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Clinical effectiveness of the sequential 4-channel NMES compared with that of the conventional 2-channel NMES for the treatment of dysphagia in a prospective double-blind randomized controlled study
DC Field | Value | Language |
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dc.contributor.author | Seo, Kyoung-Ho | - |
dc.contributor.author | Jang, Joonyoung | - |
dc.contributor.author | Jang, Eun Gyeong | - |
dc.contributor.author | Park, Yulhyun | - |
dc.contributor.author | Lee, So Young | - |
dc.contributor.author | Kim, Bo Ryun | - |
dc.contributor.author | Park, Donghwi | - |
dc.contributor.author | Park, Sungwon | - |
dc.contributor.author | Hwang, Hyeoncheol | - |
dc.contributor.author | Kim, Nam Hun | - |
dc.contributor.author | Oh, Byung-Mo | - |
dc.contributor.author | Seo, Han Gil | - |
dc.contributor.author | Lee, Jun Chang | - |
dc.contributor.author | Ryu, Ju Seok | - |
dc.date.accessioned | 2021-08-11T07:07:57Z | - |
dc.date.available | 2021-08-11T07:07:57Z | - |
dc.date.issued | 2021-05-31 | - |
dc.identifier.citation | Journal of NeuroEngineering and Rehabilitation. 2021 May 31;18(1):90 | ko_KR |
dc.identifier.issn | 1743-0003 | - |
dc.identifier.uri | https://hdl.handle.net/10371/174783 | - |
dc.description.abstract | Background
To date, conventional swallowing therapies and 2-channel neuromuscular electrical stimulation (NMES) are standard treatments for dysphagia. The precise mechanism of 2-channel NMES treatment has not been determined, and there are controversies regarding the efficacy of this therapy. The sequential 4-channel NMES was recently developed and its action is based on the normal contractile sequence of swallowing-related muscles. Objective To evaluate and compare the rehabilitative effectiveness of the sequential 4-channel NMES with that of conventional 2-channel NMES. Methods In this prospective randomized case–control study, 26 subjects with dysphagia were enrolled. All participants received 2- or 4-channel NMES for 2–3weeks (minimal session: 7 times, treatment duration: 300–800min). Twelve subjects in the 4-channel NMES group and eleven subjects in the 2-channel NMES group completed the intervention. Initial and follow-up evaluations were performed using the videofluoroscopic dysphagia scale (VDS), the penetration-aspiration scale (PAS), the MD Anderson dysphagia inventory (MDADI), the functional oral intake scale (FOIS), and the Likert scale. Results The sequential 4-channel NMES group experienced significant improvement in their VDS (oral, pharyngeal, and total), PAS, FOIS, and MDADI (emotional, functional, and physical subsets) scores, based on their pretreatment data. VDS (oral, pharyngeal, and total) and MDADI (emotional and physical subsets) scores, but not PAS and FOIS scores, significantly improved in the 2-channel NMES group posttreatment. When the two groups were directly compared, the 4-channel NMES group showed significant improvement in oral and total VDS scores. Conclusions The sequential 4-channel NMES, through its activation of the suprahyoid and thyrohyoid muscles, and other infrahyoid muscles mimicking physiological activation, may be a new effective treatment for dysphagia. Trial registration: clinicaltrial.gov, registration number: NCT03670498, registered 13 September 2018, https://clinicaltrials.gov/ct2/show/NCT03670498?term=NCT03670498&draw=2&rank=1 . | ko_KR |
dc.description.sponsorship | This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (Grant Number: HI18C1169). This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Min‑
istry of Science, ICT and Future Planning (NRF- NRF-2016R1D1A1B03935130). | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BMC | ko_KR |
dc.subject | Deglutition | - |
dc.subject | Dysphagia | - |
dc.subject | Electrical stimulation | - |
dc.title | Clinical effectiveness of the sequential 4-channel NMES compared with that of the conventional 2-channel NMES for the treatment of dysphagia in a prospective double-blind randomized controlled study | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 서경호 | - |
dc.contributor.AlternativeAuthor | 장준영 | - |
dc.contributor.AlternativeAuthor | 장은경 | - |
dc.contributor.AlternativeAuthor | 박율현 | - |
dc.contributor.AlternativeAuthor | 이소영 | - |
dc.contributor.AlternativeAuthor | 김보련 | - |
dc.contributor.AlternativeAuthor | 박동휘 | - |
dc.contributor.AlternativeAuthor | 박성원 | - |
dc.contributor.AlternativeAuthor | 황현철 | - |
dc.contributor.AlternativeAuthor | 김남훈 | - |
dc.contributor.AlternativeAuthor | 오병모 | - |
dc.contributor.AlternativeAuthor | 서한길 | - |
dc.contributor.AlternativeAuthor | 이준창 | - |
dc.contributor.AlternativeAuthor | 유주석 | - |
dc.identifier.doi | 10.1186/s12984-021-00884-6 | - |
dc.citation.journaltitle | Journal of NeuroEngineering and Rehabilitation | ko_KR |
dc.language.rfc3066 | en | - |
dc.rights.holder | The Author(s) | - |
dc.date.updated | 2021-06-06T03:13:46Z | - |
dc.citation.number | 1 | ko_KR |
dc.citation.startpage | 90 | ko_KR |
dc.citation.volume | 18 | ko_KR |
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