Funato Michinori, Maruta Kanako, Yano Mitsuru, Kai Mitsue, Umezawa Yaeko, Yasuda Kunihiko, Ohta-Noda Emi, Gen Keika
Department of Pediatric Neurology, National Hospital Organization Nagara Medical Center, Gifu, Japan.
Department of Pediatrics, National Hospital Organization Nagara Medical Center, Gifu, Japan.
SAGE Open Med Case Rep. 2023 Jan 17;11:2050313X221149527. doi: 10.1177/2050313X221149527. eCollection 2023.
Finding a suitable treatment for dysphagia has been challenging and the efficacy of neuromuscular electrical stimulation has been recognized. Moreover, the beneficial effect of interferential current transcutaneous electrical sensory stimulation has recently been described. However, the efficacy of interferential current transcutaneous electrical sensory stimulation in children with disabilities is unknown. Therefore, the aim of this study was to confirm the efficacy of interferential current transcutaneous electrical sensory stimulation in children with disabilities. Four children with disabilities of various types underwent interferential current transcutaneous electrical sensory stimulation once a week. All patients showed improved symptoms after interferential current transcutaneous electrical sensory stimulation treatment. Videoendoscopic examination showed reduced accumulation of secretion in all patients and decreased residual bolus in two. We also felt an increased forcefulness when swallowing in two. In addition, the questionnaire results regarding dysphagia indicated improvements. No significant side effects were observed. The interferential current transcutaneous electrical sensory stimulation treatment may be effective and safe in children with disabilities. The effect of this treatment on swallowing ability needs to be further investigated by studying more cases.
找到一种合适的吞咽困难治疗方法一直具有挑战性，神经肌肉电刺激的疗效已得到认可。此外，最近还描述了干扰电流经皮电感觉刺激的有益效果。然而，干扰电流经皮电感觉刺激在残疾儿童中的疗效尚不清楚。因此，本研究的目的是确认干扰电流经皮电感觉刺激在残疾儿童中的疗效。四名不同类型残疾的儿童每周接受一次干扰电流经皮电感觉刺激。所有患者在接受干扰电流经皮电感觉刺激治疗后症状均有改善。视频内镜检查显示所有患者分泌物积聚减少，两名患者残余食团减少。我们还感觉到两名患者吞咽时力度增加。此外，关于吞咽困难的问卷调查结果显示有所改善。未观察到明显副作用。干扰电流经皮电感觉刺激治疗在残疾儿童中可能是有效且安全的。这种治疗对吞咽能力的影响需要通过研究更多病例进一步调查。
