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

[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...

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Published inJournal of Physical Therapy Science Vol. 28; no. 6; pp. 1809 - 1812
Main Authors Koh, Hyeung Woo, Byeon, Haewon
Format Journal Article
LanguageEnglish
Published Japan The Society of Physical Therapy Science 2016
Subjects
Dysphagia
Neuromuscular electrical stimulation
Original
Thermal tactile oral stimulation
Thermal tactile oral stimulation
Dysphagia
Neuromuscular electrical stimulation
Online AccessGet full text
ISSN0915-5287
2187-5626
2187-5626
DOI10.1589/jpts.28.1809

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Abstract [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.
AbstractList [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.[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.
[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.
[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.
Author Byeon, Haewon
Koh, Hyeung Woo
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Keywords Thermal tactile oral stimulation
Dysphagia
Neuromuscular electrical stimulation
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References 1) Logemann JA: Evaluation and treatment of swallowing disorders. Austin: Pro-ed, 2002, pp 148–153.
5) Freed ML, Freed L, Chatburn RL, et al.: Electrical stimulation for swallowing disorders caused by stroke. Respir Care, 2001, 46: 466–474.
10) Han TR, Back NJ, Park JW: The Functional dysphagia scale using videofluoroscopic swallowing study in stroke patients. J Korean Acad Rehabil Med, 1999, 23: 1118–1126.
9) Jung BH: The effect of electrical stimulation for swallowing function in stroke patients with dysphagia. J Kor Soc Occup Ther, 2007, 15: 25–33.
12) Park CL, O’Neill PA, Martin DF: A pilot exploratory study of oral electrical stimulation on swallow function following stroke: an innovative technique. Dysphagia, 1997, 12: 161–166.
2) Falsetti P, Acciai C, Palilla R, et al.: Oropharyngeal dysphagia after stroke: incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit. J Stroke Cerebrovasc Dis, 2009, 18: 329–335.
3) Martino R, Foley N, Bhogal S, et al.: Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke, 2005, 36: 2756–2763.
8) Shaw GY, Sechtem PR, Searl J, et al.: Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphagia: myth or reality? Ann Otol Rhinol Laryngol, 2007, 116: 36–44.
4) Hammond CA, Goldstein LB: Cough and aspiration of food and liquids due to oral-pharyngeal dysphagia: ACCP evidence-based clinical practice guidelines. CHEST J, 2006, 129: 154–168.
13) Wang JS, Lee JH, Kim NJ: Effects of neuromuscular electrical stimulation on masticatory muscles in elderly stroke patients. J Phys Ther Sci, 2015, 27: 2767–2770.
11) Kim SR, Kwon KH, Cho BJ: The effects of neuromuscular electrical stimulation on pharyngeal transit time. J Phys Ther Sci, 2013, 25: 849–851.
7) Kiger M, Brown CS, Watkins L: Dysphagia management: an analysis of patient outcomes using VitalStim therapy compared to traditional swallow therapy. Dysphagia, 2006, 21: 243–253.
6) Bülow M, Speyer R, Baijens L, et al.: Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunction. Dysphagia, 2008, 23: 302–309.
14) Wu HS, Jang KH, Cha TH, et al.: A study of the status of dysphagia rehabilitation conducted by occupational therapists in Korea. J Kor Soc Occup Ther, 17: 67–77.
15) Moon TY, Kwon KH, Kim JW, et al.: A study of functional dysphagia scale improvements after neuromuscular electrical stimulation. J Phys Ther Sci, 2013, 25: 61–64.
11
12
13
14
15
1
2
4
5
6
7
8
9
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9190102 - Dysphagia. 1997 Summer;12 (3):161-6
11309186 - Respir Care. 2001 May;46(5):466-74
19717014 - J Stroke Cerebrovasc Dis. 2009 Sep-Oct;18(5):329-35
17216386 - Dysphagia. 2006 Oct;21(4):243-53
