Clinical study on swallowing function of brainstem stroke by tDCS

H., Mao; Y., Lyu; Y., Li; L., Gan; J., Ni; L., Liu; Z., Xiao

Abstract:

Objective: To investigate the effect of transcranial direct current stimulation (tDCS) combined with conventional comprehensive rehabilitation on dysphagia after brainstem stroke. Materials and methods: Forty brainstem stroke patients were randomly divided into tDCS group and conventional comprehensive treatment group, including 20 patients in each group. Both groups were given routine swallowing function training, and tDCS group added transcranial direct current stimulation (tDCS). The Dysphagia Outcome and Severity Scale (DOSS) and Functional Dysphagia Scale (FDS) were evaluated respectively before and after 8 weeks of continuous treatment with VFSS. The white blood cell (WBC), c-reactive protein, prealbumin (PAB), albumin (Alb), and hemoglobin (Hb) were also compared between the two groups before and after 8 weeks of continuous treatment. Results: After 8 consecutive weeks of treatment, the score of DOSS scale and FDS scale in both groups was improved (P < 0.05), WBC and CRP were decreased (P < 0.05), and Alb and Hb were improved (P < 0.05), and PAB had no differences (P=0.474). The tDCS group was superior to conventional comprehensive group in improving the swallowing function and nutritional indexes (P < 0.05). Conclusions: tDCS therapy combined with routine training can improve the swallowing function and nutritional status of patients, and reduce infection.

Patologie/Applicazioni:

• Terapia del dolore
• Stimolazione elettrica transcranica (TES)

Anno:

2021

Tipo di pubblicazione:

Articolo

Parola chiave:

stimolazione elettrica transcranica; tdcs; disfagia; Stroke

Testata scientifica:

Neurological Sciences

Nota:

In questo articolo si vuole Studiare l'effetto della stimolazione transcranica a corrente continua (tDCS) combinata con la riabilitazione completa convenzionale sulla disfagia dopo ictus del tronco cerebrale. Vengono studiati quaranta pazienti con ictus del tronco cerebrale e suddivisi in modo casuale in due gruppi. Un gruppo trattato con tDCS e uno gruppo trattato in maniera convenzionale. A entrambi i gruppi è stato somministrato un addestramento di routine sulla funzione di deglutizione. I risultati mostrano che la tDCS combinata con l'addestramento di routine può migliorare la funzione di deglutizione dei pazienti e ridurre l'infezione.

DOI:

10.1007/s10072-021-05247-6