| 제목 |
Effects of head lift exercise on swallowing function according to reclining angle in stroke patients |
| 소속 |
Inje University Busan Paik Hospital, Department of Physical Medicine and Rehabilitation1, Graduate School of Inje, Department of Rehabilitation Science2, Seoul North Municipal Hospital, Department of Occupational Therapy3, Seoul North Municipal Hospital, Department of Physical Medicine and Rehabilitation4 |
| 저자 |
JeeYoung Kim1*, Nami Han1†, Hyun dong Kim1, Mi ja Eom1, Sang Hoon Jung1, Ji-Su Park2, Na-Kyoung Hwang3, Joo Young Lee4 |
BACKGROUND
Recently, HLE in a reclining position was introduced, and the potential for therapeutic effects was confirmed by surface electromyography. However, the clinical evidence of the effect is still lacking.
OBJECTIVE
The purpose of this study was to compare the effects of HLE in the supine position and HLE in a reclining position, on swallowing function in patients with dysphagia after stroke.
METHODS
Thirty-fivepatients with stroke and dysphagia were randomly assigned to either the HLE in supine position group (n=18), or the HLE in a 45-degree angle reclining position group (n=17). Both groups performed HLE 5 days a week for 4 weeks and received the same conventional dysphagia therapy. The primary outcome measures were evaluated using videofluoroscopic dysphagia scale (VDS) based on videofluoroscopic swallowing study. Secondary outcome measures were evaluated using functional oral intake scale (FOIS). Finally, this study checked the dropout rate and subjective feedback.
RESULTS
In total, 25 participants completed this study. Both groups showed significant improvement in the oral and pharyngeal phase of VDS and FOIS (p < 0.05). After the intervention, there were no significant differences between groups(p > 0.05).In addition, 4 of 18 patients undergoing HLE in the supine position, and 1 of 17 patients undergoing HLE in a reclining position dropped out of the study due to neck discomfort, temporary pain, or fatigue.
CONCLUSIONS
This study suggests that both exercises have similar effects in patients with dysphagia after a stroke. However, compliance is considered to be better in the group of patients undergoing HLE in a reclining position than that in the patients undergoing HLE in a supine position because it is less strenuous to perform HLE in a reclining position.
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Table 1. Characteristics of participants
Table 2. Comparison of results between both group
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