Effectiveness of Conventional Swallowing Therapy in Acute Stroke Patients with Dysphagia.

IF 1.5 Q3 REHABILITATION

Rehabilitation Research and Practice Pub Date : 2020-10-05 eCollection Date: 2020-01-01 DOI:10.1155/2020/2907293

Hathaya Jongprasitkul, Wasuwat Kitisomprayoonkul

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Abstract

Background: Dysphagia is a common problem in acute stroke patient. Aspiration pneumonia increases in this group. Swallowing therapy is immediately conducted in a stable stroke patient. An effectiveness of our program has not been determined.

Objective: To determine an effectiveness of conventional swallowing therapy in acute stroke patients with dysphagia.

Methods: We retrospectively reviewed data from medical records of acute stroke patients with dysphagia who participated a swallowing therapy from January 2017 to June 2017. Fifty-seven acute stroke patients with dysphagia (26 males and 31 females) were participating in a conventional swallowing therapy (50 minutes a day for 3 days per week). A functional oral intake scale (FOIS) and swallow function scoring system (SFSS) were used to determine an effectiveness of the swallowing therapy. FOIS and SFSS scores before the first therapy session and after the last therapy session were compared using a paired t-test.

Results: The mean age of the patient was 69.5 ± 15.35 years. The period from stroke onset to the first swallowing therapy session was 7.5 ± 6.69 days. The number of therapy was 5.6 ± 2.83 sessions. Participants showed a significant improvement of the FOIS (mean score increased from 1.74 to 3.30 points, P = 0.001) and SFSS (mean score increased from 2.51 to 3.68 points, P = 0.001). Forty-two percent of patients with tube dependent change to total oral intake.

Conclusion: Conventional swallowing therapy is an effective treatment in acute stroke with dysphagia.

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吞咽困难的急性中风患者接受常规吞咽治疗的效果。

背景：吞咽困难是急性脑卒中患者的常见问题：吞咽困难是急性中风患者的常见问题。吸入性肺炎在这类患者中发病率增加。对于病情稳定的中风患者，应立即进行吞咽治疗。我们的方案是否有效尚未确定：确定常规吞咽疗法对急性中风患者吞咽困难的疗效：我们回顾性审查了 2017 年 1 月至 2017 年 6 月参与吞咽治疗的急性卒中吞咽困难患者的病历数据。57名急性脑卒中吞咽困难患者（26名男性，31名女性）参加了常规吞咽治疗（每周3天，每天50分钟）。口腔摄入功能量表（FOIS）和吞咽功能评分系统（SFSS）用于确定吞咽治疗的效果。采用配对 t 检验比较首次治疗前和最后一次治疗后的 FOIS 和 SFSS 分数：患者的平均年龄为 69.5 ± 15.35 岁。从中风发作到接受首次吞咽治疗的时间为（7.5±6.69）天。治疗次数为 5.6 ± 2.83 次。参与者的 FOIS（平均分从 1.74 分提高到 3.30 分，P = 0.001）和 SFSS（平均分从 2.51 分提高到 3.68 分，P = 0.001）均有明显改善。42%的插管依赖患者转为全口摄入：结论：传统吞咽疗法是治疗急性卒中吞咽困难的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Research and Practice REHABILITATION-

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

19 weeks

期刊介绍： Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.