Effect of swallowing rehabilitation using traditional therapy, kinesiology taping and neuromuscular electrical stimulation on dysphagia in post-stroke patients: A randomized clinical trial

We aimed to evaluate the functional recovery of stroke patients with orophyaryngeal dysphagia after treatment with traditional swallowing therapy (TST), neuromuscular electrical stimulation (NMES), and kinesiology taping (KT), by using clinical swallowing assessments and objective fiberoptic endosco...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2021-12, Vol.211, p.107020-107020, Article 107020
Main Authors: Güleç, Ayşe, Albayrak, Ilknur, Erdur, Ömer, Öztürk, Kayhan, Levendoglu, Funda
Format: Article
Language:English
Subjects:
Athletic taping
Clinical trials
Dysphagia
Electrical stimuli
Endoscopy
Food
Kinesiology
Kinesiology taping
Larynx
Magnetic resonance imaging
Mortality
Neuromuscular electrical stimulation
Ostomy
Patients
Pneumonia
Recovery of function
Rehabilitation
Skin
Statistical analysis
Stroke
Stroke-related dysphagia
Swallowing
Traditional swallowing therapy
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Summary:We aimed to evaluate the functional recovery of stroke patients with orophyaryngeal dysphagia after treatment with traditional swallowing therapy (TST), neuromuscular electrical stimulation (NMES), and kinesiology taping (KT), by using clinical swallowing assessments and objective fiberoptic endoscopic evaluation of swallowing (FEES). A total of 37 patients were randomized in three groups: those who received TST and NMES as Group 1 (n:12), those who received both TST and KT as Group 2 (n:13), and those who received TST, NMES, and KT together as Group 3 (n:12). Patients were evaluated before treatment, after treatment, and three months after treatment onset with bedside water-swallow test, Eating Assessment Tool (EAT-10), Functional Oral Intake Scale (FOIS), penetration-aspiration scale (PAS), and National Institute of Health-Swallow Safety Scale (NIH-SSS). FOIS, PAS, and NIS-SSS were completed according to results of fiberoptic endoscopic evaluation of swallowing (FEES). A statistically significant decrease was observed in bedside water-swallow test, EAT-10, PAS, and NIH-SSS scores in all treatment groups 5 weeks and 3 months after treatment onset compared to pre-treatment scores (p 
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2021.107020