The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: a systemic review and meta-analysis

Chen, Yi Wen; Chang, Kwang Hwa; Chen, Hung-Chou; Liang, Wen Miin; Wang, Yahui; Lin, Yen-Nung

doi:10.1177/0269215515571681

Cited by 126 publications

(95 citation statements)

References 28 publications

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“…Chen et al . () is a systematic review and meta‐analysis. Of the nine original research studies, five did not investigate follow‐up post‐end of treatment (Lim et al .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Combined electrical stimulation and exercise for swallow rehabilitation post‐stroke: a pilot randomized control trial

Sproson

Pownall

Enderby

et al. 2017

Intl J Lang & Comm Disor

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“…Chen et al . () is a systematic review and meta‐analysis. Of the nine original research studies, five did not investigate follow‐up post‐end of treatment (Lim et al .…”

Section: Discussionmentioning

confidence: 99%

“…, Chen et al . ). Calls, therefore, remain for further robustly designed randomized controlled trials (RCTs) to clarify evidence for clinical guidelines and optimal patient outcomes (Geeganage , National Institute for Health and Care Excellence (NICE) ).…”

Section: Introductionmentioning

confidence: 97%

Combined electrical stimulation and exercise for swallow rehabilitation post‐stroke: a pilot randomized control trial

Sproson

Pownall

Enderby

et al. 2017

Intl J Lang & Comm Disor

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“…1,2) Recently, a long-term NMES therapy for thigh muscles was reported to not only increase muscle strength but also improve exercise capacity and health-related quality of life in patients with chronic heart failure.…”

Section: N Euromuscular Electrical Stimulation (Nmes) Has Beenmentioning

confidence: 99%

A Single Session of Neuromuscular Electrical Stimulation Enhances Vascular Endothelial Function and Peripheral Blood Circulation in Patients With Acute Myocardial Infarction

et al. 2016

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SummaryThis study aimed to investigate whether a single session of neuromuscular electrical stimulation (NMES) can enhance vascular endothelial function and peripheral blood circulation in patients with acute myocardial infarction (AMI). Thirty-four male patients with AMI were alternately assigned to 2 groups, and received NMES with muscle contraction (NMES group, n = 17) or without muscle contraction (control group, n = 17) after admission. NMES was performed for quadriceps and gastrocnemius muscles of both legs for 30 minutes. We measured systolic blood pressure as a parameter of cardiovascular responses and the low-frequency component of blood pressure variability as an index of sympathetic activity. Reactive hyperemia peripheral arterial tonometry (RH-PAT) index and transcutaneous oxygen pressure in foot (Foot-tcPO 2 ) were also measured as parameters of vascular endothelial function and peripheral blood circulation, respectively. All patients completed the study without severe adverse events. Systolic blood pressure and the low-frequency component increased significantly during the NMES session in both groups (P < 0.01 and P < 0.05, respectively). However, elevation from systolic blood pressure at rest was < 10 mmHg in both groups. In the NMES group, the RH-PAT index and Foot-tcPO 2 increased significantly after NMES (P < 0.05 and P < 0.001, respectively). No significant changes were observed in these parameters throughout the session in the control group. In conclusion, a single session of NMES with muscle contraction enhanced vascular endothelial function, leading to improvement in peripheral blood circulation without inducing excessive cardiovascular and autonomic responses in patients with AMI (UMIN000014196). (Int Heart J 2016; 57: 676-681)

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“…Transcutaneous electrical stimulation (TES) to the anterior neck region is a treatment option in swallowing therapy that purports to strengthen weak swallowing muscles in patients with dysphagia . Several studies have investigated the clinical efficacy of existing TES protocol with conflicted outcomes . One potential reason for the conflicted outcomes might be a lack of knowledge regarding the optimal TES protocol for stimulating the swallowing muscles.…”

Section: Introductionmentioning

confidence: 99%

Transcutaneous electrical stimulation on the anterior neck region: The impact of pulse duration and frequency on maximum amplitude tolerance and perceived discomfort

Barikroo

Carnaby

Bolser

et al. 2018

J of Oral Rehabilitation

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Summary Maximum amplitude tolerance (MAT) has been known as a primary factor determining the depth of electrical current penetration. However, the effect of varying transcutaneous electrical stimulation (TES) parameters on MAT and discomfort level is poorly understood. Furthermore, limited information exists regarding the biopsychological factors that may impact MAT and discomfort. The primary aims of this study were to compare the effects TES protocol with varying levels of pulse duration (300 μs vs 700 μs) and frequency (30 Hz vs 80 Hz) on the MAT and discomfort in healthy older adults. The exploratory aim of this study was to examine relationships between submental adipose tissue thickness, pain sensitivity and gender with MAT and discomfort. Twenty-four healthy older adults participated in this study. Transcutaneous electrical stimulation was delivered to the submental region. Maximum amplitude tolerance and discomfort were measured for each condition. Furthermore, submental adipose tissue thickness and pain sensitivity were measured for each subject. Maximum amplitude tolerance was significantly increased for the TES protocols with short-pulse duration [F (3, 69) = 38.695, P < .0001]. Discomfort was similar across different TES protocols. Submental adipose tissue thickness (r = .30, P < .003) and pain sensitivity (r = −.43, P < .0001) were related to MAT. Pain sensitivity rating was also related to discomfort (r = .45, P < .0001). In conclusion, using TES protocols with short-pulse duration may increase the MAT. Higher amplitude stimulation may increase the impact on deep swallowing muscles. In addition, submental adipose tissue thickness and pain sensitivity are potential biopsychological factors that may affect MAT and discomfort.

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The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: a systemic review and meta-analysis

Cited by 126 publications

References 28 publications

Combined electrical stimulation and exercise for swallow rehabilitation post‐stroke: a pilot randomized control trial

Combined electrical stimulation and exercise for swallow rehabilitation post‐stroke: a pilot randomized control trial

A Single Session of Neuromuscular Electrical Stimulation Enhances Vascular Endothelial Function and Peripheral Blood Circulation in Patients With Acute Myocardial Infarction

Transcutaneous electrical stimulation on the anterior neck region: The impact of pulse duration and frequency on maximum amplitude tolerance and perceived discomfort

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