Effects of rTMS combined with acupuncture on swallowing function and cortical excitability in patients with dysphagia after cerebral infarction(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2022年第5期
- Page:
- 623-626
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Effects of rTMS combined with acupuncture on swallowing function and cortical excitability in patients with dysphagia after cerebral infarction
- Author(s):
- LIU Yuanying; DOU Yanxian; LI Zhexian; WU Demei
- Department of Health Care and Geriatrics, Hebei Petrochina Central Hospital, Langfang 065000, China
- Keywords:
- Keywords: cerebral infarction repetitive transcranial magnetic stimulation acupuncture dysphagia swallowing function cortical excitability
- PACS:
- R49
- DOI:
- DOI:10.3969/j.issn.1005-202X.2022.05.017
- Abstract:
-
Abstract: Objective To explore the effects of repetitive transcranial magnetic stimulation (rTMS) combined with acupuncture for dysphagia after cerebral infarction on swallowing function and cortical excitability. Methods A total of 64 patients with dysphagia after cerebral infarction were enrolled and then randomly divided into control group and treatment group, with 32 cases in each group. Control group was treated with sham rTMS and acupuncture, while treatment group was treated with rTMS and acupuncture. After treatment, the grading of water swallow test, scores of functional oral intake scale (FOIS) and penetration-aspiration scale (PAS), surface electromyography (sEMG) (maximum amplitude and time limit for swallowing), score of National Institutes of Health Stroke Scale (NIHSS) and level of neuron-specific enolase (NSE) were compared between two groups, and moreover, the incidences of adverse reactions during treatment were also analyzed. Results The treatment improved the grading of water swallow test in both groups, and the grading in treatment group was better than that in control group (P<0.05). After treatment, FOIS score was increased, and PAS score was decreased in both groups (P<0.05). Compared with those in control group, FOIS score in treatment group was higher, while PAS score was lower (P<0.05). The treatment also increased the maximum amplitude of sEMG, while reduced the time limit for swallowing in both groups (P<0.05). The maximum amplitude of sEMG in treatment group was larger than that in control group, and time limit for swallowing was shorter in treatment group (P<0.05). Moreover, NIHSS score and NSE level in both groups were decreased after treatment, and they were lower in treatment group than control group (P<0.05). During treatment, there were no obvious adverse reactions in either group. Conclusion The rTMS combined with acupuncture is safe for the treatment of dysphagia after cerebral infarction, and it can improve swallowing function, enhance cortical excitability and promote the recovery of nerve functions, worthy of clinical application.
Last Update: 2022-05-27