Volume 20 Issue 12
Dec.  2022
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XU Jin-bo, HAN Hui, TONG Guang-lei. Effect of scalp acupuncture on swallowing function in children with pharyngeal dysphagia of cerebral palsy[J]. Chinese Journal of General Practice, 2022, 20(12): 2119-2122. doi: 10.16766/j.cnki.issn.1674-4152.002783
Citation: XU Jin-bo, HAN Hui, TONG Guang-lei. Effect of scalp acupuncture on swallowing function in children with pharyngeal dysphagia of cerebral palsy[J]. Chinese Journal of General Practice, 2022, 20(12): 2119-2122. doi: 10.16766/j.cnki.issn.1674-4152.002783
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Effect of scalp acupuncture on swallowing function in children with pharyngeal dysphagia of cerebral palsy

doi: 10.16766/j.cnki.issn.1674-4152.002783
  • 1.

    Department of Rehabilitation, Anhui Hospital Affiliated to the Pediatric Hospital of Fudan University, Hefei, Anhui 230051, China

Funds:

 8167141718

 1804h08020254

 2020xkj076

  • Received Date: 2022-08-05
    Available Online: 2023-02-07
    Abstract
  •   Objective  To observe the therapeutic effect of scalp acupuncture for pharyngeal dysphagia of cerebral palsy on the basis of neuromuscular electrical stimulation (NMES) and swallowing rehabilitation training.  Methods  A total of 40 patients with pharyngeal dysphagia who were admitted to Anhui Hospital Affiliated to the Pediatric Hospital of Fudan University from June 2020 to June 2022 were selected and randomized into a scalp acupuncture group and a rehabilitation group, 20 cases in each group. Routine rehabilitation training was given in both groups. NMES and swallowing rehabilitation training were adopted in the rehabilitation group. On the basis of the treatment in the rehabilitation group, scalp acupuncture was given in the scalp acupuncture group. Scalp acupuncture was applied at lower 2/5 of anterior and posterior oblique lines of parietal and temporal. The treatment was given once a day, 6 days a week for 4 weeks. Before and after treatment, the videofluoroscopic dysphagia scale (VDS) score, Kubota water swallowing test grade, eating and drinking ability classification system (EDACS) grade, and dysphagia disorder survey (DDS) score were observed in both groups.  Results  After treatment, the VDS score and the DDS score were decreased compared before treatment (all P < 0.05), and the Kubota water swallowing test grade and EDACS grade were improved compared before treatment (all P < 0.05) in both groups. The VDS score and DDS score of the scalp acupuncture group were lower than those of the rehabilitation group [(29.20±1.99) points vs. (31.30±3.92) points, (10.55±1.63) points vs. (11.80±1.58) points, all P < 0.05]. The improvement degree of Kubota water swallowing test grade and EDACS grade in the scalp acupuncture group were better than those in the rehabilitation group (all P < 0.05).  Conclusion  Based on NMES and swallowing rehabilitation training, scalp acupuncture can enhance the therapeutic effect on pharyngeal dysphagia of cerebral palsy, and improve the patients' swallowing function and quality of life.

     

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    • References(29)
  • [1]
    怀宁, 童光磊, 李红, 等. 脑性瘫痪患儿营养状况与吞咽障碍、流涎的临床关系研究[J]. 医学食疗与健康, 2022, 20(11): 24-26, 95.

    HUAI N, TONG G L, LI H, et al. Clinical study on the relationship between nutritional status, swallowing disorders and salivation in children with cerebralpalsy[J]. Medical Diet and Health, 2022, 20(11): 24-26, 95.
    [2]
    LI N, ZHOU P, TANG H M, et al. In-depth analysis reveals complex molecular aetiology in a cohort of idiopathic cerebral palsy[J]. Brain, 2022, 145(1): 119-141.
    [3]
    中华医学会儿科学分会康复学组. 儿童脑性瘫痪运动障碍的康复建议[J]. 中华儿科杂志, 2020, 58(2): 91-95.

    The Subspecialty Group of Rehabilitation, The Society of Pediatrics, Chinese Medical Association. Rehabilitation strategy and recommendation for motor dysfunction in children with cerebral palsy[J]. Chinese Journal of Pediatrics, 2020, 58(2): 91-95.
    [4]
    SPEYER R, CORDIER R, KIM J H, et al. Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: A systematic review and meta-analyses[J]. Dev Med Child Neurol, 2019, 61(11): 1249-1258.
    [5]
    KATSENI V, VARGIAMI E, KARAGIOZOGLOU-LAMPOUDI T, et al. Phenotype assessment in neurologically impaired paediatric patients: Impact of a nutrition intervention protocol[J]. Clin Nutr, 2021, 40(12): 5734-5741.
    [6]
    BOEL L, PERNET K, TOUSSAINT M, et al. Respiratory morbidity in children with cerebral palsy: An overview[J]. Dev Med Child Neurol, 2019, 61(6): 646-653.
    [7]
    袁健辉, 黄金秀, 王宇, 等. 头针联合神经肌肉电刺激对脑卒中后恢复期咽期吞咽障碍的临床观察[J]. 全科医学临床与教育, 2022, 20(2): 176-178.

