TY - JOUR
T1 - Use of neuromuscular electrostimulation in the treatment of dysphagia in patients with multiple sclerosis
AU - Bogaardt, Hans
AU - van Dam, Danielle
AU - Wever, Nienke M.
AU - Bruggeman, Caroline E.
AU - Koops, Johan
AU - Fokkens, Wytske J.
PY - 2009
Y1 - 2009
N2 - OBJECTIVES: We explored the possible effects of neuromuscular electrostimulation on the swallowing function of patients with multiple sclerosis and swallowing problems. METHODS: Twenty-five patients (average age, 53.1 years; SD, 9.8 years) with multiple sclerosis and swallowing problems were treated for 3 weeks with 2 sessions per week of neuromuscular electrostimulation. The average time since the onset of multiple sclerosis was 16.5 years (SD, 10.2 years). Seventeen patients were examined with transnasal flexible endoscopy 1 week before treatment and 1 week after treatment. RESULTS: After treatment, a significant decrease in pooling of saliva in the pyriform sinuses was seen in 6 patients (p = 0.03), and significantly less aspiration during swallowing of thin liquids (p <0.01) was seen in 9 patients. Overall, the 25 patients reported that their swallowing had improved (p <0.01), and in 20% of the patients,it had become less strenuous. No adverse effects of the treatment were reported. CONCLUSIONS: Our study showed that the treatment of swallowing problems with neuromuscular electrostimulation in patients with multiple sclerosis in this sample was successful in the reduction of pooling of saliva and in the reduction of aspiration
AB - OBJECTIVES: We explored the possible effects of neuromuscular electrostimulation on the swallowing function of patients with multiple sclerosis and swallowing problems. METHODS: Twenty-five patients (average age, 53.1 years; SD, 9.8 years) with multiple sclerosis and swallowing problems were treated for 3 weeks with 2 sessions per week of neuromuscular electrostimulation. The average time since the onset of multiple sclerosis was 16.5 years (SD, 10.2 years). Seventeen patients were examined with transnasal flexible endoscopy 1 week before treatment and 1 week after treatment. RESULTS: After treatment, a significant decrease in pooling of saliva in the pyriform sinuses was seen in 6 patients (p = 0.03), and significantly less aspiration during swallowing of thin liquids (p <0.01) was seen in 9 patients. Overall, the 25 patients reported that their swallowing had improved (p <0.01), and in 20% of the patients,it had become less strenuous. No adverse effects of the treatment were reported. CONCLUSIONS: Our study showed that the treatment of swallowing problems with neuromuscular electrostimulation in patients with multiple sclerosis in this sample was successful in the reduction of pooling of saliva and in the reduction of aspiration
U2 - https://doi.org/10.1177/000348940911800401
DO - https://doi.org/10.1177/000348940911800401
M3 - Article
C2 - 19462842
SN - 0003-4894
VL - 118
SP - 241
EP - 246
JO - Annals of otology, rhinology, and laryngology
JF - Annals of otology, rhinology, and laryngology
IS - 4
ER -