Observation on the Effect of He's Acupuncture and Moxibustion Three-Way Method on Swallowing Function, Neurological Function and Bioelectrical Signal of Related Muscle Groups in Stroke Patients

Abstract

Abstract: Objective To investigate the effect of He's acupuncture and moxibustion three-pass method on swallowing function, neurological function and bioelectrical signals of related muscle groups in stroke patients. Methods Eighty-four patients with dysphagia （DAS） after stroke were admitted to Huadu Hospital of Southern Medical University between July 2022 and June 2023, and the above patients were randomly assigned to two groups （42 cases in the observation group and 42 cases in the control group） using the randomized numerical table method. The control group was given conventional treatment （antihypertensive, lipid-lowering and stabilizing plaque, antiplatelet, etc.） and instructed to carry out swallowing rehabilitation training, while the observation group received He's acupuncture and moxibustion three-tongue method for 4 weeks. The total effective rate of treatment, swallowing function, neurological function, quality of life, and the maximum amplitude of the surface electromyography （sEMG） signal and swallowing time limit of the sub-chin muscle group were compared between the two groups before and after 4 weeks of treatment. Results The total effective rate of the observation group （up to 90.48%） was higher than that of the control group （for 73.81%）（P<0.05）. Before treatment, the comparison of MMASA score, PAS score, NIHSS score, SWAL-QOL score, maximum amplitude of sEMG and swallowing time limit between the two groups was not statistically significant （P>0.05）. After treatment, the MMASA score, SWAL-QOL score, and maximum amplitude of sEMG were elevated, and the PAS score, NIHSS score, and swallowing time limit of sEMG were decreased in both groups （P<0.05）. The MMASA score, SWAL-QOL score, and sEMG maximum amplitude of the observation group were higher than that of the control group after treatment, and the PAS score, NIHSS score, and sEMG swallowing time limit were lower than that of the control group （P<0.05）. Conclusion The He's acupuncture and moxibustion three-way method can improve the swallowing function and neurological function of patients with dysphagia after stroke through benign stimulation of the submental muscle group, and improve the quality of life of patients.

Key words: stroke, dysphagia, He's three-way acupuncture, neurological function, bioelectrical signal

CLC Number:

R247.9

JIANG Li-yan, LIU Rui, LI Yan. Observation on the Effect of He's Acupuncture and Moxibustion Three-Way Method on Swallowing Function, Neurological Function and Bioelectrical Signal of Related Muscle Groups in Stroke Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(16): 5-9.

References

[1] 郝瑞民,韩林,慕容志苗,等.咽部电刺激治疗脑卒中后吞咽障碍的研究进展[J].中华物理医学与康复杂志,2021,43(12):3-5.
[2] 刘璐,吕天丽,聂利敏,等.通过表面肌电图技术观察贺氏三通法治疗脑卒中后吞咽障碍的临床疗效[J].针刺研究,2022,47(3):6-8.
[3] 练镇飑,梁琪,王鹤鸣,等.针灸与吞咽训练治疗脑卒中后吞咽障碍的效果[J].中国医药科学,2020,10(6):3-5.
[4] 王维,贾玉洁,蔡洪梅,等.表面肌电生物反馈与功能贴布治疗脑卒中后吞咽障碍[J].中国组织工程研究,2020,24(29):5-6.
[5] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257.
[6] 中国吞咽障碍康复评估与治疗专家共识组.中国吞咽障碍康复评估与治疗专家共识(2013年版)[J].中华物理医学与康复杂志,2013,35(12):916-929.
[7] 王文豪,罗梦,杨路,等.针灸治疗脑卒中后吞咽障碍的研究进展[J].广州中医药大学学报,2021,38(1):6-8.
[8] 肖灵君,郭倩,黄粉燕,等.脑卒中后吞咽障碍患者的吞咽功能与肺通气功能及呼吸肌肌力的相关性[J].中华医学杂志,2020,100(7):5-7.
[9] BATH P M, LEE H S, EVERTON L F.Swallowing therapy for dysphagia in acute and subacute stroke[J]. Cochrane Database Syst Rev,2018,10(10):323-326.
[10] DIONÍSIO A, DUARTE Í C, PATRÍCIO M, et al. Transcranial Magnetic Stimulation as an Intervention Tool to Recover from Language, Swallowing and Attentional Deficits after Stroke: A Systematic Review[J].Cerebrovasc Dis,2018,46(3-4):178-185.
[11] PARK JW, KIM H, PARK T, et al.A pilot study of the effects of high-frequency repetitive transcranial magnetic stimulation on dysphagia in the elderly[J]. Neurogastroenterol Motil,2019,31(5):13561-13564.
[12] KHEDR E M, MOHAMED K O, SOLIMAN R K, et al.The Effect of High-Frequency Repetitive Transcranial Magnetic Stimulation on Advancing Parkinson’s Disease With Dysphagia: Double Blind Randomized Clinical Trial[J]. Neurorehabil Neural Repair,2019,33(6):442-452.
[13] TARAMESHLU M, ANSARI N N, GHELICHI L, et al.The effect of repetitive transcranial magnetic stimulation combined with traditional dysphagia therapy on poststroke dysphagia: a pilot double-blinded randomized-controlled trial[J]. Int J Rehabil Res,2019, 42(2):133-138.
[14] PITTS L L, ROGERS L, WANG X, et al.Functionally navigated transcranial magnetic stimulation to evoke lingual pressure in stroke survivors with dysphagia and healthy adults: a proof of concept trial[J]. Top Stroke Rehabil,2020,27(4):241-250.
[15] CHOI S, PYUN S B.Repetitive Transcranial Magnetic Stimulation on the Supplementary Motor Area Changes Brain Connectivity in Functional Dysphagia[J]. Brain Connect,2021,11(5):368-379.
[16] ROQUE C, PINTO N, VAZ PATTO M, et al.Astrocytes contribute to the neuronal recovery promoted by high-frequency repetitive magnetic stimulation in in vitro models of ischemia[J]. J Neurosci Res,2021,99(5):1414-1432.
[17] SÁNCHEN-KUHN A, MEDINA Y, GARCÍA-PÉREZ M, et al. Transcranial direct current stimulation treatment in chronic after-stroke dysphagia: A clinical case[J]. Psicothema,2019, 31(2):179-183.
[18] 赵博伦,周兰姝.基于表面肌电技术的脑卒中吞咽障碍评估研究进展[J].中华物理医学与康复杂志,2021,43(7):5-7.
[19] SASEGBOR A, WATANABE M, SIMONS A, et al.Cerebellar repetitive transcranial magnetic stimulation restores pharyngeal brain activity and swallowing behaviour after disruption by a cortical virtual lesion[J]. J Physiol,2019,597(9):2533-2546.
[20] CABIB C, NASCIMENTO W, ROFES L, et al.Short-term neurophysiological effects of sensory pathway neurorehabilitation strategies on chronic poststroke oropharyngeal dysphagia[J]. Neurogastroenterol Motil,2020,32(9):13887-13889.