پیوندهای مفید
آمار
| تعداد نشریات | 20 |
| تعداد شماره‌ها | 1,224 |
| تعداد مقالات | 11,158 |
| تعداد مشاهده مقاله | 76,890,230 |
| تعداد دریافت فایل اصل مقاله | 101,090,493 |
The Study of the Effect of Neuromuscular Electrical Stimulation Therapy in Children with Absent Gag Reflex: A Case Study | ||
| Journal of Rehabilitation Sciences & Research | ||
| مقاله 8، دوره 7، شماره 1، خرداد 2020، صفحه 43-46 اصل مقاله (1005.5 K) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.30476/jrsr.2020.83909.1048 | ||
| نویسندگان | ||
| Shiva Ebrahimian Dehaghani1؛ Maryam Ebrahimian* 2؛ Fateme Mohammadianfar3 | ||
| 1Department of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. | ||
| 2Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. | ||
| 3Department of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| چکیده | ||
| Research shows that 1% of children experience swallowing difficulties, though the incidence is higher in some, such as those with cerebral palsy and brain injury. One of the causes of pharyngeal phase dysphagia is the absent gag reflex. The aim of this case study was to investigate the effects of sensory stimulation combined with Neuro Muscular Electrical Stimulation (NMES) on dysphagia and gag reflex. This study was conducted on a 2.5-year-old child with midbrain disorders and absence of oral swallowing and gag reflex. At the beginning of the treatment, sensory-tactile stimulation were provided which induced successful oral swallowing. The treatment was then continued with NMES along with stimulations of the sensory-tactile receptor. Over 26 sessions of NMES, the gag reflex was induced by a 2-second stimulation of the posterior pharyngeal wall, and the time interval between suctions increased to two hours. The present Study showed that NMES activates and strengthens the muscles involved in swallowing. | ||
| کلیدواژه‌ها | ||
| Dysphagia؛ Electrical Stimulation؛ Gag Reflex | ||
| مراجع | ||
|
1. Dodrill P, Gosa MM. Pediatric Dysphagia: Physiology, Assessment, and Management. Ann Nutr Metab. 2015;66 (Suppl 5):24-31. 2. Pownall S, Enderby P, Sproson L. Electrical stimulation for the treatment of dysphagia. Electroceuticals: Springer; 2017; p. 137-156 3. Rosenbek JC, Jones HN. Dysphagia in movement disorders: Plural Publishing; 2008. 4. Leder SB. Gag reflex and dysphagia. Head & neck. 1996;18(2):138-41. 5. Daniels SK. Neurological disorders affecting oral, pharyngeal swallowing. GI Motility online , 2006, doi:10.1038/gimo34 6. Hägg M, Larsson B. Effects of motor and sensory stimulation in stroke patients with long-lasting dysphagia. Dysphagia. 2004;19(4):219-30. 7. Oh DH, Park JS, Kim WJ. Effect of neuromuscular electrical stimulation on lip strength and closure function in patients with dysphagia after stroke. J Phys Ther Sci. 2017;29(11):1974-5. 8. Ludlow CL. Electrical neuromuscular stimulation in dysphagia: current status. Curr Opin Otolaryngol Head Neck Surg. 2010;18(3):159-64. 9. Permsirivanich W, Tipchatyotin S, Wongchai M, Leelamanit V, Setthawatcharawanich S, Sathirapanya P, et al. Comparing the effects of rehabilitation swallowing therapy vs. neuromuscular electrical stimulation therapy among stroke patients with persistent pharyngeal dysphagia: a randomized controlled study. J Med Assoc Thai. 2009;92(2):259-65. 10. Ludlow CL. Electrical neuromuscular stimulation in dysphagia: current status. Curr Opin Otolaryngol Head Neck Surg. 2010;18(3):159-64. 11. Heijnen BJ, Speyer R, Baijens LW, Bogaardt HC. Neuromuscular electrical stimulation versus traditional therapy in patients with Parkinson’s disease and oropharyngeal dysphagia: effects on quality of life. Dysphagi 2012.; 27(3) : 336-45 12. Miller CK, Willging JP. Advances in the evaluation and management of pediatric dysphagia. Curr Opin Otolaryngol Head Neck Surg. 2003;11(6):442-6. 13. Arvedson J. Feeding children with cerebral palsy and swallowing difficulties. Eur J Clin Nutr. 2013;67(S2):S9. 14. Christiaanse ME, Mabe B, Russell G, Simeone TL, Fortunato J, Rubin B. Neuromuscular electrical stimulation is no more effective than usual care for the treatment of primary dysphagia in children. Pediatric pulmonology. 2011;46(6):559-65. 15. Rice KL. Neuromuscular electrical stimulation in the early intervention population: A series of five case studies. Internet J Allied Health Sci Pract. 2012;10(3):9. 16. Song WJ, Park JH, Lee JH, Kim MY. Effects of neuromuscular electrical stimulation on swallowing functions in children with cerebral palsy: a pilot randomised controlled trial. Hong Kong J Occup Ther. 2015;25:1-6. 17. Freed ML FL, Chatburn RL, M C. Electrical stimulation for swallowing disorders caused by stroke. Respir Care. 2001;46:466–74. 18. Robertson V. WA, Low J., Reed A. Electrotherapy Explained (principles and practice). 4th. ed2006. P 126-30. 19. VitalStim Therapy Training Manual – Electrode Placement Abstract © Copyright Yorick Wijting, and Marcy Freed, M.A. ; p 4. 20. In: https://upload.wikimedia.org /Dake . Pharyngitis.jpg ; 2016. 21. Clark HM. Neuromuscular treatments for speech and swallowing: a tutorial. Am J Speech Lang Pathol. 2003;12(4):400-15. 22. Cichero JA, Murdoch BE. Dysphagia: foundation, theory and practice: John Wiley & Sons; 2006, p 375. | ||
|
آمار تعداد مشاهده مقاله: 2,112 تعداد دریافت فایل اصل مقاله: 1,619 |
||