Effect of neuromuscular electrical stimulation on lip strength and closure function in patients with dysphagia after stroke

[Purpose] This study aimed to investigate the effect of neuromuscular electrical stimulation (NMES) on lip strength and closure function of patients with dysphagia after stroke. [Subjects and Methods] Eight patients with dysphagia were recruited. NMES was applied to the orbicularis oris muscle. All...

Full description

Saved in:
Bibliographic Details
Published inJournal of Physical Therapy Science Vol. 29; no. 11; pp. 1974 - 1975
Main Authors Kim, Won-Jin, Park, Ji-Su, Oh, Dong-Hwan
Format Journal Article
LanguageEnglish
Published Japan The Society of Physical Therapy Science 2017
Subjects
Dysphagia
Neuromuscular electrical stimulation
Orbicularis oris muscle
Original
Orbicularis oris muscle
Dysphagia
Neuromuscular electrical stimulation
Online AccessGet full text
ISSN0915-5287
2187-5626
2187-5626
DOI10.1589/jpts.29.1974

Cover

Abstract [Purpose] This study aimed to investigate the effect of neuromuscular electrical stimulation (NMES) on lip strength and closure function of patients with dysphagia after stroke. [Subjects and Methods] Eight patients with dysphagia were recruited. NMES was applied to the orbicularis oris muscle. All the participants received NMES for 30 min/d, 5 d/wk, for 4 weeks. Lip strength was measured using the Iowa Oral Performance Instrument. To assess lip closure, the lip closure subitem of the videofluoroscopic dysphagia scale was used. [Results] Lip strength showed significant improvement and lip closure function showed a significant decrease. [Conclusion] This study demonstrates that NMES is useful for improving lip strength and closure function.
AbstractList [Purpose] This study aimed to investigate the effect of neuromuscular electrical stimulation (NMES) on lip strength and closure function of patients with dysphagia after stroke. [Subjects and Methods] Eight patients with dysphagia were recruited. NMES was applied to the orbicularis oris muscle. All the participants received NMES for 30 min/d, 5 d/wk, for 4 weeks. Lip strength was measured using the Iowa Oral Performance Instrument. To assess lip closure, the lip closure subitem of the videofluoroscopic dysphagia scale was used. [Results] Lip strength showed significant improvement and lip closure function showed a significant decrease. [Conclusion] This study demonstrates that NMES is useful for improving lip strength and closure function.[Purpose] This study aimed to investigate the effect of neuromuscular electrical stimulation (NMES) on lip strength and closure function of patients with dysphagia after stroke. [Subjects and Methods] Eight patients with dysphagia were recruited. NMES was applied to the orbicularis oris muscle. All the participants received NMES for 30 min/d, 5 d/wk, for 4 weeks. Lip strength was measured using the Iowa Oral Performance Instrument. To assess lip closure, the lip closure subitem of the videofluoroscopic dysphagia scale was used. [Results] Lip strength showed significant improvement and lip closure function showed a significant decrease. [Conclusion] This study demonstrates that NMES is useful for improving lip strength and closure function.
[Purpose] This study aimed to investigate the effect of neuromuscular electrical stimulation (NMES) on lip strength and closure function of patients with dysphagia after stroke. [Subjects and Methods] Eight patients with dysphagia were recruited. NMES was applied to the orbicularis oris muscle. All the participants received NMES for 30 min/d, 5 d/wk, for 4 weeks. Lip strength was measured using the Iowa Oral Performance Instrument. To assess lip closure, the lip closure subitem of the videofluoroscopic dysphagia scale was used. [Results] Lip strength showed significant improvement and lip closure function showed a significant decrease. [Conclusion] This study demonstrates that NMES is useful for improving lip strength and closure function.
[Purpose] This study aimed to investigate the effect of neuromuscular electrical stimulation (NMES) on lip strength and closure function of patients with dysphagia after stroke. [Subjects and Methods] Eight patients with dysphagia were recruited. NMES was applied to the orbicularis oris muscle. All the participants received NMES for 30 min/d, 5 d/wk, for 4 weeks. Lip strength was measured using the Iowa Oral Performance Instrument. To assess lip closure, the lip closure subitem of the videofluoroscopic dysphagia scale was used. [Results] Lip strength showed significant improvement and lip closure function showed a significant decrease. [Conclusion] This study demonstrates that NMES is useful for improving lip strength and closure function.
