Woo Jin Song , Ji Hyuk Park , Joo Hyun Lee , Min Young Kim
{"title":"神经肌肉电刺激对脑瘫儿童吞咽功能的影响:一项随机对照试验","authors":"Woo Jin Song , Ji Hyuk Park , Joo Hyun Lee , Min Young Kim","doi":"10.1016/j.hkjot.2015.05.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective/Background</h3><p>Oral-motor and sensory dysfunctions are primary reasons for difficulties with swallowing in children with cerebral palsy (CP). Neuromuscular electrical stimulation (NMES) has been shown to provide positive effects on the swallowing function in adult populations with various neurological disorders. However, there is a lack of studies regarding the effects of NMES in children with dysphagia. The aim of the present study was to investigate the effects of NMES and oral sensorimotor treatment (OST) by occupational therapists in children with CP and dysphagia.</p></div><div><h3>Methods</h3><p>The present study was a two-group experimental design. Participants were randomly assigned to either the experimental group (<em>n</em> = 10) or the control group (<em>n</em> = 10). The NMES group received both NMES and OST, with NMES on the pharyngeal level for 20 minutes after OST, while the control group received OST and sham–NMES only. The treatment sessions occurred twice a week for 8 weeks.</p></div><div><h3>Results</h3><p>The experimental group demonstrated a significant improvement in: lip closure while swallowing, ability to swallow food without excess loss, ability to sip liquid, ability to swallow liquid without excess loss, and ability to swallow without cough (<em>p</em> < .05).</p></div><div><h3>Conclusion</h3><p>This study demonstrated that OST and NMES facilitated swallowing functions than OST and sham–NMES in children with CP and dysphagia. Future studies need to utilise video fluoroscopy swallowing study for outcome measurements in a large participant group.</p></div>","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkjot.2015.05.001","citationCount":"13","resultStr":"{\"title\":\"Effects of Neuromuscular Electrical Stimulation on Swallowing Functions in Children with Cerebral Palsy: A Pilot Randomised Controlled Trial\",\"authors\":\"Woo Jin Song , Ji Hyuk Park , Joo Hyun Lee , Min Young Kim\",\"doi\":\"10.1016/j.hkjot.2015.05.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective/Background</h3><p>Oral-motor and sensory dysfunctions are primary reasons for difficulties with swallowing in children with cerebral palsy (CP). Neuromuscular electrical stimulation (NMES) has been shown to provide positive effects on the swallowing function in adult populations with various neurological disorders. However, there is a lack of studies regarding the effects of NMES in children with dysphagia. The aim of the present study was to investigate the effects of NMES and oral sensorimotor treatment (OST) by occupational therapists in children with CP and dysphagia.</p></div><div><h3>Methods</h3><p>The present study was a two-group experimental design. Participants were randomly assigned to either the experimental group (<em>n</em> = 10) or the control group (<em>n</em> = 10). The NMES group received both NMES and OST, with NMES on the pharyngeal level for 20 minutes after OST, while the control group received OST and sham–NMES only. The treatment sessions occurred twice a week for 8 weeks.</p></div><div><h3>Results</h3><p>The experimental group demonstrated a significant improvement in: lip closure while swallowing, ability to swallow food without excess loss, ability to sip liquid, ability to swallow liquid without excess loss, and ability to swallow without cough (<em>p</em> < .05).</p></div><div><h3>Conclusion</h3><p>This study demonstrated that OST and NMES facilitated swallowing functions than OST and sham–NMES in children with CP and dysphagia. Future studies need to utilise video fluoroscopy swallowing study for outcome measurements in a large participant group.</p></div>\",\"PeriodicalId\":55049,\"journal\":{\"name\":\"Hong Kong Journal of Occupational Therapy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2015-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.hkjot.2015.05.001\",\"citationCount\":\"13\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hong Kong Journal of Occupational Therapy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1569186115000212\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hong Kong Journal of Occupational Therapy","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1569186115000212","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"REHABILITATION","Score":null,"Total":0}
Effects of Neuromuscular Electrical Stimulation on Swallowing Functions in Children with Cerebral Palsy: A Pilot Randomised Controlled Trial
Objective/Background
Oral-motor and sensory dysfunctions are primary reasons for difficulties with swallowing in children with cerebral palsy (CP). Neuromuscular electrical stimulation (NMES) has been shown to provide positive effects on the swallowing function in adult populations with various neurological disorders. However, there is a lack of studies regarding the effects of NMES in children with dysphagia. The aim of the present study was to investigate the effects of NMES and oral sensorimotor treatment (OST) by occupational therapists in children with CP and dysphagia.
Methods
The present study was a two-group experimental design. Participants were randomly assigned to either the experimental group (n = 10) or the control group (n = 10). The NMES group received both NMES and OST, with NMES on the pharyngeal level for 20 minutes after OST, while the control group received OST and sham–NMES only. The treatment sessions occurred twice a week for 8 weeks.
Results
The experimental group demonstrated a significant improvement in: lip closure while swallowing, ability to swallow food without excess loss, ability to sip liquid, ability to swallow liquid without excess loss, and ability to swallow without cough (p < .05).
Conclusion
This study demonstrated that OST and NMES facilitated swallowing functions than OST and sham–NMES in children with CP and dysphagia. Future studies need to utilise video fluoroscopy swallowing study for outcome measurements in a large participant group.
期刊介绍：
The Hong Kong Journal of Occupational Therapy is the official peer-reviewed open access publication of the Hong Kong Occupational Therapy Association. The Journal aims to promote the development of theory and practice in occupational therapy (OT), and facilitate documentation and communication among educators, researchers and practitioners. It also works to advance availability, use, support and excellence of OT and maintain professional standards to promote better understanding of OT.
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