The effect of sensory level electrical stimulation of the masseter muscle in early stroke patients with dysphagia: A randomized controlled study

Umay, Ebru; Yaylacı, Atılay; Saylam, Güleser; Gündoğdu, İ̇̇brahim; Gürçay, Eda; Akcapinar, Dehen; Kirac, Zeynep

doi:10.4103/neuroindia.ni_377_16

Cited by 20 publications

(32 citation statements)

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“…Some studies classified adulthood into three stages: early (19–40 years), middle (40–65 years), and older adulthood (≥65 years) 23 …”

Section: Resultsmentioning

confidence: 99%

“…Additional evidence that may account for the significant relationship between swallowing and cognition comes from research with motor imagery during swallowing. As noted, the swallowing function has a motor component controlled by the motor and premotor cortex 1,31 . These two areas are essential during motor imagery, which is a cognitive strategy, 32 and influence higher‐level cognitive processing 33 …”

Section: Discussionmentioning

confidence: 99%

“…Swallowing as a sensorimotor function is regulated by many mechanisms from the central nervous system to the esophagus. 1 Swallowing disorders (dysphagia) may become an important problem in older hospitalized patients and in individuals with neurodegenerative disorders. 2,3 Patients with dysphagia may have cognitive disorders and/or language impairments (i.e.…”

Section: Introductionmentioning

confidence: 99%

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Association between swallowing disorders and cognitive disorders in adults: a systematic review and meta‐analysis

2021

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There is no consensus regarding the association between dysphagia and cognition. The aim of this study was to quantitatively and qualitatively analyze the available evidence on the direction and strength of the association between dysphagia and cognition. PubMed, Scopus, Embase, and Web of Science were searched for studies about the association between dysphagia and cognition. A random effects model was used to determine weighted odds ratios and 95% confidence intervals. Sensitivity analysis was performed to determine the impact of each individual study on the pooled results. A total of 1427 participants showed that some cognitive disorders were significantly associated with dysphagia (odds ratio = 3.23, 95% confidence interval: 2.33–4.48). The association between cognition and swallowing disorders suggests that multiple neuroanatomical systems are involved in these two functions.

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“…Some studies classified adulthood into three stages: early (19–40 years), middle (40–65 years), and older adulthood (≥65 years) 23 …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between swallowing disorders and cognitive disorders in adults: a systematic review and meta‐analysis

2021

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“…It is used in facilitation techniques to increase muscle strength and sensory awareness and to prevent muscle atrophy, thereby improving motor function [ 14 , 15 ]. Recently, several studies have demonstrated that NMES does not only induce the activation of the masticatory muscle [ 16 , 17 ] but is also effective for improving oral functions, including masticatory functions in the oral phase of the swallowing process [ 18 , 19 ], which might be due to cortical excitability and physiological changes induced by NMES.…”

Section: Introductionmentioning

confidence: 99%

Effects of Neuromuscular Electrical Stimulation Synchronized with Chewing Exercises on Bite Force and Masseter Muscle Thickness in Community-Dwelling Older Adults in South Korea: A Randomized Controlled Trial

Park

Jung

Kim

2020

IJERPH

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This study is aimed at investigating the effects of synchronized neuromuscular electrical stimulation (NMES) and chewing exercises on bite force and the masseter muscle thickness in community-dwelling older adults. Material and methods: Forty older adults were enrolled in South Korea and randomly assigned to either an experimental or control group. The experimental group performed chewing exercises using the No-Sick Exerciser equipment synchronized with NMES applied to the bilateral masseter muscles, while the control group performed only chewing exercises. Both groups received interventions for 20 min/day, 5 days/week, for 6 weeks. Bite force was measured using the OCCLUZER device, and masseter muscle thickness was measured using a portable ultrasound. Results: Both groups showed a significant increase in bite force and masseter muscle thickness compared to baseline measurements (p < 0.05). The experimental group showed a significantly higher increase in bite force and masseter muscle thickness than the control group after combined intervention (p < 0.05). Conclusion: This study demonstrates that NMES synchronized with chewing exercises is more efficient in increasing bite force and masseter muscle thickness than chewing exercises alone in community-dwelling older adults.

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“…Stroke is reported to be a cause of death with increasing prevalence in aging populations in Turkey, as it is in the world (20). Turkish studies have shown that dysphagia is common in these patients at an early stage and affects patients' quality of life (5,21,22). Therefore, it is also important in Turkey to evaluate stroke patients early and effectively at the bedside.…”

Section: Introductionmentioning

confidence: 99%

The psychometric evaluation of the Turkish version of the Mann Assessment of Swallowing Ability in patients in the early period after stroke

Umay¹,

Gündoğdu²,

Gürçay³

et al. 2018

Turk J Med Sci

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Background/aim: The Mann Assessment of Swallowing Ability (MASA) is an efficient tool that allows physicians to determine the alertness, cooperation, and respiration of patients, which are important factors when assessing swallowing. This study aimed to translate the MASA into Turkish (T-MASA) and to assess its reliability and validity in patients during the early period after a stroke. Materials and methods: The scale was administered to 141 patients in the early period after a stroke. For reliability, both internal consistency (Cronbach's alpha and corrected item-to-total correlations) and interrater reliability were analyzed. The procedures were scored by two blinded independent expert observers. The validity was assessed using the convergent validity. The cutoff value of the T-MASA for dysphagia was accepted as 169 points. The correlation between the MASA and endoscopic evaluation was evaluated. Results: The T-MASA showed good internal consistency using Cronbach's alpha (0.899-0.901) and corrected item-to-total correlations. In addition, the intraclass correlation coefficient scores indicated excellent agreement. A significant moderate negative correlation was found between endoscopic evaluation and the T-MASA in terms of the presence of dysphagia (r:-0.324, r:-0.302, respectively, and both P = 0.001) Conclusion: Our results suggest that the Turkish version of the MASA is a valid and reliable instrument when determining dysphagia in patients in the early period after a stroke.

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The effect of sensory level electrical stimulation of the masseter muscle in early stroke patients with dysphagia: A randomized controlled study

Abstract: SES applied to bilateral masseter muscles may provide an effective treatment for both dysphagia and cognitive function in early stroke patients.

Cited by 20 publications

References 0 publications

Association between swallowing disorders and cognitive disorders in adults: a systematic review and meta‐analysis

Association between swallowing disorders and cognitive disorders in adults: a systematic review and meta‐analysis

Effects of Neuromuscular Electrical Stimulation Synchronized with Chewing Exercises on Bite Force and Masseter Muscle Thickness in Community-Dwelling Older Adults in South Korea: A Randomized Controlled Trial

The psychometric evaluation of the Turkish version of the Mann Assessment of Swallowing Ability in patients in the early period after stroke

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