Author Oh, Dong-Hwan
Park, Ji-Su
Kim, Won-Jin
Author_xml – sequence: 1
  fullname: Kim, Won-Jin
  organization: Department of Occupational Therapy, Kosin University: 194 Wachi-ro, Yeongdo-gu, Busan, Republic of Korea
– sequence: 1
  fullname: Park, Ji-Su
  organization: Department of Rehabilitation Science, Graduate School of Inje University, Republic of Korea
– sequence: 1
  fullname: Oh, Dong-Hwan
  organization: Department of Occupational Therapy, Kyungdong University, Republic of Korea
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29200638$$D View this record in MEDLINE/PubMed
BookMark eNqFkU2PFCEQholZ437ozbPh6MEe-Wim4WJiNqtusokXPROGrp5hZKAFejcT_7z0zjqrJsaEQCiet96q4hydhBgAoZeULKiQ6u12LHnB1IKqrn2CzhiVXSOWbHmCzoiiohFMdqfoPOctIawjrXyGTplihCy5PEM_roYBbMFxwAGmFHdTtpM3CYOv4eSs8TgXt6ux4mLAdXk31lCCsC4bbEKPrY95SoCHKdh7yAU8VhxCyfjOVarf53Fj1s5gMxRIszx-g-fo6WB8hhcP5wX6-uHqy-Wn5ubzx-vL9zeNbYVoG0VYKw3llFveUdMaaVTHiVCK9JxRIH0v2xVQy8D0XCogg-VStoavlpbDkl-g5pB3CqPZ3xnv9ZjczqS9pkTPQ9TzEDVTeh5i5d8d-HFa7aC3tY9kHjXROP3nS3AbvY63WnSESSZrgtcPCVL8PkEueueyBe9NgDjl2YXXpjohKvrqd6-jya8fqsCbA2BTzDnB8L_a2V-4deX-62qlzv9LdH0QbXMxazg6mFSc9fAI03k_3AjtNBfyyNiNSRoC_wnckdJn
CitedBy_id crossref_primary_10_1007_s00455_022_10408_6
crossref_primary_10_3389_fneur_2023_1163045
crossref_primary_10_1177_0300060518807340
crossref_primary_10_3390_brainsci12101271
crossref_primary_10_1016_S1283_078X_19_42051_8
crossref_primary_10_47572_muskutd_974435
crossref_primary_10_3390_cosmetics7010018
crossref_primary_10_3390_ijerph17113783
crossref_primary_10_47795_MHHE5709
crossref_primary_10_1515_pteridines_2018_0010
crossref_primary_10_1589_jpts_30_1355
crossref_primary_10_1016_S1293_2965_19_42033_1
crossref_primary_10_1080_17474124_2020_1769475
Cites_doi 10.1177/0269215515571681
10.1097/PHM.0000000000000230
10.1111/joor.12382
10.1007/s00455-005-9010-7
10.1007/s00455-006-9029-4
10.5535/arm.2012.36.6.791
10.1097/MRR.0000000000000217
10.1007/s00455-009-9259-3
ContentType Journal Article
Copyright 2017 by the Society of Physical Therapy Science. Published by IPEC Inc.
2017©by the Society of Physical Therapy Science. Published by IPEC Inc. 2017
Copyright_xml – notice: 2017 by the Society of Physical Therapy Science. Published by IPEC Inc.
