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物理治疗对神经疾病吞咽困难的影响:一项综述

The impact of physical therapy on dysphagia in neurological diseases: a review.

作者信息

Li Kun, Fu Cuiyuan, Xie Zhen, Zhang Jiajia, Zhang Chenchen, Li Rui, Gao Caifeng, Wang Jiahui, Xue Chuang, Zhang Yuebing, Deng Wei

机构信息

Shandong Daizhuang Hospital, Jining, China.

Department of Psychology, Xinxiang Medical University, Xinxiang, China.

出版信息

Front Hum Neurosci. 2024 Jun 6;18:1404398. doi: 10.3389/fnhum.2024.1404398. eCollection 2024.

Abstract

A neurogenic dysphagia is dysphagia caused by problems with the central and peripheral nervous systems, is particularly prevalent in conditions such as Parkinson's disease and stroke. It significantly impacts the quality of life for affected individuals and causes additional burdens, such as malnutrition, aspiration pneumonia, asphyxia, or even death from choking due to improper eating. Physical therapy offers a non-invasive treatment with high efficacy and low cost. Evidence supporting the use of physical therapy in dysphagia treatment is increasing, including techniques such as neuromuscular electrical stimulation, sensory stimulation, transcranial direct current stimulation, and repetitive transcranial magnetic stimulation. While initial studies have shown promising results, the effectiveness of specific treatment regimens still requires further validation. At present, there is a lack of scientific evidence to guide patient selection, develop appropriate treatment regimens, and accurately evaluate treatment outcomes. Therefore, the primary objectives of this review are to review the results of existing research, summarize the application of physical therapy in dysphagia management, we also discussed the mechanisms and treatments of physical therapy for neurogenic dysphagia.

摘要

神经源性吞咽困难是由中枢和周围神经系统问题引起的吞咽困难,在帕金森病和中风等疾病中尤为普遍。它严重影响受影响个体的生活质量,并导致额外负担,如营养不良、吸入性肺炎、窒息,甚至因进食不当导致窒息死亡。物理治疗提供了一种高效且低成本的非侵入性治疗方法。支持在吞咽困难治疗中使用物理治疗的证据越来越多,包括神经肌肉电刺激、感觉刺激、经颅直流电刺激和重复经颅磁刺激等技术。虽然初步研究已显示出有希望的结果,但特定治疗方案的有效性仍需进一步验证。目前,缺乏科学证据来指导患者选择、制定合适的治疗方案以及准确评估治疗效果。因此,本综述的主要目的是回顾现有研究结果,总结物理治疗在吞咽困难管理中的应用,我们还讨论了物理治疗对神经源性吞咽困难的作用机制和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fd1/11187312/776363a87294/fnhum-18-1404398-g001.jpg

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