Surface electrical stimulation for treating swallowing disorders after stroke: a review of the stimulation intensity levels and the electrode placements.
Surface electrical stimulation for treating swallowing disorders after stroke: a review of the stimulation intensity levels and the electrode placements.
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DOI：
10.1155/2014/918057
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发表时间：
2014
影响因子：
1.5
通讯作者：
Daemi M
中科院分区：
文献类型：
--
作者：
Poorjavad M;Talebian Moghadam S;Nakhostin Ansari N;Daemi M
神经肌肉电刺激(NMES)治疗吞咽困难是一种较新的治疗方法。关于NMES在中风引起的吞咽困难患者中使用的证据很少。本文旨在介绍和讨论评价这种方法在卒中后吞咽困难患者中的疗效的研究，重点是刺激强度(感觉或运动水平)和在颈部放置电极的方法。大多数综述研究描述了NMES在卒中后吞咽困难患者吞咽功能中对颈部肌肉系统的一些积极影响，特别是当刺激强度在感觉水平上调整时，或者在吞咽过程中对舌骨下肌肉施加运动电刺激时。
Neuromuscular electrical stimulation (NMES) for treating dysphagia is a relatively new therapeutic method. There is a paucity of evidence about the use of NMES in patients with dysphagia caused by stroke. The present review aimed to introduce and discuss studies that have evaluated the efficacy of this method amongst dysphagic patients following stroke with emphasis on the intensity of stimulation (sensory or motor level) and the method of electrode placement on the neck. The majority of the reviewed studies describe some positive effects of the NMES on the neck musculature in the swallowing performance of poststroke dysphagic patients, especially when the intensity of the stimulus is adjusted at the sensory level or when the motor electrical stimulation is applied on the infrahyoid muscles during swallowing.