Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke
穴位按摩结合Vitalstim电刺激治疗脑卒中后吞咽障碍临床观察作者机构：Changsha Social Work CollegeChangsha 410000China Hunan Traditional Chinese Medical CollegeZhuzhou 412000China Zhuzhou Central HospitalHunan ProvinceZhuzhou 412000China
出 版 物：《Journal of Acupuncture and Tuina Science》 (针灸推拿医学（英文版）)
年 卷 期：2020年第18卷第6期
页 面：438-444页
核心收录：
学科分类：1005[医学-中医学] 100512[医学-针灸推拿学] 10[医学]
主 题：Acupoint Pressure Therapy Electric Stimulation Therapy Electromyography Poststroke Syndrome Pseudobulbar Palsy Deglutition Disorders
摘 要：Objective:To observe the effect of acupoint massage plus Vitalstim electrical stimulation on deglutition function and surface electromyography(SEMG)of deglutition muscle ***:A total of 60 patients with deglutition disorder after stroke were selected and divided into an electrical stimulation group,a massage group and an integrated group according to the random number table method,with 20 cases in each *** in these three groups were given the same routine rehabilitation training for *** addition,patients in the electrical stimulation group were given extra Vitalstim electrical stimulation,patients in the massage group were given extra acupoint massage on the head,face and neck,and patients in the integrated group were given extra acupoint massage plus Vitalstim electrical *** Ichiro food intake level scale(FILS)was scored before and after *** swallowing duration and maximal amplitude of masseter muscle in SEMG were evaluated before and after ***:After treatment,the FILS score and the maximal amplitude of recruitment potential generated by muscular contraction of masseter muscle group in the three groups were higher than those before treatment(all P0.05),and the swallowing duration of masseter muscle group was shortened compared with that in the same group before treatment(all P0.05).After treatment,the FILS score in the integrated group was higher than that in the electrical stimulation group and the massage group(both P0.05).The swallowing duration of masseter muscle group measured by SEMG was lower than that in the electrical stimulation group and the massage group(both P0.05),while the maximal amplitude was higher than that of the electrical stimulation group and the massage group(P0.05).After treatment,there were no significant differences in the FILS score,swallowing duration and maximal amplitude of masseter muscle group between the electrical stimulation group and the massage group
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