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Journal of Neurorestoratology  2019, Vol. 7 Issue (3): 136-142    doi: 10.26599/JNR.2019.9040014
Research Article     
Clinical observation of effects of ultrashort wave therapy combined with acupuncture and rehabilitation training in the treatment of patients with dysphagia after stroke
Weiwei Zhao(),Chuanguang Ju(),Daozhen Wang(),Huifen Shen(✉)()
Yantai Affiliated Hospital of Binzhou Medical University, Yantai 264100, Shandong, China
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Abstract  Aim:

The present study aimed to assess the clinical effects of ultrashort wave therapy combined with acupuncture and rehabilitation training on patients with dysphagia after stroke.

Method:

A total of 126 patients with stroke with dysphagia were randomly divided into an acupuncture group (control group: 63 patients) and a comprehensive rehabilitation training group (treatment group: 63 patients). The control group received rehabilitation training and acupuncture, whereas the treatment group received ultrashort wave therapy in addition to rehabilitation training and acupuncture (comprehensive rehabilitation training). The curative effect was evaluated using water-drinking test scores and swallowing quality of life scale (SWAL-QOL) scores before and after intervention. Additionally, the incidence of aspiration pneumonia was assessed in the two groups.

Results:

The water-drinking test scores in both groups were significantly better after 4 weeks of intervention than before intervention (P < 0.01); however, the improvement degree was significantly greater in the treatment group than in the control group (P < 0.01). The SWAL-QOL scores in both groups were significantly higher after intervention than before intervention (P < 0.05); however, the improvement degree was significantly greater in the treatment group than in the control group (P < 0.05). Moreover, the incidence of aspiration pneumonia was significantly lower in the treatment group than in the control group (P < 0.05).

Conclusion:

Comprehensive rehabilitation training can greatly improve dysphagia after stroke and can effectively reduce the incidence of aspiration pneumonia.



Key wordscomprehensive rehabilitation training      ultrashort wave therapy      acupuncture      stroke      dysphagia     
Received: 24 July 2019      Published: 16 August 2019
Corresponding Authors: Huifen Shen     E-mail: 836924559@qq.com;wdzgjcg@163.com;ytfywdz@163.com;45390673@qq.com
About author: Weiwei Zhao, MM, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, Shandong Province, China. She focuses on the rehabilitation therapy and acupuncture of stroke, paraplegia. E-mail address: 836924559@qq.com.|Chuanguang Ju, MM, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, Shandong Province, China. He focuses on Traumatology of Chinese Medicine, treatment and rehabilitation of a variety of nerve diseases. E-mail address: wdzgjcg@163.com.|Daozhen Wang, BM, Neurology Department, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, Shandong Province, China. She focuses on the rehabilitation of the children, neuromuscular facilitation technique. E-mail address: ytfywdz@163.com.|Huifen Shen, MM, Traditional Chinese Medicine Department, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, Shandong Province, China. She focuses on TCM treatment and rehabilitation of stroke, cerebral palsy and paraplegia. She is especially good at acupuncture and moxibustion for neurological rehabilitation after stroke. E-mail address: 45390673@qq.com.
Cite this article:

Weiwei Zhao,Chuanguang Ju,Daozhen Wang,Huifen Shen. Clinical observation of effects of ultrashort wave therapy combined with acupuncture and rehabilitation training in the treatment of patients with dysphagia after stroke. Journal of Neurorestoratology, 2019, 7: 136-142.

URL:

http://jnr.tsinghuajournals.com/10.26599/JNR.2019.9040014     OR     http://jnr.tsinghuajournals.com/Y2019/V7/I3/136

GroupsNumber of casesBefore interventionAfter intervention
Control group634.2 ± 1.32.5 ± 1.2#
Treatment group634.3 ± 1.11.4 ± 0.8#*
Table 1 Water-drinking test scores before and after intervention in the control and treatment groups (mean ± SD).
GroupsNumber of casesSWAL-QOL score
Control group63
Before intervention 58.45 ± 10.82
After intervention 82.52 ± 7.91#
Treatment group63
Before intervention 57.11 ± 12.13
After intervention 94.02 ± 5.48#*
Table 2 SWAL-QOL scores before and after intervention in the control and treatment groups (mean ± SD).
GroupsNumber of casesNumber of occurrencesIncidence (%)
Control group631320.63
Treatment group6357.94*
Table 3 Incidence of aspiration pneumonia in the control and treatment groups.
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