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. 2020 Jan 12;8(1):12.
doi: 10.3390/biomedicines8010012.

Combined Effects of NMES and Mendelsohn Maneuver on the Swallowing Function and Swallowing-Quality of Life of Patients with Stroke-Induced Sub-Acute Swallowing Disorders

Haewon Byeon  1
Affiliations

Combined Effects of NMES and Mendelsohn Maneuver on the Swallowing Function and Swallowing-Quality of Life of Patients with Stroke-Induced Sub-Acute Swallowing Disorders

Haewon Byeon. Biomedicines. .

Abstract

It is necessary to identify how to improve the swallowing-related quality of life, as well as the swallowing function, in order to evaluate the effect of treatments on swallowing disorders. This study aimed to prove the effects of a compound swallowing intervention (Mendelsohn maneuver + neuromuscular electrical stimulation (NMES)) on the swallowing function and the quality of life by applying the compound swallowing intervention to patients with sub-acute swallowing disorders due to cerebral infarction for eight weeks. This study analyzed 43 subjects who were diagnosed with swallowing disorders due to cerebral infarction. The experiment consisted of the Mendelsohn maneuver treatment group (n = 15), the NMES treatment group (n = 13), the compound intervention group (Mendelsohn maneuver + NMES; n = 15). The results of ANCOVA showed that the changes in Functional Dysphagia Scale (FDS) scores and Swallowing-Quality of Life (SWAL-QOL) score were different among groups. The compound intervention group had the highest FDS scores and SWAL-QOL score followed by Mendelsohn, and the NMES group had the lowest. The result of this study suggests that NMES can be more effective when it is combined with a traditional swallowing rehabilitation therapy rather than a single intervention method.

Keywords: Mendelsohn maneuver; compound intervention program; functional dysphagia scale; neuro muscular electrical stimulation; stroke; swallowing–quality of life.

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Conflict of interest statement

The author declares no conflicts of interest.

Figures

Figure 1
Figure 1
The schematic diagram of the study.
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