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Application value research of swallowing treatment device combined with swallowing rehabilitation training in the treatment of swallowing disorders after stroke

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World Journal of Clinical Cases 2024年第21期12卷 4618-4625页

作者： Huan Xu Mei Chen Yu-Li Wu Ya-Fen Lu Xin Wang Wei Jiang Yuan-Ying Zhang Department of Brain Disease Yixing Traditional Chinese Medicine HospitalYixing 214200Jiangsu ProvinceChina

BACKGROUND Stroke is a common disabling disease,whether it is ischemic stroke or hemorrhagic stroke,both can result in neuronal damage,leading to various manifestations of neurological *** To explore of the application value of swallowing treatment device combined with swallowing rehabilitation training in the treatment of swallowing disorders after *** This study selected 86 patients with swallowing disorders after stroke admitted to our rehabilitation department from February 2022 to December 2023 as research *** were divided into a control group(n=43)and an observation group(n=43)according to the *** control group received swallowing rehabilitation training,while the observation group received swallowing treatment device in addition to the *** groups underwent continuous intervention for two courses of *** The total effective rate in the observation group(93.02%)was higher than that in the control group(76.74%)(P=0.035).After intervention,the oral transit time,swallowing response time,pharyngeal transit time,and laryngeal closure time decreased in both groups compared to before *** the observation group,the oral transit time,swallowing response time,and pharyngeal transit time were shorter than those in the control group after ***,the laryngeal closure time after intervention in the observation group was compared with that in the control group(P=0.142).After intervention,average amplitude value and duration of the genioglossus muscle group during empty swallowing and swallowing 5 mL of water are reduced compared to before intervention in both *** intervention,the scores of the chin-tuck swallowing exercise and the Standardized swallowing Assessment are both reduced compared to pre-intervention levels in both ***,the observation group scores lower than the control group after ***,the Functional Oral Intake Scale scores of both g

关键词： swallowing therapy device swallowing rehabilitation training Stroke swallowing disorder swallowing function

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Study on the treatment of dysphagia after stroke with electromyographic biofeedback intensive training

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World Journal of Clinical Cases 2024年第19期12卷 3725-3733页

作者： Qing-Nan Meng Yue Zhu Si-Wen Liu Bin Hu De-Jun Chai Chun-Xue Dong Department of Rehabilitation Medicine The Second Affiliated Hospital of Qiqihar Medical CollegeQiqihar 161000Heilongjiang ProvinceChina

BACKGROUND Dysphagia,or swallowing disorder,is a common complication following stroke,significantly impacting patients'quality of *** biofeedback(EMGBF)therapy has emerged as a potential rehabilitation technique to improve swallowing function,but its efficacy in comparison with conventional treatments remains to be further *** To investigate the effects of different treatment intensities of EMGBF on swallowing function and motor speed after *** The participants were divided into three groups,all of which received routine neurological drug therapy and motor function rehabilitation *** the basis of routine swallowing disorder training,the EMGBF group received additional EMGBF training,while the enhanced EMGBF group received two additional training *** weeks before and after treatment,the degree of swallowing disorder was evaluated using the degree of swallowing disorder score(VGF)and the Rosenbek penetration-aspiration scale(PAS).RESULTS Initially,there was no significant difference in VGF and PAS scores among the groups(P>0.05).After four weeks,all groups showed significant improvement in both VGF scores and PAS ***,the standardized swallowing assessment and videofluoroscopic dysphagia scale scores also improved significantly post-treatment,indicating enhanced swallowing function and motor function of the hyoid-bone laryngeal complex,particularly in the intensive EMGBF *** EMGBF training is more effective than traditional swallowing training in improving swallowing function and the movement rate of the hyoid laryngeal complex in patients with post-stroke dysphagia.

关键词： Stroke swallowing disorder Electromyographic biofeedback therapy Rosenbek penetration-aspiration scale score swallowing disorder score

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Tongguan Liqiao acupuncture therapy improves dysphagia after brainstem stroke

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Neural Regeneration Research 2016年第2期11卷 285-291页

作者： Chun-hong Zhang Jin-ling Bian Zhi-hong Meng Li-na Meng Xue-song Ren Zhi-lin Wang Xiao-yan Guo Xue-min Shi Department of Acupuncture and Moxibustion the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine Department of Acupuncture and Moxibustion Tianjin University of Traditional Chinese Medicine

Tongguan Liqiao acupuncture therapy has been shown to effectively treat dysphagia after stroke-based pseudobulbar paralysis. We presumed that this therapy would be effective for dysphagia after bulbar paralysis in patients with brainstem infarction. Sixty-four patients with dysphagia following brainstem infarction were recruited and divided into a medulla oblongata infarction group（n = 22）, a midbrain and pons infarction group（n = 16）, and a multiple cerebral infarction group（n = 26） according to their magnetic resonance imaging results. All patients received Tongguan Liqiao acupuncture for 28 days. The main acupoints were Neiguan（PC6）, Renzhong（DU26）, Sanyinjiao（SP6）, Fengchi（GB20）, Wangu（GB12）, and Yifeng（SJ17）. Furthermore, the posterior pharyngeal wall was pricked. Before and after treatment, patient swallowing functions were evaluated with the Kubota Water Test, Fujishima Ichiro Rating Scale, and the Standard swallowing Assessment. The Barthel Index was also used to evaluate their quality of life. Results showed that after 28 days of treatment, scores on the Kubota Water Test and Standard swallowing Assessment had decreased, but scores on the Fujishima Ichiro Rating Scale and Barthel Index had increased in each group. The total efficacy rate was 92.2% after treatment, and was most obvious in patients with medulla oblongata infarction（95.9%）. These findings suggest that Tongguan Liqiao acupuncture therapy can repair the connection of upper motor neurons to the medulla oblongata motor nucleus, promote the recovery of brainstem infarction, and improve patient＇s swallowing ability and quality of life.

关键词： nerve regeneration traditional Chinese medicine acupuncture stroke bulbar palsy brain infarction swallowing disorder dysphagia acupoints neurological rehabilitation neural regeneration

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