Konradi Jürgen, Lerch Annekatrin, Cataldo Marilena, Kerz Thomas
Institute for Physical Therapy, Prevention and Rehabilitation, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany; Department for Health Care & Nursing, Catholic University of Applied Sciences, Mainz, Germany.
Department for Health Care & Nursing, Catholic University of Applied Sciences, Mainz, Germany.
SAGE Open Med. 2015 Apr 1;3:2050312115578958. doi: 10.1177/2050312115578958. eCollection 2015.
The aim of this study was to investigate the direct effect of Facio-Oral Tract Therapy(®) on swallowing frequency of non-tracheotomised patients with acute neurogenic dysphagia.
Within a pre-, post-/during and follow-up study design, 19 non-tracheotomised dysphagic patients were included consecutively and treated according to three specific preselected Facio-Oral Tract Therapy stimulation techniques.
The primary outcome was the direct effect of the three different Facio-Oral Tract Therapy stimulation techniques on the number of swallows. We found a significant effect of Facio-Oral Tract Therapy on swallowing frequency as compared to baseline with an increase by 65.63% and medium effect size of D = 0.62. No significant difference could be demonstrated when comparing baseline to follow-up.
For the first time, this positive therapy effect could be demonstrated on a population of non-tracheotomised patients. Facio-Oral Tract Therapy seems to be an appropriate means for improving effectiveness and safety of swallowing. Since improvement was not long lasting, it appears to be reasonable to apply therapy frequently during the day with the plausible result of minimising the amount of aspirated saliva and thereby reducing the risk of aspiration pneumonia. Further studies may consider choosing a randomised controlled trial design to demonstrate that change in swallow frequency is related to the target intervention only.
本研究旨在探讨面口部治疗法（®）对非气管切开的急性神经性吞咽困难患者吞咽频率的直接影响。
在一项前测、后测/过程中和随访的研究设计中，连续纳入19名非气管切开的吞咽困难患者，并根据三种预先选定的特定面口部治疗法刺激技术进行治疗。
主要结果是三种不同的面口部治疗法刺激技术对吞咽次数的直接影响。与基线相比，我们发现面口部治疗法对吞咽频率有显著影响，增加了65.63%，效应量中等，D = 0.62。比较基线和随访时，未发现显著差异。
首次在非气管切开患者群体中证明了这种积极的治疗效果。面口部治疗法似乎是提高吞咽有效性和安全性的合适方法。由于改善效果不持久，白天频繁进行治疗似乎是合理的，这可能会减少唾液误吸量，从而降低误吸性肺炎的风险。进一步的研究可能会考虑采用随机对照试验设计，以证明吞咽频率的变化仅与目标干预有关。
