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뇌경색환자의 연하곤란에 대한 전기자극 치료의 효과

The Effect of Electrical Stimulation for Dysphagia Caused by Cerebral Infarction

  • 권혜민 (효인병원 물리치료실) ;
  • 이정우 (광주여자대학교 물리치료학과) ;
  • 윤세원 (광주여자대학교 물리치료학과)
  • Kwon, Hye-Min (Department of Physical Therapy, Hyoin Hospital) ;
  • Lee, Jeong-Woo (Department of Physical Therapy, Kwangju Women's University) ;
  • Yoon, Se-Won (Department of Physical Therapy, Kwangju Women's University)
  • 투고 : 2009.10.19
  • 심사 : 2009.11.24
  • 발행 : 2009.12.30

초록

Purpose : The purpose of this study was to analysis the effect of electrical stimulation for dysphagia caused by cerebral infarction. Methods : We recruited nineteen adults after cerebral infarction(14 male, 5 female; mean age, 69y) for our study. Electrical stimulation was used for participants with electrical stimulator connected to two pair of electrodes positioned on the neck for one hour a day and 5 times a week for 4 weeks. Maximum tolerated stimulation levels were applied at rest while participants held their mouth closed. Videofluoroscopic recordings, physical examination of swallowing, and swallow function score were used to evaluate swallowing state of participants. All evaluate items were evaluated before and after treatment. Results : There was no significance difference of swallowing stage. The swallow function score significantly increased from 1.8 to 5.3(p<0.001). Also, cough reflex(p<0.001), laryngeal excursion(p<0.01) were significantly reduced compared to before electrical stimulation. Conclusion : Therefore, electrical stimulation for dysphasia is proved effective as it activates the function of swallowing muscle.

키워드

참고문헌

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피인용 문헌

  1. The Effect of SSP Electrical Stimulation Applied to Acupoints Impact on the Swallowing Function of Stroke Patients vol.11, pp.1, 2013, https://doi.org/10.5627/KACE.2013.6.1.045