https://scholars.lib.ntu.edu.tw/handle/123456789/483542
標題: | Swallowing Training Combined With Game-Based Biofeedback in Poststroke Dysphagia | 作者: | Li C.-M. TYNG-GUEY WANG Lee H.-Y. Wang H.-P. Hsieh S.-H. Chou M. Jason Chen J.-J. |
公開日期: | 2016 | 出版社: | Elsevier Inc. | 卷: | 8 | 期: | 8 | 起(迄)頁: | 773-779 | 來源出版物: | PM and R | 摘要: | Background For patients with dysphagia due to stroke, in addition to compensatory strategies, exercises are used to help improve motor function. Biofeedback is used 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 poststroke dysphagia. Design A case-control study. Setting Academic tertiary hospital. Participants Subjects with poststroke dysphagia (n = 20) were individually matched to 2 separate groups, a game-based biofeedback group (n = 10) or a control group (n = 10), for age, gender, duration of dysphagia, and dysphagia grades. Interventions Each participant underwent 1-hour sessions 3 times per 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 exhibited statistically significant improvement only in the experimental group (P = .002 and P = .004, respectively). In all, 8 of 10 patients (80%) in the experimental group and 2 of 10 patients (20%) in the control group discontinued NG tube insertion after therapy. Participation in the experimental group was associated with an increased probability of tube removal (odds ratio = 6.00; 95% confidence interval = 1.08-33.27, P = .009). Conclusions Laryngeal elevation training combined with game-based biofeedback augments the change in hyoid bone displacement and FOIS scores, and increases the NG tube removal rate in patients with poststroke dysphagia. ? 2016 American Academy of Physical Medicine and Rehabilitation |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84955560588&doi=10.1016%2fj.pmrj.2016.01.003&partnerID=40&md5=f5f6e72d094c8fc789c40df82f9f387e https://scholars.lib.ntu.edu.tw/handle/123456789/483542 |
ISSN: | 1934-1482 | DOI: | 10.1016/j.pmrj.2016.01.003 | SDG/關鍵字: | accelerometer; adult; age; aged; Article; biofeedback therapy; brain hemorrhage; brain ischemia; case control study; cerebrovascular accident; clinical article; clinical evaluation; controlled study; disease classification; disease duration; dysphagia; echography; female; Functional Oral Intake Scale; functional status assessment; gender; human; hyoid bone; intervention study; larynx; male; mandible; nasogastric tube; patient participation; priority journal; recreational game; stroke patient; swallowing; tertiary care center; treatment outcome; tube removal; ultrasound scanner; ultrasound transducer; university hospital; virtual reality; biofeedback; cerebrovascular accident; dysphagia; swallowing; Biofeedback, Psychology; Case-Control Studies; Deglutition; Deglutition Disorders; Humans; Stroke |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。