Volume 22 Issue 4
Apr.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(4): 669-673
LUO Yali, CHEN Jinsong, CHEN Shasha, SU Mouxiao, BAI Jie, LIU Shuang. A comparative study of different electromagnetic stimulation schemes in the intervention of post stroke pseudobulbar paralysis swallowing disorders[J]. Chinese Journal of General Practice, 2024, 22(4): 669-673. doi: 10.16766/j.cnki.issn.1674-4152.003476
Citation: LUO Yali, CHEN Jinsong, CHEN Shasha, SU Mouxiao, BAI Jie, LIU Shuang. A comparative study of different electromagnetic stimulation schemes in the intervention of post stroke pseudobulbar paralysis swallowing disorders[J]. Chinese Journal of General Practice, 2024, 22(4): 669-673. doi: 10.16766/j.cnki.issn.1674-4152.003476
shu

A comparative study of different electromagnetic stimulation schemes in the intervention of post stroke pseudobulbar paralysis swallowing disorders

doi: 10.16766/j.cnki.issn.1674-4152.003476

  • Rehabilitation Medicine Department, Mianyang Central Hospital, Mianyang, Sichuan 621000, China

Funds:

 KFYXSZDSYS-06

  • Received Date: 2023-10-28
    Available Online: 2024-05-29
    Abstract
  •   Objective  To compare the efficacy of different combinations of electromagnetic stimulation schemes in the treatment of pseudobulbar palsy, and provide reference for the optimization of treatment plans.  Methods  A total of 120 patients with pseudobulbar palsy after stroke were selected at Mianyang Central Hospital from January 2022 to March 2023. They were randomly divided into four groups: a control group, a group receiving transcranial direct current stimulation (tDCS)+neuromuscular electrical stimulation (NMES), a group receiving repetitive transcranial magnetic stimulation (rTMS)+NMES, and a group receiving tDCS+rTMS. Each group consisted of 30 cases. The control group received routine treatment, while the other three groups received different combinations of electromagnetic stimulation. The evaluation included the swallowing efficacy score of Ichiro Fujishima, the standardized swallowing assessment (SSA), the swallowing-quality of life (SWAL-QOL), PAS grading under fiberoptic endoscopic evaluation of swallowing (FEES), hyoid laryngeal complex motility, and average surface electromyography (AEMG).  Results  After treatment, the rTMS+NMES group exhibited significantly higher Ichiro Fujishima ' s swallowing efficacy scores (5.04±0.79) compared to the control group (3.51±0.64), tDCS+NMES group (4.19±0.79), and tDCS+rTMS group (3.96±0.73). The rTMS+NMES group also demonstrated a significantly lower SSA than the other three groups (P < 0.05). In terms of SWAL-QOL, the rTMS+NMES group only showed improvement compared to the control group, with no difference when compared to the other two groups. However, in PAS assessment, the rTMS+NMES group was superior to the other three groups (P < 0.05). Regarding mobility of the bone throat complex, the rTMS+NMES group displayed a greater distance of upward and forward movement of the hyoid bone compared to all other groups (P < 0.05). Additionally, rTMS+NMES group revealed higher sEMG than both control and tDCS+NMES groups (P < 0.05).  Conclusion  The combination of rTMS+NMES has the best overall effect in the treatment of pseudobulbar palsy.

     

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