– notice: 2017©by the Society of Physical Therapy Science. Published by IPEC Inc. 2017
DBID AAYXX
CITATION
NPM
7X8
5PM
ADTOC
UNPAY
DOI 10.1589/jpts.29.1974
DatabaseName CrossRef
PubMed
MEDLINE - Academic
PubMed Central (Full Participant titles)
Unpaywall for CDI: Periodical Content
Unpaywall
DatabaseTitle CrossRef
PubMed
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic


PubMed
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: UNPAY
  name: Unpaywall
  url: https://proxy.k.utb.cz/login?url=https://unpaywall.org/
  sourceTypes: Open Access Repository
DeliveryMethod fulltext_linktorsrc
Discipline Physical Therapy
EISSN 2187-5626
EndPage 1975
ExternalDocumentID 10.1589/jpts.29.1974
PMC5702828
29200638
10_1589_jpts_29_1974
article_jpts_29_11_29_jpts_2017_358_article_char_en
Genre Journal Article
GroupedDBID .55
07C
29L
2WC
53G
5GY
AAEJM
AAWTL
ACGFO
ADBBV
ADRAZ
AENEX
AIAGR
AJJEV
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BAWUL
BKOMP
BMSDO
CS3
DIK
DU5
E3Z
EBS
EJD
FRP
GX1
HYE
JMI
JSF
JSH
KQ8
M48
MOJWN
OK1
OVT
P2P
PGMZT
RJT
RNS
RPM
RZJ
TKC
TR2
W2D
X7M
XSB
AAYXX
CITATION
ACRZS
NPM
7X8
5PM
ADTOC
UNPAY
ID FETCH-LOGICAL-c4554-90248a1313c371a4a8a97305990d321e0dd84be1c2ead389e0fc3884a3b6c3e63
IEDL.DBID UNPAY
ISSN 0915-5287
2187-5626
IngestDate Sun Oct 26 04:05:19 EDT 2025
Thu Aug 21 17:45:57 EDT 2025
Fri Jul 11 15:31:02 EDT 2025
Wed Feb 19 02:44:03 EST 2025
Thu Apr 24 23:00:34 EDT 2025
Tue Jul 01 04:12:13 EDT 2025
Wed Sep 03 06:20:57 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed false
IsScholarly true
Issue 11
Keywords Orbicularis oris muscle
Dysphagia
Neuromuscular electrical stimulation
Language English
License https://creativecommons.org/licenses/by-nc-nd/4.0
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/)
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c4554-90248a1313c371a4a8a97305990d321e0dd84be1c2ead389e0fc3884a3b6c3e63
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
OpenAccessLink https://proxy.k.utb.cz/login?url=https://www.jstage.jst.go.jp/article/jpts/29/11/29_jpts-2017-358/_pdf
PMID 29200638
PQID 1973024755
PQPubID 23479
PageCount 2
ParticipantIDs unpaywall_primary_10_1589_jpts_29_1974
pubmedcentral_primary_oai_pubmedcentral_nih_gov_5702828
proquest_miscellaneous_1973024755
pubmed_primary_29200638
crossref_primary_10_1589_jpts_29_1974
crossref_citationtrail_10_1589_jpts_29_1974
jstage_primary_article_jpts_29_11_29_jpts_2017_358_article_char_en
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2017-00-00
PublicationDateYYYYMMDD 2017-01-01
PublicationDate_xml – year: 2017
  text: 2017-00-00
PublicationDecade 2010
PublicationPlace Japan
PublicationPlace_xml – name: Japan
PublicationTitle Journal of Physical Therapy Science
PublicationTitleAlternate Journal of Physical Therapy Science
PublicationYear 2017
Publisher The Society of Physical Therapy Science
Publisher_xml – name: The Society of Physical Therapy Science
References 6) Kim DH, Choi KH, Kim HM, et al.: Inter-rater reliability of videofluoroscopic dysphagia scale. Ann Rehabil Med, 2012, 36: 791–796.
3) Gallas S, Marie JP, Leroi AM, et al.: Sensory transcutaneous electrical stimulation improves post-stroke dysphagic patients. Dysphagia, 2010, 25: 291–297.
4) Suiter DM, Leder SB, Ruark JL: Effects of neuromuscular electrical stimulation on submental muscle activity. Dysphagia, 2006, 21: 56–60.
5) Park JS, You SJ, Kim JY, et al.: Differences in orofacial muscle strength according to age and sex in East Asian healthy adults. Am J Phys Med Rehabil, 2015, 94: 677–686.
7) Park JS, Oh DH, Chang MY, et al.: Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial. J Oral Rehabil, 2016, 43: 364–372.
