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Compensatory Effects of Sequential 4-Channel Neuromuscular Electrical Stimulation for the Treatment of Acute, Subacute, and Chronic Dysphagia in a Prospective, Double-Blinded Randomized Clinical Trial
DC Field | Value | Language |
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dc.contributor.author | Lee, So Young | - |
dc.contributor.author | Park, Donghwi | - |
dc.contributor.author | Jang, Joonyoung | - |
dc.contributor.author | Jang, Eun Gyeong | - |
dc.contributor.author | Lee, Jun Chang | - |
dc.contributor.author | Park, Yulhyun | - |
dc.contributor.author | Cho, Seon | - |
dc.contributor.author | Kim, Won-Seok | - |
dc.contributor.author | Park, Jihong | - |
dc.contributor.author | Kim, Bo Ryun | - |
dc.contributor.author | Seo, Kyoung-Ho | - |
dc.contributor.author | Park, Sungwon | - |
dc.contributor.author | Ryu, Ju Seok | - |
dc.date.accessioned | 2023-07-03T06:42:07Z | - |
dc.date.available | 2023-07-03T06:42:07Z | - |
dc.date.created | 2021-10-05 | - |
dc.date.created | 2021-10-05 | - |
dc.date.created | 2021-10-05 | - |
dc.date.created | 2021-10-05 | - |
dc.date.created | 2021-10-05 | - |
dc.date.issued | 2021-09 | - |
dc.identifier.citation | Neurorehabilitation and Neural Repair, Vol.35 No.9, pp.801-811 | - |
dc.identifier.issn | 1545-9683 | - |
dc.identifier.uri | https://hdl.handle.net/10371/194629 | - |
dc.description.abstract | Background. The precise mechanism of 2-channel neuromuscular electrical stimulation (NMES) treatment is unknown, and controversy remains over its efficacy. The sequential 4-channel NMES was newly developed based on normal contractile sequences of swallowing-related muscles. Objective. To assess the clinical efficacy of sequential 4-channel NMES during swallowing. Methods. In this prospective RCT, 52 inpatients with dysphagia (acute, subacute, and chronic state) after stroke, brain tumor, or encephalitis were enrolled. Participants who underwent a videofluoroscopic swallowing study (VFSS) and clinical evaluation were enrolled and were randomly assigned to the 4-channel NMES or sham group. The 4-channel NMES and sham groups swallowed thin and honey-like fluids under NMES (sequential stimulation on suprahyoid and infrahyoid) and sham stimulation, respectively. The procedures were evaluated with the VFSS. Pre- and post-treatment evaluations were performed with the videofluoroscopic dysphagia scale (VDS), penetration-aspiration scale (PAS), Likert scale, and kinematic analysis. Results. The 4-channel NMES group showed significantly greater improvements than the sham group with respect to oral VDS, pharyngeal VDS, total VDS, and PAS (P < .05). Furthermore, the Likert scale for satisfaction, easiness, and discomfort for swallowing showed favorable results for the 4-channel NMES group (P < .05). In the kinematic analysis, the peak speed point, distance, and velocity of hyoid movement were significantly greater in the 4-channel NMES group (P < .05). Conclusions. Sequential 4-channel NMES activating the suprahyoid, thyrohyoid, and other infrahyoid muscles during swallowing showed significant clinical improvement with respect to VDS, PAS, and kinematic analysis. Therefore, sequential 4-channel NMES is a potential new functional electrical stimulation system for the treatment of dysphagia. | - |
dc.language | 영어 | - |
dc.publisher | Sage Science Press | - |
dc.title | Compensatory Effects of Sequential 4-Channel Neuromuscular Electrical Stimulation for the Treatment of Acute, Subacute, and Chronic Dysphagia in a Prospective, Double-Blinded Randomized Clinical Trial | - |
dc.type | Article | - |
dc.identifier.doi | 10.1177/15459683211029891 | - |
dc.citation.journaltitle | Neurorehabilitation and Neural Repair | - |
dc.identifier.wosid | 000673711500001 | - |
dc.identifier.scopusid | 2-s2.0-85114162203 | - |
dc.citation.endpage | 811 | - |
dc.citation.number | 9 | - |
dc.citation.startpage | 801 | - |
dc.citation.volume | 35 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Ryu, Ju Seok | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | HYOLARYNGEAL MOVEMENT | - |
dc.subject.keywordPlus | POSTSTROKE DYSPHAGIA | - |
dc.subject.keywordPlus | SWALLOWING FUNCTION | - |
dc.subject.keywordPlus | KINEMATIC ANALYSIS | - |
dc.subject.keywordPlus | HYOID BONE | - |
dc.subject.keywordPlus | STROKE | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | DIAGNOSIS | - |
dc.subject.keywordPlus | THERAPY | - |
dc.subject.keywordAuthor | Deglutition | - |
dc.subject.keywordAuthor | dysphagia | - |
dc.subject.keywordAuthor | electrical stimulation | - |
dc.subject.keywordAuthor | spatio-temporal analysis | - |
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