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神经肌肉电刺激对脑卒中后吞咽困难患者唇部力量和闭合功能的影响。

Effect of neuromuscular electrical stimulation on lip strength and closure function in patients with dysphagia after stroke.

作者信息

Oh Dong-Hwan, Park Ji-Su, Kim Won-Jin

机构信息

Department of Occupational Therapy, Kyungdong University, Republic of Korea.

Department of Rehabilitation Science, Graduate School of Inje University, Republic of Korea.

出版信息

J Phys Ther Sci. 2017 Nov;29(11):1974-1975. doi: 10.1589/jpts.29.1974. Epub 2017 Nov 24.

DOI:10.1589/jpts.29.1974
PMID:29200638
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5702828/
Abstract

[Purpose] This study aimed to investigate the effect of neuromuscular electrical stimulation (NMES) on lip strength and closure function of patients with dysphagia after stroke. [Subjects and Methods] Eight patients with dysphagia were recruited. NMES was applied to the orbicularis oris muscle. All the participants received NMES for 30 min/d, 5 d/wk, for 4 weeks. Lip strength was measured using the Iowa Oral Performance Instrument. To assess lip closure, the lip closure subitem of the videofluoroscopic dysphagia scale was used. [Results] Lip strength showed significant improvement and lip closure function showed a significant decrease. [Conclusion] This study demonstrates that NMES is useful for improving lip strength and closure function.

摘要

[目的]本研究旨在探讨神经肌肉电刺激(NMES)对脑卒中后吞咽困难患者唇部力量和闭合功能的影响。[对象与方法]招募了8例吞咽困难患者。将NMES应用于口轮匝肌。所有参与者接受NMES治疗,每天30分钟,每周5天,共4周。使用爱荷华口腔功能仪器测量唇部力量。为评估唇部闭合情况,采用吞咽电视透视造影量表的唇部闭合子项。[结果]唇部力量有显著改善,唇部闭合功能有显著下降。[结论]本研究表明,NMES有助于改善唇部力量和闭合功能。

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本文引用的文献

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Effect of surface neuromuscular electrical stimulation on labial and lingual muscles in healthy volunteers.表面神经肌肉电刺激对健康志愿者唇肌和舌肌的影响。
Int J Rehabil Res. 2017 Jun;40(2):119-126. doi: 10.1097/MRR.0000000000000217.
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Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial.呼气肌力量训练对亚急性脑卒中患者口咽吞咽困难的影响:一项随机对照试验
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