1) Chen YW, Chang KH, Chen HC, et al.: The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: a systemic review and meta-analysis. Clin Rehabil, 2016, 30: 24–35.
2) Ludlow CL, Humbert I, Saxon K, et al.: Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal Dysphagia. Dysphagia, 2007, 22: 1–10.
8) Safi MF, Wright-Harp W, Lucker JR, et al.: Effect of surface neuromuscular electrical stimulation on labial and lingual muscles in healthy volunteers. Int J Rehabil Res, 2017, 40: 119–126.
1
2
3
4
5
6
7
8
References_xml – reference: 2) Ludlow CL, Humbert I, Saxon K, et al.: Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal Dysphagia. Dysphagia, 2007, 22: 1–10.
– reference: 3) Gallas S, Marie JP, Leroi AM, et al.: Sensory transcutaneous electrical stimulation improves post-stroke dysphagic patients. Dysphagia, 2010, 25: 291–297.
– reference: 8) Safi MF, Wright-Harp W, Lucker JR, et al.: Effect of surface neuromuscular electrical stimulation on labial and lingual muscles in healthy volunteers. Int J Rehabil Res, 2017, 40: 119–126.
– reference: 1) Chen YW, Chang KH, Chen HC, et al.: The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: a systemic review and meta-analysis. Clin Rehabil, 2016, 30: 24–35.
– reference: 7) Park JS, Oh DH, Chang MY, et al.: Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial. J Oral Rehabil, 2016, 43: 364–372.
– reference: 4) Suiter DM, Leder SB, Ruark JL: Effects of neuromuscular electrical stimulation on submental muscle activity. Dysphagia, 2006, 21: 56–60.
– reference: 5) Park JS, You SJ, Kim JY, et al.: Differences in orofacial muscle strength according to age and sex in East Asian healthy adults. Am J Phys Med Rehabil, 2015, 94: 677–686.
– reference: 6) Kim DH, Choi KH, Kim HM, et al.: Inter-rater reliability of videofluoroscopic dysphagia scale. Ann Rehabil Med, 2012, 36: 791–796.
– ident: 1
  doi: 10.1177/0269215515571681
– ident: 5
  doi: 10.1097/PHM.0000000000000230
– ident: 7
  doi: 10.1111/joor.12382
– ident: 4
  doi: 10.1007/s00455-005-9010-7
– ident: 2
  doi: 10.1007/s00455-006-9029-4
– ident: 6
  doi: 10.5535/arm.2012.36.6.791
– ident: 8
  doi: 10.1097/MRR.0000000000000217
– ident: 3
  doi: 10.1007/s00455-009-9259-3
SSID ssj0027048
Score 2.1123662
Snippet [Purpose] This study aimed to investigate the effect of neuromuscular electrical stimulation (NMES) on lip strength and closure function of patients with...
[Purpose] This study aimed to investigate the effect of neuromuscular electrical stimulation (NMES) on lip strength and closure function of patients with...
