DYSPHAGIA THERAPY Until recently, dysphagia was treated with conventional speech therapy and oral exercises, thermotherapy, patient education, swallowing techniques, and physiological exercises. In many cases, dietary and cooking modifications were recommended to improve swallowing safety. A powerful complement to these conventional methods is NMES (Neuromuscular Electrical Stimulation), which uses electrical pulses to stimulate the swallowing muscles. Numerous studies on NMES show that it is a highly effective complement to traditional methods for treating dysphagia.deglutizione. www.VitalstimNordic.com
CLINICAL STUDIES – NMES
There is a substantial body of research on NMES, demonstrating that NMES combined with conventional therapy yields significantly better outcomes compared to conventional therapy alone (1, 2). This has been shown in conditions such as post-stroke rehabilitation (3), brain injuries (4), and dysphagia following treatment for head and neck cancer (5). Treatment with NMES has been shown to be both safe and effective (6). Below is only a small selection of studies on NMES 1. Kushner, D. S., Peters, K., Eroglu, S. T., Perless-Carroll, M., & Johnson-Greene, D. (2013). Neuromuscular electrical stimulation efficacy in acute stroke feeding tube-dependent dysphagia during inpatient rehabilitation. American journal of physical medicine & rehabilitation, 92(6), 486–495. https://doi. org/10.1097/PHM.0b013e31828762ec 2. Huang, K. L., Liu, T. Y., Huang, Y. C., Leong, C. P., Lin, W. C., & Pong, Y. P. (2014). Functional outcome in acute stroke patients with oropharyngeal Dysphagia after swallowing therapy. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 23(10), 2547–2553. https://doi. org/10.1016/j.jstrokecerebrovasdis.2014.05.031 3. Xia, W., Zheng, C., Lei, Q., Tang, Z., Hua, Q., Zhang, Y., & Zhu, S. (2011). Treatment of post-stroke dysphagia by vitalstim therapy coupled with conventional swallowing training. Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban, 31(1), 73–76. https://doi.org/10.1007/s11596-011-0153-5 4. Terré, R., & Mearin, F. (2015). A randomized controlled study of neuromuscular electrical stimulation in oropharyngeal dysphagia secondary to acquired brain injury. European journal of neurology, 22(4), 687–e44. https://doi.org/10.1111/ene.12631 5. Ryu, J. S., Kang, J. Y., Park, J. Y., Nam, S. Y., Choi, S. H., Roh, J. L., Kim, S. Y., & Choi, K. H. (2009). The effect of electrical stimulation therapy on dysphagia following treatment for head and neck cancer. Oral oncology, 45(8), 665–668. https://doi.org/10.1016/j.oraloncology.2008.10.005 6. Rofes, L., Arreola, V., López, I., Martin, A., Sebastián, M., Ciurana, A., & Clavé, P. (2013). Effect of surface sensory and motor electrical stimulation on chronic poststroke oropharyngeal dysfunction. Neurogastroenterology and motility, 25(11), 888–e701. https://doi.org/10.1111/nmo.12211
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