Application of compensatory swallowing measures in early rehabilitation training of stroke patients with dysphagia

WAN Qionghong, CAl Yabing, ZHAO Huifen

Journal of Neurology and Neurorehabilitation ›› 2023, Vol. 19 ›› Issue (1) : 8-15.

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Journal of Neurology and Neurorehabilitation ›› 2023, Vol. 19 ›› Issue (1) : 8-15. DOI: 10.12022/innr.2022-0098
Original Research

Application of compensatory swallowing measures in early rehabilitation training of stroke patients with dysphagia

  • WAN Qionghong, CAl Yabing, ZHAO Huifen
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Abstract

Obiective: Explore the rehabilitation effect of compensatory swallowing measures on swallowing function in stroke patients with dysphagia.

Methods: Sixty stroke patients with dysphagia were randomly divided into a control group(30 cases) and a study group (30 cases). The control group received oral exercise training on the basis of routine care, while the study group received oral exercise training combined with compensatory swallowing measures training on the basis of routine care. The Gugging Swallowing Screen (GUSS)was used to evaluate the improvement of swallowing function after rehabilitation training.

Results: After 2 weeks of rehabilitation training, the GUSS scores of both groups of patients were significantly improved, and the GUSS scores of the study group were significantly higher than those of the control group (P<0.05). The recovery of swallowingfunction in the study group was better than that in the control group, with a statistically significant diference (P<0.05). The incidence of salivation in the study group was lowel than that in the control group (33.33%vs 63.33%,P<0.05], and the incidence of aspiration was also lower than that in the control group (30.00% vs 60.00%, P<0.05).

Conclusion: Compensatory swallowing measures are beneficial for improving the strength of the oropharyngeal muscles in stroke patients with dysphagia, promoting the recovery of swallowing function, reducing salivation and lung infections, improving the success rate of gastric tube removal, and shortening the time for indwelling gastric tubes.

Key words

Stroke / Dysphagia / Compensatory swallowing measures / Gugging Swallowing Screen

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WAN Qionghong, CAl Yabing, ZHAO Huifen. Application of compensatory swallowing measures in early rehabilitation training of stroke patients with dysphagia[J]. Journal of Neurology and Neurorehabilitation. 2023, 19(1): 8-15 https://doi.org/10.12022/innr.2022-0098
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