Modulation of ankle EMG in spinally contused rats through application of neuromuscular electrical stimulation timed to robotic treadmill training

Abstract Dysphagia is a common disorder associated with a large number of etiologies like aging, stroke, traumatic brain injury, head and neck cancer, neurodegenerative disorders, structural changes or congenital abnormalities. The type of the treatment and its results depend on the type, severity and the cause of dysphagia. The primary goal of dysphagia treatment is to improve the swallowing process and decrease the risk of aspiration. Along with the existing rehabilitation swallowing treatments, new adjunctive therapy options developed, one of them being the neuromuscular electrical stimulation (NMES). The authors present the principles of NMES, a small literature review about the results of this therapy and their experience in using transcutaneous NMES in dysphagia patients.

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Effects of Neuromuscular Electrical Stimulation in Muscle Architecture and Functionality of Patients After Acute Stroke

Case Medical Research ◽

10.31525/ct1-nct03840954 ◽

2000 ◽

Author(s):

Keyword(s):

Electrical Stimulation ◽

Acute Stroke ◽

Neuromuscular Electrical Stimulation ◽

Muscle Architecture

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Effectiveness of Neuromuscular Electrical Stimulation After Stroke

Case Medical Research ◽

10.31525/ct1-nct03913624 ◽

2019 ◽

Author(s):

Keyword(s):

Electrical Stimulation ◽

Neuromuscular Electrical Stimulation

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Body Composition Manipulation in CoLorectal cancEr (BiCyCLE): Neuromuscular Electrical Stimulation (NMES)

Case Medical Research ◽

10.31525/ct1-nct04065984 ◽

2019 ◽

Author(s):

Keyword(s):

Colorectal Cancer ◽

Body Composition ◽

Electrical Stimulation ◽

Neuromuscular Electrical Stimulation

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Effect of Neuromuscular Electrical Stimulation on Swallowing Process in Stroke Patient with Neurogenic Dysphagia

Indonesian Journal of Physical Medicine & Rehabilitation ◽

10.36803/ijpmr.v1i1.191 ◽

1970 ◽

Vol 1 (1) ◽

pp. 44-53

Author(s):

Ruth Ariyani ◽

Widjajalaksmi ◽

Luh K Wahyuni ◽

Susyana Tamin ◽

Saptawati Bardosono

Keyword(s):

Electrical Stimulation ◽

Voice Quality ◽

Neuromuscular Electrical Stimulation ◽

Neurogenic Dysphagia ◽

Stroke Patients ◽

Cough Reflex ◽

Voluntary Cough ◽

Pharyngeal Phase ◽

Significant Difference ◽

Quasi Experimental

Objective: The aim of this study to determine the therapeutic effect of Neuromuscular Electrical Stimulation (NMES) on pharyngeal phase of swallowing for stroke patients with neurogenic dysphagia,and to see the effect of NMES in reducing the incidence of standing secretion, residue, penetration and aspiration.Methods: It is a quasi-experimental study design. 10 stroke patients with neurogenic dysphagia in Cipto Mangunkusumo hospital, Jakarta, 40-80 years old with hemodynamically stable, cooperative and will be get NMES therapy for 4 weeks. Pre and Post treatment assessment caompared using a modified MASA test (The Mann Assessment of Swallowing Ability) and FEES examination (Flexible Endoscophic Evaluation of Swallowing). Analysis of change scores using Wilcoxon test.Results:The obtain average age of patients 59.80+9.705 years. Significant difference seen in the pharyngeal phase of swallowing increased score of gag reflex, velum elevation, cough reflex, voluntary cough, voice quality, pharynx response, pharyngeal constrictor contraction and vocal cord adduction (p<0.005).Also seen significant reduction in the incidence of standing secretion, residue and penetration (p<0.005), but not significantly in the incidence of aspiration (p=0083).Conclusions: NMES increased the pharyngeal phase of swallowing, reduced the incidence of standing secretion, residue and penetration of stroke patients with neurogenic dysphagia, but have not able to reduced aspiration.Keywords :Neuromuscular Electrical Stimulation (NEMS), neurogenic dysphagia, MASA test (The Mann Assessment of Swallow ing Ability), FEES examination (Flexible Endoscophic Evaluation of Swallowing), swallowing process.

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