Does Proprioceptive Neuromuscular Facilitation Approach Have an Effect on Swallowing Function, Muscle Morphology and Quality of Life in Dysphagic Stroke Patients? A Randomised Controlled Trial.
Esra Nur Özcan, Nezehat Özgül Ünlüer, Mehmet Öztürk, Ömer Erdur
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引用次数: 0
Abstract
Objective: To investigate the effects of different exercise methods on swallowing function in dysphagic stroke patients.
Methods: Forty-two patients with dysphagia were divided into three groups: conventional swallowing exercises group; the proprioceptive neuromuscular facilitation (PNF) exercises + conventional swallowing exercises group and the Chin-tuck Against Resistance (CTAR) exercises + conventional swallowing exercises. Patients received swallowing rehabilitation twice a week for 8 weeks. Patients were evaluated for swallowing using Fiberoptic Endoscopic Evaluation of Swallowing (FEES) with the Penetration-Aspiration Scale. Suprahyoid muscle thickness, tongue root area and hyolaryngeal elevation were measured by ultrasound before and after treatment. Furthermore, scales such as the National Institutes of Health (NIH) swallowing safety scale, Functional Oral Intake Scale (FOIS), Eating Assessment Tool-10 (EAT-10) and Swallowing Quality of Life Scale (SWAL-QOL) were utilised.
Results: The clinical and demographic characteristics of all three groups were similar at baseline (p > 0.05). Positive improvements were identified following treatment in terms of muscle thickness, as determined by FEES evaluation of swallowing functions and ultrasound evaluations, in all groups (p < 0.05). In the PAS liquid food evaluation, the highest effect was found in the PNF group (η2 = 0.858). All ultrasound evaluations showed greater improvement in the PNF and CTAR groups compared to the conventional group (p < 0.05). The SWAL QOL also showed significant improvements in all groups after treatment (p < 0.05).
Conclusion: In this study, all three groups contributed to swallowing rehabilitation, but the PNF group improved the most. PNF exercises, delivered by physical therapists without the need for specialised equipment, will make swallowing rehabilitation more effective.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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