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Clinical Study On The Treatment Of Post-Stroke Dysphagia Using Thumbtack Needle Embedding Combined With Electrical Stimulation And Swallowing Function Training

Posted on:2018-06-04Degree:MasterType:Thesis
Country:ChinaCandidate:N ChenFull Text:PDF
GTID:2544305162485624Subject:Rehabilitation Medicine & Physical Therapy
Abstract/Summary:PDF Full Text Request
Objective This study is designed to observe the clinical efficacy of thumbtack needle embedding combined with electrical stimulation and swallowing function training in the treatment of post-stroke dysphagia through investigating the influence of this therapy on VFSS scores at different stages,Kubota drinking test scores as well as Fujishima’s swallowing efficacy evaluation scores,so as to establishing a more safe and effective therapeutic method.Methods Seventy patients with post-stroke dysphagia eligible for the same criteria were randomly divided into the thumbtack needle and control groups,each of which included 35 cases.The thumbtack needle group was treated using neuromuscular electrical stimulation(NMES)and swallowing function training combined with thumbtack needle embedding.Acupoints for thumbtack needle embedding consisted of Lianquan,Waijinjinyuye,Tiantu and Yifeng;the needles were retained for 24h with tertian acupuncture,and one course lasted for two weeks.For the NMES,electrodes were vertically pasted on both sides of the neck midline with the lowest electrodes located above the thyroid notch,where the current should be subject to patient tolerance;the treatment was performed once a day with each for 30min,and one course lasted for two weeks.Swallowing function training comprised lips-cheeks-tongue movement training,throat elevation training,ice stimulation and ingestion training;the training was carried out once a day and 6 times a week,with one course lasting for two weeks.The control group underwent NMES combined with swallowing function training,which followed the same procedure with the thumbtack needle group.Videofluoroscopic swallowing study(VFSS)was used before the treatment and after 2 weeks of management to score patient swallowing conditions at the oral stage and pharyngeal stage and as well as their abnormal deglutition.Kubota drinking test and Fujishima’s scoring were employed to evaluate the efficacy of two groups.The improvement of dysphagia was assessed based on the results of aforementioned observation indicators.Results 1)All 70 patients with post-stroke dysphagia were included in the result analysis without expulsion.2)After one course of treatment,the VFSS scores at different stages of both group were significantly increased compared with the intra-group baseline before treatment,suggesting statistically significant differences(P<0.05);the difference in the VFSS scores at different stages was also statistically significant between the thumbtack needle group and the control group(P<0.05).3)After one course of treatment,both groups were featured with reduced Kubota drinking test scores and elevated Fujishima’s scores.4)After one course of treatment,the inter-group comparison showed a total effective rate of 97.1%in the thumbtack needle group and 77.1%in the control group,indicating a statistically significant difference(P<0.05).Conclusion Our study demonstrates that the efficacy of thumbtack needle embedding combined with electrical stimulation and swallowing function training is definite in the treatment of post-stroke dysphagia;with significantly improved Kubota drinking test scores,Fujishima’s scores and VFSS scores at different stages,the efficacy of the thumbtack needle group is superior to that in the control group.Treatment of post-stroke dysphagia with thumbtack needle embedding is characterized by simple operation,safety and effectiveness,which exerts a guiding role in the clinical management of dysphagia.
Keywords/Search Tags:Thumbtack needle, needle embedding, Neuromuscular electrical stimulation, Swallowing function training, Post-stroke dysphagia
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