Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2018, 162(1):40-42 | DOI: 10.5507/bp.2017.043

Electrical stimulation of hyoid muscles in post-stroke dysphagia

Petr Konecnya,b c,d, Milan Elfmarkb
a Department of Rehabilitation NMB Brno and CLR SMN Prostejov, Czech Republic
b Department of Physiotherapy, Faculty of Health Sciences, Palacky University Olomouc, Czech Republic
c Department of Neurology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Czech Republic
d Medical clinic Ordinace FBLR Elpis Olomouc, Czech Republic

Aims: The purpose of this study was to evaluate swallowing changes in post-stroke patients with dysphagia after four weeks of suprahyoid muscles electrical stimulation.

Methods: This was a prospective randomized study of early stage stroke patients with dysphagia. Electrical stimulation of suprahyoid muscles was given to a group of 54 patients (26 men, average age 70 years) for 20 minutes a day, 5 days a week. Standard orofacial rehabilitation without electrical stimulation was carried out on a control group of 54 patients (31 men, average age 69 years). Swallowing was evaluated at the beginning of the study and at the end, by videofluoroscopy - measuring the time for oral and pharyngeal phases.

Results: The difference in duration of oral transit time (OTT) after the therapy between the study group (average: 0.55 ± 0.01) and the control group (average: 0.29 ± 0.03) was statistically significant (P=0.01). Difference in duration of the pharyngeal transit time (PTT) after the therapy between the study group (average: 0.37 ± 0.02) and control group (average: 0.15 ± 0.02) was also statistically significant (P=0.009).

Conclusion: Electrical stimulation of suprahyoid muscles significantly reduced the duration of the oral and pharyngeal phases: in the post-stroke patients with dysphagia used in this study. The result is improved swallowing. This is a recently recommended approach and your study confirms its efficacy.

Keywords: stroke, dysphagia, electrical stimulation, suprahyoid muscles, videofluoroscopy

Received: May 29, 2017; Accepted: October 4, 2017; Prepublished online: November 2, 2017; Published: March 27, 2018  Show citation

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Konecny, P., & Elfmark, M. (2018). Electrical stimulation of hyoid muscles in post-stroke dysphagia. Biomedical papers, 162(1), 40-42. doi: 10.5507/bp.2017.043
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    References

    1. Herzig R, Vlachová I. Cévní onemocnění mozku a míchy. In: Kaňovský P, Herzig R. Speciální neurologie. Olomouc: Univerzita Palackého; 2007. p.7-36.
    2. Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke. Stroke 2005;36:2756-63. doi: 10.1161/01.STR.0000190056.76543.eb Go to original source... Go to PubMed...
    3. Václavík D, Solná G, Lasotová N, Lebedová Z, Hofmanová J, Baborová E, Komínek P, Novák F, Neubaer K. Péče o pacienty s dysfagií po cévní mozkové příhodě. Cesk Slov Neurol N 2015;78/111(6):721-7. doi: 10.14735/amcsnn2015721 Go to original source...
    4. Tedla M. Poruchy polykání. Halvíčkův Brod: Tobiáš; 2009.
    5. Castillo Morales R. Die Orofaziale Regulationstherapie. Munchen, Berlin, Heidelberg: Pflaum; 1998.
    6. Gangale DC. Rehabilitace orofaciální oblasti. Praha: Grada Publishing; 2004.
    7. Konecny P, Elfmark M, Bastlova P, Alacova PG. New orofacial physiotherapy of dysphagia after stroke. Int J Phys Med Rehabil 2017;5:406. doi: 10.4172/2329-9096.1000406 Go to original source...
    8. Konecny P, Elfmark M, Urbanek K. Facial paresis after stroke and its impact on patients´ facial movement and mental status. J Rehabil Med 2011;43(1):73-5. doi: 10.2340/16501977-0645 Go to original source... Go to PubMed...
    9. Freed ML, Freed L, Chatburn RL, Christian M. Eletrical stimulation for swallowing disorders caused by stroke. Respir Care 2001;46(5):466-74.
    10. Beom J, Kim JS, Han RT. Eletrical stimulation of suprahyoid muscules in brain-injured patienst with dysphagia. Ann Rehabil Med 2011;35:322-7. doi: 10.5535/arm.2011.35.3.322 Go to original source... Go to PubMed...
    11. Ludlow CL, Humbert IA, Saxon K, Poletto Ch, Sonies B, Crujido L. Effects of surface electrical stimulation both at rest and during swallowing in chornic pharyngeal dysphagia. Dysphagia 2007;22:1-10. doi: 10.1007/s00455-006-9029-4 Go to original source... Go to PubMed...
    12. Humbert IA, Michou E, MacRae PR, Crujido L. Electrical stimulation and swallowing. How much dowe know? Semin Speech Lang 2012;33(3):203-16. doi: 10.1055/s-0032-1320040 Go to original source... Go to PubMed...
    13. Daniels SK, McAdam CP, Brailey K, Foundas A. Clinical assesment of swallowing and prediction of dysphagia severity. J Speech Language Pathol 1997;6(4):17-24. doi: 10.1044/1058-0360.0604.17 Go to original source...
    14. Konečný P, Elfmark M, Horák S, Kadlčík T, Dobšák P, Mikulík R. Dysphagia after cerebrovascular accident. Rehabil Fyz Lék 2015;22(4):181-4. (in Czech).
    15. Permsirivanich W, Tipchatyotin S, Wongchai M, Leelamanit V, Setthawatcharawanisch S, Sathirapanya P, Phabpahl K, Juntawises U, Boonmeeprakob A. Comparing the effects of rehabilitation swallowing therapy vs. neuromuscular electrical stimulation therapy among stroke patients with persistent pharyngeal dysphagia: a randomized controlled study. J Med Assoc Thai 2009;92(2):259-65. Go to PubMed...
    16. Power ML, Fraser CH, Hobson A, Singh S, Tyrell P, Nicholson DA, Turnbull I, Thompson DG, Hamdy S. Evaluating oral stimulation as a treatment for dysphagia after stroke. Dysphagia 2006;21(1):49-55. doi: 10.1007/s00455-005-9009-0 Go to original source... Go to PubMed...

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