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Neuromuscular Electrical Stimulation (NMES) in Stroke Patients with Oral and Pharyngeal Dysfunction.

Bülow, Margareta LU ; Speyer, Reneé; Baijens, Laura; Woisard, Virginie and Ekberg, Olle LU (2008) In Dysphagia 23. p.302-309
Abstract
Neuromuscular electrical stimulation (NMES) technique is a dual-channel electrotherapy system designed specifically for the treatment of pharyngeal dysfunction. The purpose of this study was to evaluate and compare the outcome of NMES versus traditional swallowing therapy (TT) in stroke patients. Three European swallowing centers participated in this randomized trial. Twenty-five patients (16 men and 9 women) were included. Twelve patients were randomized for NMES and 13 for TT. Mean age was 70 years for the NMES group and 71 years for the TT group. Inclusion criteria were (1) patients 50-80 years old with cerebrovascular disease (stroke) for more than 3 months before the study, (2) only patients with hemispheric stroke, (3) no brainstem... (More)
Neuromuscular electrical stimulation (NMES) technique is a dual-channel electrotherapy system designed specifically for the treatment of pharyngeal dysfunction. The purpose of this study was to evaluate and compare the outcome of NMES versus traditional swallowing therapy (TT) in stroke patients. Three European swallowing centers participated in this randomized trial. Twenty-five patients (16 men and 9 women) were included. Twelve patients were randomized for NMES and 13 for TT. Mean age was 70 years for the NMES group and 71 years for the TT group. Inclusion criteria were (1) patients 50-80 years old with cerebrovascular disease (stroke) for more than 3 months before the study, (2) only patients with hemispheric stroke, (3) no brainstem involvement, (4) ability to swallow, and (5) ability to communicate. Pre- and post-trial measurements were videoradiographic swallowing evaluation, nutritional status, oral motor function test, and a visual analog scale (VAS) for self-evaluation of complaints. All subjects received 15 therapy sessions. Statistically significant positive therapy effects for both NMES and TT combined were found, but there was no statistically significant difference in therapy effect between the groups. The correlations between measurements were low. The patient's subjective experience of improvement had low correlation with the outcome from the objective evaluation. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Dysphagia
volume
23
pages
302 - 309
publisher
Springer
external identifiers
  • wos:000258673300013
  • pmid:18437464
  • scopus:50849103649
ISSN
1432-0460
DOI
10.1007/s00455-007-9145-9
language
English
LU publication?
yes
id
79aa5a00-96fa-47be-84e4-b06a88df3602 (old id 1147024)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18437464?dopt=Abstract
date added to LUP
2008-05-07 13:14:20
date last changed
2017-09-24 04:37:56
@article{79aa5a00-96fa-47be-84e4-b06a88df3602,
  abstract     = {Neuromuscular electrical stimulation (NMES) technique is a dual-channel electrotherapy system designed specifically for the treatment of pharyngeal dysfunction. The purpose of this study was to evaluate and compare the outcome of NMES versus traditional swallowing therapy (TT) in stroke patients. Three European swallowing centers participated in this randomized trial. Twenty-five patients (16 men and 9 women) were included. Twelve patients were randomized for NMES and 13 for TT. Mean age was 70 years for the NMES group and 71 years for the TT group. Inclusion criteria were (1) patients 50-80 years old with cerebrovascular disease (stroke) for more than 3 months before the study, (2) only patients with hemispheric stroke, (3) no brainstem involvement, (4) ability to swallow, and (5) ability to communicate. Pre- and post-trial measurements were videoradiographic swallowing evaluation, nutritional status, oral motor function test, and a visual analog scale (VAS) for self-evaluation of complaints. All subjects received 15 therapy sessions. Statistically significant positive therapy effects for both NMES and TT combined were found, but there was no statistically significant difference in therapy effect between the groups. The correlations between measurements were low. The patient's subjective experience of improvement had low correlation with the outcome from the objective evaluation.},
  author       = {Bülow, Margareta and Speyer, Reneé and Baijens, Laura and Woisard, Virginie and Ekberg, Olle},
  issn         = {1432-0460},
  language     = {eng},
  pages        = {302--309},
  publisher    = {Springer},
  series       = {Dysphagia},
  title        = {Neuromuscular Electrical Stimulation (NMES) in Stroke Patients with Oral and Pharyngeal Dysfunction.},
  url          = {http://dx.doi.org/10.1007/s00455-007-9145-9},
  volume       = {23},
  year         = {2008},
}