张耀文，万桂芳，卫小梅，戴萌，窦祖林.表面肌电生物反馈游戏训练治疗脑干损伤吞咽障碍患者的疗效观察[J].中华物理医学与康复杂志,2017,39(12):922-925
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| 表面肌电生物反馈游戏训练治疗脑干损伤吞咽障碍患者的疗效观察 |
| Effects of game-based surface electromyograhic biofeedback training on dysphagia caused by brainstem injury |
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| DOI： |
| 中文关键词: 表面肌电生物反馈 脑干损伤 吞咽障碍 导管球囊扩张术 |
| 英文关键词: Game-based surface electromyograhic biofeedback Brainstem injury Dysphagia Balloon dilatation |
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| 中文摘要: |
| 目的 探讨表面肌电生物反馈游戏训练对脑干损伤吞咽障碍患者吞咽功能和咽部运动功能的影响。 方法 选取脑干损伤后吞咽障碍患者36例，采用随机数字表法将其分为2组，每组18例。对照组给予常规吞咽功能障碍康复训练，包括口腔感觉和运动功能训练、门德尔松吞咽训练、球囊扩张术等；观察组在对照组基础上给予表面肌电生物反馈游戏训练。于治疗前和治疗5周后（治疗后），对2组患者的吞咽功能进行评定，比较2组患者的功能性经口进食评分（FOIS），渗漏-误吸分级（PAS）和舌骨向前位移（HAM）、舌骨向上位移（HSM）、环咽肌开放幅度。 结果 治疗前，2组患者FOIS、PAS、HAM、HSM、环咽肌开放幅度比较，差异无统计学意义（P>0.05）。治疗后，2组患者FOIS、PAS、HAM、HSM、环咽肌开放幅度较组内治疗前改善（P<0.05），且治疗后观察组FOIS、PAS、HAM［(7.40±2.76)mm］、HSM［(9.75±2.65)mm］优于对照组（P<0.05）。2组患者治疗后环咽肌开放幅度比较，差异无统计学意义（P>0.05）。 结论 表面肌电生物反馈游戏训练可以显著改善脑干损伤吞咽障碍患者的吞咽功能和舌骨运动功能。 |
| 英文摘要: |
| Objective To explorer the effectiveness of game-based surface electromyographic biofeedback training (GBsEMGBF) on dysphagic brainstem injury patients. Methods Thirty-six brainstem injury dysphagic patients were randomly and evenly divided into a treatment group and a control group, both of 18, by using a random number table. Both groups were given conventional swallowing rehabilitation including oral sensory and motor training, Mendelsohn swallowing training and balloon dilatation of the cricopharyngeal muscle. The treatment group was additionally provided with GBsEMGBF training. All the treatments were provided 5 times per week for 5 weeks. Both groups were assessed using the functional oral intake scale (FOIS), penetration-aspiration scale (PAS), hyoid anterior movement (HAM), hyoid superior movement (HSM) and upper esophageal sphincter opening (UO) before and after the intervention. Results Before the treatment there were no significant differences between the two groups in all the measurements. After the treatment, there was a significant improvement in the average FOIS, PAS, HAM and HSM scores in both groups, but with significantly greater improvement in the treatment group. Significant improvement was observed in the average UO score after the intervention, but without significant differences between the two groups. Conclusion GBsEMGBF can significantly improve the swallowing function and hyoid motor function in dysphagic patients caused by brainstem injury. |
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