Finsterer Josef, Mehri Sounira
Department of Neurology, Neurology and Neurophysiology Center, Vienna 1180, Austria.
Laboratory of Nutrition and Vascular Health, Faculty of Medicine, Monastir 5000, Tunisia.
World J Clin Cases. 2025 May 16;13(14):97380. doi: 10.12998/wjcc.v13.i14.97380.
Dysphagia is a common complication of ischemic stroke and is usually difficult to treat. The mainstay of standard therapy of post-stroke dysphagia (PSD) is effortful swallowing. Since its introduction in 2004, there is increasing evidence that surface electromyography-guided biofeedback training (EMGBT) can enhance the therapeutic effect of standard LE. In this editorial, we comment on the article by Meng published in the recent issue of the W, which provided evidence that particularly extensive EMGBT with an increased number of sessions is definitively more effective than the standard speech therapy or ordinary EMGBT. Among the 90 PSD patients with ischemic stroke or intracerebral bleeding, those who underwent EMGBT in more sessions than usual particularly benefited from the approach. It was concluded that EMGBT is more effective than traditional swallowing training in improving dysphagia and swallowing disorders as well as hyoid-laryngeal complex movement speed in PSD patients.
吞咽困难是缺血性中风的常见并发症,通常难以治疗。中风后吞咽困难(PSD)标准治疗的主要方法是用力吞咽。自2004年引入以来,越来越多的证据表明表面肌电图引导的生物反馈训练(EMGBT)可以增强标准吞咽训练的治疗效果。在这篇社论中,我们对孟发表在最近一期《W》上的文章进行评论,该文章提供的证据表明,特别是增加疗程数量的广泛EMGBT肯定比标准言语治疗或普通EMGBT更有效。在90例缺血性中风或脑出血的PSD患者中,接受EMGBT疗程比平时更多的患者尤其从该方法中受益。得出的结论是,EMGBT在改善PSD患者的吞咽困难和吞咽障碍以及舌骨-喉复合体运动速度方面比传统吞咽训练更有效。