삼킴장애를 동반한 뇌졸중 환자의 신경근전기자극 병행 혀 정확도 훈련과 혀 압력, 깨물근 활성 및 구강통과시간의 비교 -무작위 대조 연구-

초록

Purpose This study aims to investigate the effects of tongue accuracy training(TAT) combined with neuromuscular electrical stimulation(NMES) on maximum tongue pressure(MTP), masseter activity and oral transit time(OTT) of stroke patients with dysphagia. Methods The study selected 14 patients with dysphagia that met the criteria at the B Hospital and divided them into experimental group and control group. A 30minute intervention was provided three times per week over six weeks. MTP and electromyography(EMG) of masseter were assessed to examine oral muscle activity and OTT was assessed to examine the speed of food movement. Results The study compared the two groups in MTP and there were significant differences in MTP and EMG of masseter between two groups (p<0.05)(p<0.05). There were also significant differences in OTT during the intake of yogurt and rice between two groups (p<0.05). Conclusion TAT with NMES improved MTP, EMG of masseter and OTT during the intake of yogurt and rice compared with the control group. Therefore, it was confirmed that TAT with NMES is an effective intervention for food movement inside the mouth for dysphasia after stroke.

키워드