    YUAN J H, HUANG J H, WANG Y, et al. Clinical observation of scalp acupuncture combined with neuromuscular elctrical stimulation in the treatment of pharyngealdysphagia during the recovery phase of stroke[J]. Clinical Education of General Practice, 2022, 20(2): 176-178.
    [8]
    黄亚茹. 神经肌肉电刺激合吞咽肌群训练治疗脑性瘫痪患儿吞咽障碍[J]. 实用中西医结合临床, 2021, 21(18): 52-53, 95.

    HUANG Y R. Neuromuscular electrical stimulation combined with swallowing muscle group training for the treatment of dysphagia in children with cerebral palsy[J]. Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine, 2021, 21(18): 52-53, 95.
    [9]
    中国康复医学会儿童康复专业委员会, 中国残疾人康复协会小儿脑性瘫痪康复专业委员会, 中国医师协会康复医师分会儿童康复专业委员会, 等. 中国脑性瘫痪康复指南(2022)第四章: 康复治疗(上)[J]. 中华实用儿科临床杂志, 2022, 37(16): 1201-1299.

    Chinese Association of Rehabilitation Medicine Pediatric Rehabilitation Committee, Chinese Association of Rehabilitation of Disabled Persons Rehabilitation Committee for Cerebral Palsy, Chinese Medical Doctor Association Pediatric Rehabilitation Committee. Chinese rehabilitation guidelines for cerebral palsy (2022) part 4: rehabilitation treatment(Ⅰ)[J]. Chinese Journal of Applied Clinical Pediatrics, 2022, 37(16): 1201-1299.
    [10]
    中国吞咽障碍康复评估与治疗专家共识组. 中国吞咽障碍评估与治疗专家共识(2017年版)第二部分治疗与康复管理篇[J]. 中华物理医学与康复杂志, 2018, 40(1): 1-10.

    Expert consensus on rehabilitation assessment and treatment of swallowing disorders in China (2017 Edition) Part Ⅱ Treatment and rehabilitation management[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2018, 40(1): 1-10.
    [11]
    程义勇. 《中国居民膳食营养素参考摄入量》的历史与发展[J]. 营养学报, 2021, 43(2): 105-110.

    CHENG Y Y. Chinese dietary reference intakes: a historical overvie[J]. Acta Nutrimenta Sinica, 2021, 43(2): 105-110.
    [12]
    东贵荣, 马铁明. 刺法灸法学[M]. 北京: 中国中医药出版社, 2012: 115-116.

    DONG G R, MA T M. Acupuncture and moxibustion law[M]. Beijing: China Traditional Chinese Medicine Press, 2012: 115-116.
    [13]
    肖灵君, 张路路, 廖美新, 等. 中文版吞咽障碍造影评分量表的信度和效度研究[J]. 中国康复医学杂志, 2020, 35(3): 272-277.

    XIAO L J, ZHANG L L, LIAO M X, et al. Revising and analyzing the reliability and validity of Chinese version of videofluoroscopic dysphagia scale[J]. Chinese Journal of Rehabilitation Medicine, 2020, 35(3): 272-277.
    [14]
    廖燕, 彭玉琴, 何英, 等. 洼田饮水试验在改良电休克治疗术后患者进食中的应用效果[J]. 中国当代医药, 2021, 28(18): 232-234, 238.

    LIAO Y, PENG Y Q, HE Y, et al. Application of Watian drinking water test in the eating of patients after modified electroshock therapy[J]. China Modern Medicine, 2021, 28(18): 232-234, 238.
    [15]
    陈婧, 童光磊. 脑瘫儿童进食功能分级系统及营养不良分析[J]. 中国儿童保健杂志, 2022, 30(5): 544-547, 557.

    CHEN J, TONG G L. Eating and drinking ability classification system and malnutrition analysis of children with cerebral palsy[J]. Chinese Journal of Child Health Care, 2022, 30(5): 544-547, 557.
    [16]
    BARTON C, BICKELL M, FUCILE S. Pediatric oral motor feeding assessments: A systematic review[J]. Phys Occup Ther Pediatr, 2018, 38(2): 190-209.
    [17]
    中华医学会儿科学分会康复学组. 儿童脑性瘫痪吞咽障碍的康复建议[J]. 中华儿科杂志, 2022, 60(3): 192-196.

    The Subspecialty Group of Rehabilitation, The Society of Pediatrics, Chinese Medical Association. Rehabilitation strategy and recommendation for dysphagia in children with cerebral palsy[J]. Chinese Journal of Pediatrics, 2022, 60(3): 192-196.
    [18]
    王桂华. 不同强度神经肌肉电刺激对脑瘫患儿吞咽障碍及精神状况的影响[J]. 国际精神病学杂志, 2021, 48(3): 517-520.