16428705 - Chest. 2006 Jan;129(1 Suppl):154S-168S
24259868 - J Phys Ther Sci. 2013 Jul;25(7):849-51
17305276 - Ann Otol Rhinol Laryngol. 2007 Jan;116(1):36-44
26504289 - J Phys Ther Sci. 2015 Sep;27(9):2767-70
18437464 - Dysphagia. 2008 Sep;23(3):302-9
16269630 - Stroke. 2005 Dec;36(12):2756-63
References_xml – reference: 15) Moon TY, Kwon KH, Kim JW, et al.: A study of functional dysphagia scale improvements after neuromuscular electrical stimulation. J Phys Ther Sci, 2013, 25: 61–64.
– reference: 4) Hammond CA, Goldstein LB: Cough and aspiration of food and liquids due to oral-pharyngeal dysphagia: ACCP evidence-based clinical practice guidelines. CHEST J, 2006, 129: 154–168.
– reference: 2) Falsetti P, Acciai C, Palilla R, et al.: Oropharyngeal dysphagia after stroke: incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit. J Stroke Cerebrovasc Dis, 2009, 18: 329–335.
– reference: 9) Jung BH: The effect of electrical stimulation for swallowing function in stroke patients with dysphagia. J Kor Soc Occup Ther, 2007, 15: 25–33.
– reference: 6) Bülow M, Speyer R, Baijens L, et al.: Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunction. Dysphagia, 2008, 23: 302–309.
– reference: 11) Kim SR, Kwon KH, Cho BJ: The effects of neuromuscular electrical stimulation on pharyngeal transit time. J Phys Ther Sci, 2013, 25: 849–851.
– reference: 12) Park CL, O’Neill PA, Martin DF: A pilot exploratory study of oral electrical stimulation on swallow function following stroke: an innovative technique. Dysphagia, 1997, 12: 161–166.
– reference: 8) Shaw GY, Sechtem PR, Searl J, et al.: Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphagia: myth or reality? Ann Otol Rhinol Laryngol, 2007, 116: 36–44.
– reference: 13) Wang JS, Lee JH, Kim NJ: Effects of neuromuscular electrical stimulation on masticatory muscles in elderly stroke patients. J Phys Ther Sci, 2015, 27: 2767–2770.
– reference: 10) Han TR, Back NJ, Park JW: The Functional dysphagia scale using videofluoroscopic swallowing study in stroke patients. J Korean Acad Rehabil Med, 1999, 23: 1118–1126.
– reference: 1) Logemann JA: Evaluation and treatment of swallowing disorders. Austin: Pro-ed, 2002, pp 148–153.
– reference: 3) Martino R, Foley N, Bhogal S, et al.: Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke, 2005, 36: 2756–2763.
– reference: 5) Freed ML, Freed L, Chatburn RL, et al.: Electrical stimulation for swallowing disorders caused by stroke. Respir Care, 2001, 46: 466–474.
– reference: 7) Kiger M, Brown CS, Watkins L: Dysphagia management: an analysis of patient outcomes using VitalStim therapy compared to traditional swallow therapy. Dysphagia, 2006, 21: 243–253.
– reference: 14) Wu HS, Jang KH, Cha TH, et al.: A study of the status of dysphagia rehabilitation conducted by occupational therapists in Korea. J Kor Soc Occup Ther, 17: 67–77.
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  doi: 10.1016/j.jstrokecerebrovasdis.2009.01.009
– reference: 16428705 - Chest. 2006 Jan;129(1 Suppl):154S-168S
– reference: 17305276 - Ann Otol Rhinol Laryngol. 2007 Jan;116(1):36-44
– reference: 18437464 - Dysphagia. 2008 Sep;23(3):302-9
– reference: 26504289 - J Phys Ther Sci. 2015 Sep;27(9):2767-70
– reference: 19717014 - J Stroke Cerebrovasc Dis. 2009 Sep-Oct;18(5):329-35
– reference: 11309186 - Respir Care. 2001 May;46(5):466-74
– reference: 9190102 - Dysphagia. 1997 Summer;12 (3):161-6
– reference: 24259868 - J Phys Ther Sci. 2013 Jul;25(7):849-51
– reference: 17216386 - Dysphagia. 2006 Oct;21(4):243-53
– reference: 16269630 - Stroke. 2005 Dec;36(12):2756-63
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Title Comparison of treatment effect of neuromuscular electrical stimulation and thermal-tactile stimulation on patients with sub-acute dysphagia caused by stroke
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