Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2024; 12(21): 4618-4625
Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4618
Application value research of swallowing treatment device combined with swallowing rehabilitation training in the treatment of swallowing disorders after stroke
Huan Xu, Mei Chen, Yu-Li Wu, Ya-Fen Lu, Xin Wang, Wei Jiang, Yuan-Ying Zhang
Huan Xu, Mei Chen, Yu-Li Wu, Ya-Fen Lu, Xin Wang, Wei Jiang, Yuan-Ying Zhang, Department of Brain Disease, Yixing Traditional Chinese Medicine Hospital, Yixing 214200, Jiangsu Province, China
Author contributions: Xu H, Zhang YY were the guarantors of the integrity of the entire study; Chen M performed the study concept and design; Wu YL and Lu YF performed the literature study; Wang X and Wei J conducted the study; Wei J conducted the statistical analysis; Xu H, Zhang YY and Chen M wrote the manuscript. All authors have access to the data and played a role in writing this manuscript.
Institutional review board statement: This retrospective study was approved by the Ethics Committee of Yixing Hospital of Traditional Chinese Medicine.
Informed consent statement: This study is a retrospective study and does not require informed consent from patients.
Conflict-of-interest statement: This research is free from any potential conflict of interest.
Data sharing statement: Data for this study can be obtained from the corresponding authors.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement- checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yuan-Ying Zhang, Supervisor Nurse, Department of Brain Disease, Yixing Traditional Chinese Medicine Hospital, No. 128 Yangquan East Road, Yixing 214200, Jiangsu Province, China. 15061592786@163.com
Received: March 30, 2024
Revised: May 12, 2024
Accepted: June 7, 2024
Published online: July 26, 2024
Processing time: 91 Days and 13.8 Hours
Abstract
BACKGROUND

Stroke is a common disabling disease, whether it is ischemic stroke or hemorrhagic stroke, both can result in neuronal damage, leading to various manifestations of neurological dysfunction.

AIM

To explore of the application value of swallowing treatment device combined with swallowing rehabilitation training in the treatment of swallowing disorders after stroke.

METHODS

This study selected 86 patients with swallowing disorders after stroke admitted to our rehabilitation department from February 2022 to December 2023 as research subjects. They were divided into a control group (n = 43) and an observation group (n = 43) according to the treatment. The control group received swallowing rehabilitation training, while the observation group received swallowing treatment device in addition to the training. Both groups underwent continuous intervention for two courses of treatment.

RESULTS

The total effective rate in the observation group (93.02%) was higher than that in the control group (76.74%) (P = 0.035). After intervention, the oral transit time, swallowing response time, pharyngeal transit time, and laryngeal closure time decreased in both groups compared to before intervention. In the observation group, the oral transit time, swallowing response time, and pharyngeal transit time were shorter than those in the control group after intervention. However, the laryngeal closure time after intervention in the observation group was compared with that in the control group (P = 0.142). After intervention, average amplitude value and duration of the genioglossus muscle group during empty swallowing and swallowing 5 mL of water are reduced compared to before intervention in both groups. After intervention, the scores of the chin-tuck swallowing exercise and the Standardized Swallowing Assessment are both reduced compared to pre-intervention levels in both groups. However, the observation group scores lower than the control group after intervention. Additionally, the Functional Oral Intake Scale scores of both groups are increased after intervention compared to pre-intervention levels, with the observation group scoring higher than the control group after intervention (P < 0.001). The cumulative incidence of complications in the observation group is 9.30%, which is lower than the 27.91% in the control group (P = 0.027).

CONCLUSION

The combination of swallowing therapy equipment with swallowing rehabilitation training can improve the muscle movement level of the genioglossus muscle group, enhance swallowing function, and prevent the occurrence of swallowing-related complications after stroke.

Keywords: Swallowing therapy device, Swallowing rehabilitation training, Stroke, Swallowing disorder, Swallowing function

Core Tip: The purpose of the study was to explore of the application value of swallowing treatment device combined with swallowing rehabilitation training in the treatment of swallowing disorders after stroke. The total effective rate in the observation group (93.02%) was higher than that in the control group (76.74%) (P < 0.05). The combination of swallowing therapy equipment with swallowing rehabilitation training can improve the muscle movement level of the genioglossus muscle group, enhance swallowing function, and prevent the occurrence of swallowing-related complications after stroke.