2024, Vol. 5, Issue 1, Part A
Effectiveness of neuromuscular electrical stimulation along with swallow training versus Kinesio-taping along with swallow training on dysphagia among sub-acute stroke subjects
Author(s): Sabesan Sakthivel, Karthika Govindaraj, Pradeepa Mani and Sivakumar Chinnusamy
Abstract: Background: Dysphagia is a condition in which an individual has had an interruption in either eating function or the maintenance of nutrition and hydration. Dysphagia is a swallowing difficulty- taking more time and effort to move the food or liquid from mouth to stomach. Dysphagia is a clinical symptoms commonly seen in conditions like stroke, head injury, dementia, and oesophageal cancer and gastro-oesophageal reflux diseases. The high incidence for dysphagia is consistent finding with stroke patients. Acute stroke was complicated by oropharyngeal dysphagia in 50% of patients. NMES stimulate the muscles of swallowing. Kinescoping facilitates the muscles and supresses the anterior movements of hyolaryngeal complex. Swallow training strengthens the muscles of swallowing and tongue.Objectives: The study’s objective was to compare the effectiveness of neuromuscular electrical stimulation with swallowing training versus kinesio taping with swallowing training on dysphagia in sub-acute stroke subjects.Subjects and Methods: The study was a comparative study. Stroke patients with dysphagia were selected for this study. This study was conducted at Ashwin multispecialty hospital and outpatient department of PPG College of physiotherapy. 20 subjects were selected based on the selection Criteria. The selected adolescents were divided into two groups by using simple randomized trial by slot method. GROUP A consisted of 10 subjects and they received neuromuscular electrical stimulation and swallow training. GROUP B consisted of 10 subjects and they received Kinesio taping and swallowing training. Both the groups received the interventions for 5 days in a week for 8 weeks, 1 session per day and totally 40 sessions in 8 weeks. The period of study was 6 months. Before starting the session, the instructions were given to the adolescents. The Pretest score, score and post score values of swallowing were measured by using Dysphagia outcome severity scale and the values were recorded.Results: The statistical analysis showed that the calculated t value using the paired “t” test for DOSS in group A and group B were 11.59 and 8.96 which was greater than the table value of 2.262 with p<0.05. When comparing groups using unpaired “t” test, DOSS showed calculated “t” value of pre-comparison of 0.24 and post comparison of 2.67 which was greater than the table value of 2.101 with p<0.05 level of significance. Thus, there is a significant difference in each group in pre and post intervention and significant difference in comparison between both groups.Thus, the resultant of this study shows that there were improvements in both the groups eventually, but Group A (neuromuscular electrical stimulator and swallow training) showed more statistically significant improvement when compared to Group B (kinesio taping and swallow training).Conclusion: The study concluded that, both the groups showed statistically significant improvement in swallowing after the application of Neuromuscular electrical stimulator with swallow training for group A and kinesio taping with swallow training for group B for a period of 8 weeks. But Group A (Neuromuscular electrical stimulator with swallow training) showed significant improvement in swallowing than Group B (kinesio taping with swallow training).Clinical implications: Application of neuromuscular electrical stimulation and kinesio-taping is found to produce a significant effect when they combined with the swallowing training to manage the sub acute stroke subjects with dysphagia.
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How to cite this article:
Sabesan Sakthivel, Karthika Govindaraj, Pradeepa Mani and Sivakumar Chinnusamy. Effectiveness of neuromuscular electrical stimulation along with swallow training versus Kinesio-taping along with swallow training on dysphagia among sub-acute stroke subjects. International Journal of Childhood and Development Disorders. 2024; 5(1): 48-52.
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