Respiratory muscle strength training and neuromuscular electrical stimulation in subacute dysphagic stroke patients: a randomized controlled trial
Author
Guillén-Solà, Anna
Messagi Sartor, Monique
Bofill Soler, Neus
Duarte, Esther
Camelia Barrera, Mª
Marco, Ester
Publication date
2016ISSN
0269-2155
Abstract
Objective: To evaluate the effectiveness of inspiratory/expiratory muscle training (IEMT) and neuromuscular electrical stimulation (NMES) to improve dysphagia in stroke. Design: Prospective, single-blind, randomized-controlled trial. Setting: Tertiary public hospital. Subjects: Sixty-two patients with dysphagia were randomly assigned to standard swallow therapy (SST) (Group I, controls, n=21), SST+ IEMT (Group II, n=21) or SST+ sham IEMT+ NMES (Group III, n=20). Interventions: All patients followed a 3-week standard multidisciplinary rehabilitation program of SST and speech therapy. The SST+IEMT group’s muscle training consisted of 5 sets/10 repetitions, twice-daily, 5 days/week. Group III’s sham IEMT required no effort; NMES consisted of 40-minute sessions, 5 days/week, at 80Hz. Main outcomes: Dysphagia severity, assessed by Penetration-Aspiration Scale, and respiratory muscle strength (maximal inspiratory and expiratory pressures) at the end of intervention and 3-month follow-up. Results: Maximal respiratory pressures were most improved in Group II: treatment effect was 12.9 (95% confidence interval 4.5-21.2) and 19.3 (95% confidence interval 8.5-30.3) for maximal inspiratory and expiratory pressures, respectively. Swallowing security signs were improved in Groups II and III at the end of intervention. No differences in Penetration-Aspiration Scale or respiratory complications were detected between the 3 groups at 3-month follow-up. Conclusion: Adding IEMT to SST was an effective, feasible, and safe approach that improved respiratory muscle strength. Both IEMT and NMES were associated with improvement in pharyngeal swallowing security signs at the end of the intervention, but the effect did not persist at 3-month follow-up and no differences in respiratory complications were detected between treatment groups and controls.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Estimulació elèctrica neuromuscular
Entrenament dels músculs respiratoris
Disfàgia orofaríngia
Ictus
Rehabilitació
Estimulación eléctrica neuromuscular
Entrenamiento de los músculos respiratorios
Disfagia orofaríngea
Accidente cerebrovascular
Rehabilitación
Neuromuscular electrical stimulation
Respiratory muscle training
Oropharyngeal dysphagia
Stroke
Rehabilitation
Pages
10
Publisher
SAGE Publications
Collection
31;6
Is part of
Clinical Rehabilitation
Citation
Guillén-Solà, Anna; Messagi Sartor, Monique; Bofill Soler, Neus [et al.]. Respiratory muscle strength training and neuromuscular electrical stimulation in subacute dysphagic stroke patients: a randomized controlled trial. Clinical Rehabilitation, 2017, 31(6), p. 761-771. Disponible en: <https://journals.sagepub.com/doi/10.1177/0269215516652446>. Fecha de acceso: 26 ene. 2024. DOI: 10.1177/0269215516652446
This item appears in the following Collection(s)
- Ciències de la Salut [725]
Rights
© The Author(s) 2016, Article Reuse Guidelines