significant improvements only in the anterior region of the tongue. In the videofluoroscopic dysphagia scale evaluation, improvement was noted at both, the oral and pharyngeal stages in the experimental group, whereas significant improvements were only noted in the oral stage and total score in the control group. [Conclusion] Our study confirmed that tongue resistance training is an effective intervention for stroke patients with dysphagia, offering improved tongue muscle strength and overall improvement in swallowing.

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Section: Methodsmentioning

confidence: 99%

Effect of tongue strength training using the Iowa Oral Performance Instrument in stroke patients with dysphagia

Park

Kim

2015

J Phys Ther Sci

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“…Unlike complementary treatment and TTOS, which are covered by health insurance, NMES is excluded from coverage, making it expensive. Nevertheless, NMES treatment is not merely frequently conducted for sub-acute dysphagia but is performed by 72.3% of swallowing treatment experts 14 , 15 ) . Therefore, it is necessary to prescribe guidelines for swallowing treatment considering the economic difficulties of patients with dysphagia; accordingly, future comparisons of the effectiveness and economic considerations of various swallowing treatments are required.…”

Section: Discussionmentioning

confidence: 99%

Comparison of treatment effect of neuromuscular electrical stimulation and thermal-tactile stimulation on patients with sub-acute dysphagia caused by stroke

Byeon

Koh

2016

J Phys Ther Sci

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[Purpose] The effectiveness of neuromuscular electrical stimulation in the rehabilitation of swallowing remains controversial. This study compared the effectiveness of neuromuscular electrical stimulation and thermal tactile oral stimulation, a traditional swallowing recovery treatment, in patients with sub-acute dysphagia caused by stroke. [Subjects and Methods] Subjects of the present study were 55 patients diagnosed with dysphagia caused by stroke. This study had a nonequivalent control group pretest-posttest design. [Results] Analysis of pre-post values of videofluoroscopic studies of the neuromuscular electrical stimulation and thermal tactile oral stimulation groups using a paired t-test showed no significant difference between the two groups despite both having decreased mean values of the videofluoroscopic studies after treatment. [Conclusion] This study’s findings show that both neuromuscular electrical stimulation and thermal tactile oral stimulation significantly enhanced the swallowing function of patients with sub-acute dysphagia.

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“…Subjective measures show large effect sizes while objective measures from videofluoroscopy show no significant improvement 38 . A case series evaluated the use of electrical stimulation in normal adults over 70 years of age on a functional dysphagia scale with significant improvement and moderate effect sizes 40 . Another study assesed swallowing after 12 sessions of electrical stimulation with dysphagia therapy followed by 12 sessions of traditional swallowing therapy 41 .…”

Section: Combined Direct and Indirect Therapy Studiesmentioning

confidence: 99%

Relative Efficacy of Swallowing Versus Non-swallowing Tasks in Dysphagia Rehabilitation: Current Evidence and Future Directions

Drulia

Ludlow

2013

Curr Phys Med Rehabil Rep

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Clinical trials published in 2012 and the first six months of 2013 were reviewed. These involved either traditional dysphagia therapy, indirect methods not involving dysphagia therapy or a combination of direct and indirect methods. Of 27 studies, 7 were RCTs, 5 were controlled clinical trials and the remainder were uncontrolled case series. Sixteen studies combined an indirect treatment with traditional dysphagia therapy; only one study examined one technique for direct swallowing therapy. Effect sizes were computed and contrasted for each trial. Traditional dysphagia therapy had small to moderate effect sizes (between 0.3 and 0.6) while spontaneous recovery in acute stroke had effect sizes of 1.2. Placebo effects on patient ratings of degree of improvement on swallowing were estimated as small to moderate. To improve effect sizes, adaptive research designs are needed to develop the optimal methods and dosages of therapy before future clinical trials.

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A Study of Functional Dysphagia Scale Improvements after Neuromuscular Electrical Stimulation

Cited by 3 publications

References 4 publications

Effect of tongue strength training using the Iowa Oral Performance Instrument in stroke patients with dysphagia

Effect of tongue strength training using the Iowa Oral Performance Instrument in stroke patients with dysphagia

Comparison of treatment effect of neuromuscular electrical stimulation and thermal-tactile stimulation on patients with sub-acute dysphagia caused by stroke

Relative Efficacy of Swallowing Versus Non-swallowing Tasks in Dysphagia Rehabilitation: Current Evidence and Future Directions

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