Hägg Mary, Tibbling Lita
Departmen of Otorhinolaryngology, Speech & Swallowing Centre Hudiksvall Hospital , Hudiksvall , Sweden.
Acta Otolaryngol. 2015 Sep;135(9):962-8. doi: 10.3109/00016489.2015.1042043. Epub 2015 May 7.
Training with either a palatal plate (PP) or an oral IQoro(R) screen (IQS) in patients with longstanding facial dysfunction and dysphagia after stroke can significantly improve facial activity (FA) in all four facial quadrants as well as swallowing capacity (SC). Improvements remained at late follow-up. The training modalities did not significantly differ in ameliorating facial dysfunction and dysphagia in these patients. However, IQS training has practical and economic advantages over PP training.
This study compared PP and oral IQS training in terms of (i) effect on four-quadrant facial dysfunction and dysphagia after a first-ever stroke, and (ii) whether the training effect persisted at late follow-up.
Patients were included during two periods; 13 patients in 2005-2008 trained with a PP, while 18 patients in 2009-2012 trained with an IQS. Four-quadrant facial dysfunction was assessed with an FA test and swallowing dysfunction with a SC test: before and after a 3-month training period and at late follow-up. FA and SC significantly improved (p < 0.001) in both groups. FA test scores after training and at late follow-up did not differ significantly between the groups, irrespective of whether the interval between stroke incidence and the start of training was long or short.
对于中风后长期存在面部功能障碍和吞咽困难的患者，使用腭板（PP）或口腔IQoro（R）筛查器（IQS）进行训练可显著改善面部所有四个象限的面部活动（FA）以及吞咽能力（SC）。在后期随访时改善情况依然存在。在改善这些患者的面部功能障碍和吞咽困难方面，这两种训练方式没有显著差异。然而，与PP训练相比，IQS训练具有实际和经济优势。
本研究比较了PP训练和口腔IQS训练在以下方面的情况：（i）对首次中风后四象限面部功能障碍和吞咽困难的影响，以及（ii）训练效果在后期随访时是否持续存在。
在两个时间段纳入患者；2005 - 2008年有13名患者接受PP训练，2009 - 2012年有18名患者接受IQS训练。通过FA测试评估四象限面部功能障碍，通过SC测试评估吞咽功能障碍：在3个月训练期前后以及后期随访时进行评估。两组的FA和SC均显著改善（p < 0.001）。无论中风发作与训练开始之间的间隔长短，两组在训练后及后期随访时的FA测试评分均无显著差异。