SourceID unpaywall
pubmedcentral
proquest
pubmed
crossref
jstage
SourceType Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 1974
SubjectTerms Dysphagia
Neuromuscular electrical stimulation
Orbicularis oris muscle
Original
SummonAdditionalLinks – databaseName: Scholars Portal Journals: Open Access
  dbid: M48
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3di9QwEB_OU9AXvz_qFxHUF-netmk2zYOIischnPhwC_dW0jbd3bPX1usuuvjPO5Nke66ePgilUDolJDOTmUmT3w_geSSj2NiFKiV4mPCchwrz9LAalzIuuZGl3VV5-GlyME0-HovjHdiwjfoB7C8s7YhPanpWj75_Xb9Bh39t2XtStXfSLftRrEYR5saX4DLGKEUkDodJel56jS2PFgZHgaVXKv0W-N-_JmhgFdswvhWnrpxgqjYzF2Whf26mvLpqOr3-puv6l0i1fxOu-xSTvXU2cQt2THMbbnz2CmFHDkfgDvxwyMWsrZhFtTxduU2pzFHjWGGcAE49wRfDq150jE6XNLPlnOmmZEXd0hIjo_BohRYN81CtPaM1Xlau-26uZwvNLB05fd5-MXdhuv_h6P1B6LkYwiLBjCNUhH2mIx7xgstIJzrVCicHgcGs5HFkxmWZJrmJihhNE5MgM64KnqaJ5vmk4GbC78Fu0zbmATD0eZmXwsgJ1TK8yiXWfIngFRVL3PAAXm1GPis8UDnxZdQZFSyosoxUlsUqI5UF8GKQ7hxAx1_k3jklDlLeNc-lIrq7J5ynMi7SQYaOwOE8EsCzjQFk6Ib0b0U3pl311ATHIZJCBHDfGcTQ0MakApBbpjIIEMT39ptmMbdQ30LamjiAl4NR_bOXD_-7iUdwjXrtVpcew-7ybGWeYL61zJ9aV_oJUxQuaA
  priority: 102
  providerName: Scholars Portal
Title Effect of neuromuscular electrical stimulation on lip strength and closure function in patients with dysphagia after stroke
URI https://www.jstage.jst.go.jp/article/jpts/29/11/29_jpts-2017-358/_article/-char/en
https://www.ncbi.nlm.nih.gov/pubmed/29200638
https://www.proquest.com/docview/1973024755
https://pubmed.ncbi.nlm.nih.gov/PMC5702828
https://www.jstage.jst.go.jp/article/jpts/29/11/29_jpts-2017-358/_pdf
UnpaywallVersion publishedVersion
Volume 29
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX Journal of Physical Therapy Science, 2017, Vol.29(11), pp.1974-1975
journalDatabaseRights – providerCode: PRVAFT
  databaseName: Open Access Digital Library
  customDbUrl:
  eissn: 2187-5626
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0027048
  issn: 0915-5287
  databaseCode: KQ8
  dateStart: 20130101
  isFulltext: true
  titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html
  providerName: Colorado Alliance of Research Libraries
– providerCode: PRVAFT
  databaseName: Open Access Digital Library
  customDbUrl:
  eissn: 2187-5626
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0027048
  issn: 0915-5287
  databaseCode: KQ8
  dateStart: 19950101
  isFulltext: true
  titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html
  providerName: Colorado Alliance of Research Libraries
– providerCode: PRVBFR
  databaseName: Free Medical Journals
  customDbUrl:
  eissn: 2187-5626
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0027048
  issn: 0915-5287
  databaseCode: DIK
  dateStart: 19950101
  isFulltext: true
  titleUrlDefault: http://www.freemedicaljournals.com
  providerName: Flying Publisher
– providerCode: PRVFQY
  databaseName: GFMER Free Medical Journals
  customDbUrl:
  eissn: 2187-5626
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0027048
  issn: 0915-5287
  databaseCode: GX1
  dateStart: 19950101
  isFulltext: true
  titleUrlDefault: http://www.gfmer.ch/Medical_journals/Free_medical.php
  providerName: Geneva Foundation for Medical Education and Research
