Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunction
Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunction
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DOI：
10.1007/s00455-007-9145-9
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发表时间：
2008-09-01
期刊：
影响因子：
2.6
通讯作者：
Ekberg, Olle
中科院分区：
文献类型：
--
作者：
Bulow, Margareta;Speyer, Renee;Ekberg, Olle
神经肌肉电刺激（NMES）技术是专为治疗咽部功能障碍而设计的双通道电疗系统。本研究的目的是评估和比较 NMES 与传统吞咽疗法 (TT) 对中风患者的治疗效果。三个欧洲吞咽中心参与了这项随机试验。包括 25 名患者（16 名男性和 9 名女性）。 12 名患者被随机分配接受 NMES，13 名患者被随机分配接受 TT。 NMES 组的平均年龄为 70 岁，TT 组的平均年龄为 71 岁。纳入标准为（1）50-80岁的患者在研究前患有脑血管疾病（卒中）超过3个月，（2）仅患有半球卒中患者，（3）无脑干受累，（4）吞咽能力，以及（5）沟通能力。试验前和试验后的测量包括视频放射吞咽评估、营养状况、口腔运动功能测试以及用于自我评估投诉的视觉模拟量表（VAS）。所有受试者均接受 15 次治疗。 NMES 和 TT 联合治疗均具有统计学上显着的积极治疗效果，但各组之间的治疗效果没有统计学上的显着差异。测量值之间的相关性较低。患者的主观改善体验与客观评价的结果相关性较低。
Neuromuscular electrical stimulation (NMES) technique is a dual-channel electrotherapy system designed specifically for the treatment of pharyngeal dysfunction. The purpose of this study was to evaluate and compare the outcome of NMES versus traditional swallowing therapy (TT) in stroke patients. Three European swallowing centers participated in this randomized trial. Twenty-five patients (16 men and 9 women) were included. Twelve patients were randomized for NMES and 13 for TT. Mean age was 70 years for the NMES group and 71 years for the TT group. Inclusion criteria were (1) patients 50-80 years old with cerebrovascular disease (stroke) for more than 3 months before the study, (2) only patients with hemispheric stroke, (3) no brainstem involvement, (4) ability to swallow, and (5) ability to communicate. Pre- and post-trial measurements were videoradiographic swallowing evaluation, nutritional status, oral motor function test, and a visual analog scale (VAS) for self-evaluation of complaints. All subjects received 15 therapy sessions. Statistically significant positive therapy effects for both NMES and TT combined were found, but there was no statistically significant difference in therapy effect between the groups. The correlations between measurements were low. The patient's subjective experience of improvement had low correlation with the outcome from the objective evaluation.