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Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke

OBJECTIVE: To observe the effect of acupoint massage plus Vitalstim electrical stimulation on deglutition function and surface electromyography (SEMG) of deglutition muscle groups. METHODS: A total of 60 patients with deglutition disorder after stroke were selected and divided into an electrical sti...

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Autores principales: Tian, Li, Nie, Shao-tong, Lou, Tian-xiao, Chen, Huan, Yuan, Guang-hui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Singapore 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751743/
http://dx.doi.org/10.1007/s11726-020-1212-x
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author Tian, Li
Nie, Shao-tong
Lou, Tian-xiao
Chen, Huan
Yuan, Guang-hui
author_facet Tian, Li
Nie, Shao-tong
Lou, Tian-xiao
Chen, Huan
Yuan, Guang-hui
author_sort Tian, Li
collection PubMed
description OBJECTIVE: To observe the effect of acupoint massage plus Vitalstim electrical stimulation on deglutition function and surface electromyography (SEMG) of deglutition muscle groups. METHODS: A total of 60 patients with deglutition disorder after stroke were selected and divided into an electrical stimulation group, a massage group and an integrated group according to the random number table method, with 20 cases in each group. Patients in these three groups were given the same routine rehabilitation training for deglutition. In addition, patients in the electrical stimulation group were given extra Vitalstim electrical stimulation, patients in the massage group were given extra acupoint massage on the head, face and neck, and patients in the integrated group were given extra acupoint massage plus Vitalstim electrical stimulation. Fujishima Ichiro food intake level scale (FILS) was scored before and after treatment. The swallowing duration and maximal amplitude of masseter muscle in SEMG were evaluated before and after treatment. RESULTS: After treatment, the FILS score and the maximal amplitude of recruitment potential generated by muscular contraction of masseter muscle group in the three groups were higher than those before treatment (all P<0.05), and the swallowing duration of masseter muscle group was shortened compared with that in the same group before treatment (all P<0.05). After treatment, the FILS score in the integrated group was higher than that in the electrical stimulation group and the massage group (both P<0.05). The swallowing duration of masseter muscle group measured by SEMG was lower than that in the electrical stimulation group and the massage group (both P<0.05), while the maximal amplitude was higher than that of the electrical stimulation group and the massage group (P<0.05). After treatment, there were no significant differences in the FILS score, swallowing duration and maximal amplitude of masseter muscle group between the electrical stimulation group and the massage group (all P>0.05). CONCLUSION: Both acupoint massage and electrical stimulation can improve the deglutition function in patients with deglutition disorder after stroke, and improve the coordination and flexibility of masseter muscle. The integration of the two is more effective.
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spelling pubmed-77517432020-12-22 Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke Tian, Li Nie, Shao-tong Lou, Tian-xiao Chen, Huan Yuan, Guang-hui J. Acupunct. Tuina. Sci. Clinical Study OBJECTIVE: To observe the effect of acupoint massage plus Vitalstim electrical stimulation on deglutition function and surface electromyography (SEMG) of deglutition muscle groups. METHODS: A total of 60 patients with deglutition disorder after stroke were selected and divided into an electrical stimulation group, a massage group and an integrated group according to the random number table method, with 20 cases in each group. Patients in these three groups were given the same routine rehabilitation training for deglutition. In addition, patients in the electrical stimulation group were given extra Vitalstim electrical stimulation, patients in the massage group were given extra acupoint massage on the head, face and neck, and patients in the integrated group were given extra acupoint massage plus Vitalstim electrical stimulation. Fujishima Ichiro food intake level scale (FILS) was scored before and after treatment. The swallowing duration and maximal amplitude of masseter muscle in SEMG were evaluated before and after treatment. RESULTS: After treatment, the FILS score and the maximal amplitude of recruitment potential generated by muscular contraction of masseter muscle group in the three groups were higher than those before treatment (all P<0.05), and the swallowing duration of masseter muscle group was shortened compared with that in the same group before treatment (all P<0.05). After treatment, the FILS score in the integrated group was higher than that in the electrical stimulation group and the massage group (both P<0.05). The swallowing duration of masseter muscle group measured by SEMG was lower than that in the electrical stimulation group and the massage group (both P<0.05), while the maximal amplitude was higher than that of the electrical stimulation group and the massage group (P<0.05). After treatment, there were no significant differences in the FILS score, swallowing duration and maximal amplitude of masseter muscle group between the electrical stimulation group and the massage group (all P>0.05). CONCLUSION: Both acupoint massage and electrical stimulation can improve the deglutition function in patients with deglutition disorder after stroke, and improve the coordination and flexibility of masseter muscle. The integration of the two is more effective. Springer Singapore 2020-12-21 2020 /pmc/articles/PMC7751743/ http://dx.doi.org/10.1007/s11726-020-1212-x Text en © Shanghai Research Institute of Acupuncture and Meridian 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Clinical Study
Tian, Li
Nie, Shao-tong
Lou, Tian-xiao
Chen, Huan
Yuan, Guang-hui
Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke
title Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke
title_full Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke
title_fullStr Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke
title_full_unstemmed Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke
title_short Clinical observation on acupoint massage plus Vitalstim electrical stimulation for deglutition disorder after stroke
title_sort clinical observation on acupoint massage plus vitalstim electrical stimulation for deglutition disorder after stroke
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751743/
http://dx.doi.org/10.1007/s11726-020-1212-x
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