    WANG G H. Effects of different intensity of neuromuscular electrical stimulation on dysphagia and mental state in children with cerebral palsy[J]. Journal of International Psychiatry, 2021, 48(3): 517-520.
    [19]
    MA S, CHOI J. Effect of electrical stimulation on aspiration in children with cerebral palsy and dysphagia[J]. J Phys Ther Sci, 2019, 31(1): 93-94.
    [20]
    UMAY E, GURCAY E, OZTURK E A, et al. Is sensory-level electrical stimulation effective in cerebral palsy children with dysphagia? A randomized controlled clinical trial[J]. Acta Neurol Belg, 2020, 120(5): 1097-1105.
    [21]
    余静, 朱颖, 毛君慧, 等. 头项针辅助治疗脑卒中恢复期咽期吞咽障碍: 随机对照试验[J]. 中国针灸, 2022, 42(5): 481-485, 497.

    YU J, ZHU Y, MAO J H, et al. Scalp-nape acupuncture as adjuvant therapy for pharyngeal dysphagia of stroke at recovery stage: arandomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2022, 42(5): 481-485, 497.
    [22]
    马剑, 王园媛, 阿依祖合热·努尔艾麦提, 等. 神经肌肉电刺激对脑卒中吞咽障碍疗效分析[J]. 中国卫生标准管理, 2022, 13(10): 99-102.

    MA J, WANG Y Y, AYIZUHERE, N E A M T, et al. Effect of neuromuscular electrical stimulation on dysphasia after stroke[J]. China Health Standard Management, 2022, 13(10): 99-102.
    [23]
    闫江涛, 陆丽娜, 成秋, 等. 功能训练联合针刺对脑瘫患儿吞咽功能障碍的疗效观察[J]. 中国妇幼健康研究, 2021, 32(7): 1059-1062.

    YAN J T, LU L N, CHEN Q, et al. Observation of the effect of functionaltraining combined with acupuncture on the swallowing dysfunction in children with cerebral palsy[J]. Chinese Journal of Woman and Child Health Research, 2021, 32(7): 1059-1062.
    [24]
    蔡莉君, 黄琳, 何叶萍, 等. 针刺联合按摩对脑瘫流涎患者粗大运动、吞咽功能及口运动评分的影响[J]. 上海针灸杂志, 2020, 39(1): 57-60.

    CAI L J, HUANG L, HE Y P, et al. Effect of acupuncture plus massage on gross motor function, swallowing function and the oral motor score in cerebral palsy patients with salivation[J]. Shanghai Journal of Acupuncture and Moxibustion, 2020, 39(1): 57-60.
    [25]
    徐凤凯, 陈晓. 《黄帝内经》喑痱证治探析[J]. 中华中医药杂志, 2022, 37(4): 1988-1990.

    XU F K, CHEN X. Analysis of the patterns and treatment of Yinfei in Huangdi Neijing[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2022, 37(4): 1988-1990.
    [26]
    王露凝, 陈仁寿. "喑痱"病证考略[J]. 中华中医药杂志, 2022, 37(1): 322-324.

    WANG L N, CHEN R S. Textual research on 'Yinfei' disease pattern[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2022, 37(1): 322-324.
    [27]
    李红睿, 徐磊, 范连彬, 等. 醒脑开窍针法联合神经肌肉电刺激治疗脑卒中后吞咽障碍的疗效观察[J]. 中华全科医学, 2020, 18(9): 1563-1565. doi: 10.16766/j.cnki.issn.1674-4152.001560

    LI H R, XU L, FAN L B, et al. Therapeutic effect observation of Xingnao Kaiqiao acupuncture combined with neuromuscular electrical stimulation on dysphagia after stroke[J]. Chinese Journal of General Practice, 2020, 18(9): 1563-1565. doi: 10.16766/j.cnki.issn.1674-4152.001560
    [28]
    包烨华, 陈飞宇, 刘小平, 等. 头针久留结合Brunnstrom不同分期电针不同穴位对卒中后下肢运动及平衡障碍的影响[J]. 中华全科医学, 2019, 17(2): 280-283. doi: 10.16766/j.cnki.issn.1674-4152.000661

    BAO Y H, CHEN F Y, LIU X P, et al. The influence of long-term scalp acupuncture combined with different acpoints with electroacupuncture in different brunnstromon stage on the lower extremity motor function and balance function after stroke[J]. Chinese Journal of General Practice, 2019, 17(2): 280-283. doi: 10.16766/j.cnki.issn.1674-4152.000661
    [29]
    金海鹏, 李相良, 叶清景, 等. 双侧头针电刺激对皮质型卒中后吞咽障碍患者吞咽造影时间学参数和皮质兴奋性的影响[J]. 针刺研究, 2020, 45(6): 473-479.

    JIN H P, LI X L, YE Q J, et al. Effect of electrical stimulation with bilateral scalp acupuncture on time parameters in video fluoroscopic swallowing study and cortical excitability in patients with dysphagia after cortical strok[J]. Acupuncture Research, 2020, 45(6): 473-479.
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