The Study On The Effect Of Surface Electromyographic Biofeedback Combined With Ingesting Training On Dysphagia Patients After Stroke

Objective To observe the effect of surface electromyographic biofeedback (sEMGBF) combined with ingesting training on dysphagia patients after stroke with ingesting function and feeding approaches.Methods Sixty dysphagia patients after stroke were randomly divided into two groups: control group (30 cases) and sEMGBF training group (30 cases). The control group was given routine swallow and ingesting training including related muscle group training; ice-lolly stimulation training; respiratory tract protection trainingn; euromuscular electrical stimulation therapya; cupuncture treatment, while the sEMGBF training group was given ingesting training was conducted with the guidance of sEMGBF in addition to the routine training. Before and after the treatment, GUSS and FOIS were performed twice, compare the times of pulling out nasogastric feeding tubes and time of pulling after these two treatments.Results Before treatment, there were no significant difference between the two groups in terms of GUSS and FOIS (P> 0.05). The GUSS and FOIS score increased in both groups after treatment (P< 0.05), and the GUSS score was higher in the sEMGBF training group than that of the control group (P< 0.05); the FOIS score of the sEMGBF training group was higher than control group (P< 0.05); the pulling out time of nasogastric feeding tubes in the sEMGBF training group was lower than control group (P< 0.05); there were no significant difference betwee the cases of pulling out nasogastric feeding tubes successfully after sEMGBF training group and control group was 14 and 11, respectively (P> 0.05).Conclusion Surface electromyographic biofeedback (sEMGBF) combined with ingesting training can improve swallow function of dysphagia patients, help them to pull out nasogastric feeding tubes as early as possible, recover their oral feeding function and enhance the quality of life finally.