Swallowing Training Combined with Game-Based Biofeedback in Post-Stroke Dysphagia.

Related Articles

Swallowing Training Combined with Game-Based Biofeedback in Post-Stroke Dysphagia.

PM R. 2016 Jan 11;

Authors: Li CM, Wang TG, Lee HY, Wang HP, Hsieh SH, Chou M, Chen JJ

Abstract
BACKGROUND: For patients with dysphagia due to stroke, in addition to compensatory strategies, exercises are utilized to help improve motor function. Biofeedback is utilized in neuromuscular training, and is promising for swallowing training.
OBJECTIVE: To evaluate the functional value of game-based biofeedback in swallowing therapy for patients with post-stroke dysphagia.
DESIGN: A case control study SETTING: Academic tertiary hospital PARTICIPANTS: Subjects with post-stroke dysphagia (N=20) were individually matched to two separate groups, game-based biofeedback (N=10) or control (N=10), for age, sex, duration of dysphagia and dysphagia grades.
INTERVENTIONS: Each participant underwent 1-hour sessions three times a week for a total of 16 treatment sessions. Each session included a 30-minute session of traditional swallow treatment and a 30-minute session of laryngeal elevation exercises. In the experimental group, laryngeal elevation exercises were combined with additional game-based biofeedback.
MAIN OUTCOME MEASURES: Outcomes assessed before and after interventions included hyoid bone displacement, Functional Oral Intake Scale (FOIS) scores, and nasogastric (NG) tube removal rate.
RESULTS: Intergroup analyses showed larger differences in hyoid bone displacement and FOIS scores (before and after treatment) in the experimental group than in the control group, with statistical significance (p=.007 and p=.014, respectively). Intergroup analyses showed that the hyoid bone displacement change and FOIS scores before and after treatment, showed statistically significant improvement only in the experimental group (p=.002 and .004, respectively). Eight (80%) of 10 patients in the experimental group and 2 (20%) of 10 control patients discontinued nasogastric tube insertion after therapy. Participation in the experimental group was associated with an increased probability of tube removal (OR=6.00; 95% CI, 1.08-33.27, p=.009).
CONCLUSIONS: Laryngeal elevation training combined with game-based biofeedback augments the change in hyoid bone displacement, FOIS scores, and increases NG tube removal rate in patients with post-stroke dysphagia.

PMID: 26791426 [PubMed - as supplied by publisher]

from #ENT-PubMed via ola Kala on Inoreader http://ift.tt/1ONcnq9
via IFTTT