Poorjavad Marziyeh, Talebian Moghadam Saeed, Nakhostin Ansari Noureddin, Daemi Mostafa
Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Enghelab Street, Tehran, Iran.
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Stroke Res Treat. 2014;2014:918057. doi: 10.1155/2014/918057. Epub 2014 Apr 2.
Neuromuscular electrical stimulation (NMES) for treating dysphagia is a relatively new therapeutic method. There is a paucity of evidence about the use of NMES in patients with dysphagia caused by stroke. The present review aimed to introduce and discuss studies that have evaluated the efficacy of this method amongst dysphagic patients following stroke with emphasis on the intensity of stimulation (sensory or motor level) and the method of electrode placement on the neck. The majority of the reviewed studies describe some positive effects of the NMES on the neck musculature in the swallowing performance of poststroke dysphagic patients, especially when the intensity of the stimulus is adjusted at the sensory level or when the motor electrical stimulation is applied on the infrahyoid muscles during swallowing.
神经肌肉电刺激（NMES）用于治疗吞咽困难是一种相对较新的治疗方法。关于NMES在中风引起的吞咽困难患者中的应用，证据不足。本综述旨在介绍和讨论评估该方法在中风后吞咽困难患者中的疗效的研究，重点是刺激强度（感觉或运动水平）以及颈部电极放置方法。大多数综述研究描述了NMES对中风后吞咽困难患者吞咽功能中颈部肌肉组织的一些积极作用，特别是当刺激强度在感觉水平进行调整时，或者在吞咽期间对舌骨下肌肉施加运动电刺激时。