– providerCode: PRVAQN
  databaseName: PubMed Central
  customDbUrl:
  eissn: 2187-5626
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0027048
  issn: 0915-5287
  databaseCode: RPM
  dateStart: 20130101
  isFulltext: true
  titleUrlDefault: https://www.ncbi.nlm.nih.gov/pmc/
  providerName: National Library of Medicine
– providerCode: PRVFZP
  databaseName: Scholars Portal Journals: Open Access
  customDbUrl:
  eissn: 2187-5626
  dateEnd: 20250731
  omitProxy: true
  ssIdentifier: ssj0027048
  issn: 0915-5287
  databaseCode: M48
  dateStart: 20130501
  isFulltext: true
  titleUrlDefault: http://journals.scholarsportal.info
  providerName: Scholars Portal
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9NAEB61KRJcKG_Mo1ok4ILsZL1er30sqKVCatVDI4WTtbbXedS1LZIIFf48M2vHEF5CQoocRZm1453xzDeb2W8AXnLFfWMXqmIp3ECkwo0Rp7vFKFd-LozKbVXl6Vl4Mg4-TORkB442e2GorHKBuGhq6M2b1t6iGXaTOFw0q-XQj4ec4zGhT6hk9LJCRsOkyYtd2AslQvIB7I3Pzg8_Wp49LjHZso3yMJopF-N92BXAyyi2p_T82OOxCrZC0432V_wOeP5aP3lzXTX6-rMuyx-C0_F-W0SytJyGVJNy6a1XqZd9-Ynx8b_v-w7c7uArO2yH3IUdU92D_fNO2eyi5Si4D19bVmRWF8wyZl6t24JX1rbdscLoXK665mEMX-W8YbRzpZquZkxXOcvKmpYvGYVeKzSvWEcDu2S0fszy62Uz09O5ZrbVOQ2vL80DGB8fXbw7cbs-D24WIJpxY-JV01xwkQnFdaAjHaPjkRgoc-FzM8rzKEgNz3w0ewRYZlRkIooCLdIwEyYUD2FQ1ZV5DAz9iUpzaVRIeZIoUoX5ZCBFQYmYMMKBNxsVJ1lHgk69OMqEkiE0CDu7Cc4yGYQDr3rppiX_-IPc21Z3vVSnue9SPPE3Y1BzCWqul6HtdeijHHixsbQEH3H630ZXpl4v6RICp0hJ6cCj1vL6C1GzMUKdDqgtm-wFiD58-5tqPrM04lLZfNuB1731_vUun_yr4FO4Zc3TLlQ9g8Hq09o8R-i2Sg9g9_2E4_E0iA66h_QbBkdIuQ
linkProvider Unpaywall
linkToUnpaywall http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1bb5swFLa6dNL2su5edpMnbXuZgBhjDI_d1KqatKoPjdQ9IQMml1JAC6jq9ud3jk3YspsmTYoSRfkcwOdwLub4O4S8YpIF2ixUJYK7Ic-4m0Cc7pbTQgYF17IwVZUfT6LjWfjhXJzvkMPNXhgsq1xBXDTX-OHNG2_V-sMk-qu2W_tB4jMG7yl-AyGDleUi9tO2KG-Q3UhASD4hu7OT04NPhmePCUi2TKM88GbSBX8fDQXwIk7MX3pB4rFEhluu6aY9i98Fnr_WT97q61ZdX6mq-sE5He3ZIpK14TTEmpQLr-8yL__yE-Pjf1_3XXJnCF_pgR1yj-zo-j7ZOx2ETc8sR8ED8tWyItOmpIYx87K3Ba_Utt0xYDAul0PzMAqvatlS3LlSz7sFVXVB86rB5UuKrteAljUdaGDXFNePaXG9bhdqvlTUtDrH4c2FfkhmR4dn74_doc-Dm4cQzbgJ8qopxhnPuWQqVLFKwPAIcJQFD5ieFkUcZprlAag9BFh6WuY8jkPFsyjnOuKPyKRuar1PKNgTmRVCywjzJF5mEvLJUPASEzGuuUPebkSc5gMJOvbiqFJMhkAhzOymMMuoEA55PaJbS_7xB9w7K7sRNUjuO4qlwWYMSC4FyY0Y3F4HNsohLzealsItjs9tVK2bfo2H4DBFUgiHPLaaNx4Im41h1OkQuaWTIwDpw7d_qZcLQyMupMm3HfJm1N6_XuWTfwU-JbeNepqFqmdk0n3u9XMI3brsxXBjfgOuaEbu
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Effect+of+neuromuscular+electrical+stimulation+on+lip+strength+and+closure+function+in+patients+with+dysphagia+after+stroke&rft.jtitle=Journal+of+physical+therapy+science&rft.au=Oh%2C+Dong-Hwan&rft.au=Park%2C+Ji-Su&rft.au=Kim%2C+Won-Jin&rft.date=2017&rft.pub=The+Society+of+Physical+Therapy+Science&rft.issn=0915-5287&rft.eissn=2187-5626&rft.volume=29&rft.issue=11&rft.spage=1974&rft.epage=1975&rft_id=info:doi/10.1589%2Fjpts.29.1974&rft_id=info%3Apmid%2F29200638&rft.externalDocID=PMC5702828
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0915-5287&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0915-5287&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0915-5287&client=summon