Preliminary outcomes in transcutaneous neuromuscular electrical stimulation use in patients with dysphagia

Open access

Abstract

Dysphagia is a common disorder associated with a large number of etiologies like aging, stroke, traumatic brain injury, head and neck cancer, neurodegenerative disorders, structural changes or congenital abnormalities. The type of the treatment and its results depend on the type, severity and the cause of dysphagia. The primary goal of dysphagia treatment is to improve the swallowing process and decrease the risk of aspiration.

Along with the existing rehabilitation swallowing treatments, new adjunctive therapy options developed, one of them being the neuromuscular electrical stimulation (NMES).

The authors present the principles of NMES, a small literature review about the results of this therapy and their experience in using transcutaneous NMES in dysphagia patients.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. Shune S Moon JB. Neuromuscular electrical stimulation in dysphagia management: clinician use and perceived barriers. Contemporary Issues in Communication Science and Disorders. 2012;39:55-68.

  • 2. Ashford J McCabe D Wheeler-Hegland K Frymark T Mullen R Musson N et al. Evidence-based systematic review: Oropharyngeal disphagia behavioral treatments. Part III – Impact of dysphagia treatments on populations with neurological disorders. J Rehab Res Develop. 2009;46(2):195-204.

  • 3. Huckabee ML Doeltgen S. Emerging modalities in dysphagia rehabilitation: Neuromuscular electrical stimulation. The New Zeeland medical Journal. 2007;120(1263):U2744.

  • 4. McCabe D Ashford J Wheeler-Hegland K Frymark T Mullen R Musson N et al. Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. Part IV – Impact of dysphagia on individuals’ post-cancer treatment. J Rehab Develop. 2009;46(2):205-14.

  • 5. Ding R Ma F. Effectiveness of neuromuscular electrical stimulation on dysphagia treatment in patients with neurological impairments – a systematic review ant meta-analysis. Ann Otolaryngol Rhinol. 2016;3(12):1151.

  • 6. Mann G Hankey GJ Cameron D. Swallowing function after stroke: prognosis and prognostic factors at 6 months. Stroke. 1999;30:744-8.

  • 7. Terre R Mearin F. Resolution of tracheal aspiration after the acute phase of stroke-related oropharyngeal dysphagia. Am J Gastroenterol. 2009;104:923-32.

  • 8. Terre R Mearin F. Prospective evaluation of oro-pharyngeal dysphagia after severe traumatic brain injury. Brain Inj. 2007;21:1411-7.

  • 9. Lindgern S Janzon L. Prevalence of swallowing complaints and clinical findings among 50-70 year old men and women in an urban population. Dysphagia. 1991;6:187-192.

  • 10. Shaw GY Sechtem PR Searl J Keller K Rawi TA Dowdy E. Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphgia: myth or reality? Annals of Otology Rhinology & Laryngology. 2007;116(1):36-44.

  • 11. Burnett TA Mann EA Cornell SA Ludlow CL. Laryngeal elevation achieved by neuromuscular stimulation at rest. J Appl Physiol. 2003;94:128-34.

  • 12. Permisirivanich W Tipchatyotin S Wongchai V Leelamanit V Setthawatcharawanich S Sathirapanya P et al. Comparing effects of rehabilitation swallowing therapy vs. neuromuscular electrical stimulation therapy among stroke patients with persistent pharyngeal dysphagia: A randomized controlled study. J Med Assoc Thai. 2009;92(2):259-65.

  • 13. Miller S Jungheim M Kuhn D Ptok M. Electrical stimulation in treatment of pharyngolaryngeal dysfunctions. Folia Phoniatr Logop. 2013;65:154-68. DOI: 10.1159/000355562.

  • 14. Freed M Christian MO Beytas EM Tucker H Kotton B. Electrical stimulation of the neck: a new effective treatment for dysphagia [Abstract]. Dysphagia. 1996;11-159.

  • 15. Park CL O’Neill PA Martin DF. A pilot exploratory study of oral electrical stimulation on swallowing function following stroke: an innovative technique. Dysphagia. 1997;12:161-6.

  • 16. Poorjavad M Moghadam ST Ansari NN Daemi M. Surface electrical stimulation for treating swallowing disorders after stroke: A review of the stimulation intensity levels and the electrode placement. Stroke Research and Treatment. 2014;918057. DOI: http://dx.doi.org/10.1155/2014/918057.

  • 17. Hamdy S Rothwell JC Aziz Q Singh KD Thompson DG. Long-term reorganization of human motor cortex driven by short-term sensory stimulation. J Neurophys. 1998;1(1):64-8.

  • 18. Hamdy S Rothwell JC Aziz Q Thompson DG. Organization and reorganization of human swallowing motor cortex: implications for recovery after stroke. Clinical Science. 2000;99(2):151-7.

  • 19. Stal P. Characterization of human oro-facial and masticatory muscles with respect to fibres types myosins and capillaries. Morphological enzyme-histochemical immune-histochemical and biochemical investigations. Swed Dent J Suppl. 1994;98.

  • 20. Watts C Dumican M. The effect of transcutaneous neuromuscular electrical stimulation on laryngeal vestibule closure timing in swallowing. BMC Ear Nose and Throat Disorders. 2018;18:5. DOI: https://doi.org/10.1186/s12901-018-0054-3.

  • 21. Doeltgen SH Dalrymple-Alford J Ridding MC Huckabee ML. Differential effects of neuromuscular electrical stimulation parameters on submental motor-evoked potentials. Neurorehabil Neural Repair. 2010;24:519-27.

  • 22. Humbert IA Christopherson H Lokhande A German R Gonzalez-Fernandez M Celnik P. Human hypo-laryngeal movements show adaptive motor learning during swallowing. Dysphagia. 2013;28(2):139-45.

  • 23. Ludlow CL. Electrical neuromuscular stimulation in dysphagia: current status. Curr Opin Otolaryngol Head Neck Surg. 2010;18:159-64.

  • 24. Wang JS Lee JH Kim NJ. Effects of neuromuscular electrical stimulation on masticatory muscles in elderly stroke patients. J Phys Ther Sci. 2015;27(9):2767-70. DOI: 10.1589/jpts.27.2767.

  • 25. Choi JB. Effect of neuromuscular electrical stimulation on facial muscle strength and oral function in stroke patients with facial palsy. J Phys Ther Sci. 2016;28(9):2541-3. DOI: 10.1589/jpts.28.2541.

  • 26. Carnaby-Mann GD Crary MA. Examining the evidence on neuromuscular electrical stimulation for swallowing: a meta-analysis. Arch Otolaryngol Head Neck Surg. 2007;133(6):564-71.

  • 27. Ryu JS Kang JY Park JY Nam SY Choi SH Roh JL et al. The effect of electrical stimulation therapy on dysphagia following treatment for head and neck cancer. Oral Oncology. 2009;45:665-8.

  • 28. Ludlow CL Humbert I Saxon K et al. Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal dysphagia. Dysphagia. 2007;22:1-10.

  • 29. Carnaby-Mann GD Crary MA. Adjumctive neuromuscular electrical stimulation for treatment-refractory dysphagia. Ann Otol Rhinol Laryngol. 2008;117(4):279-87.

  • 30. Lim KB Lee HJ Lim SS Choi YI. Neuromuscular electrical and thermal-tactile stimulation for dysphagia caused by stroke: a randomized controlled trial. H Rehabil Med. 2009;41(3):174-8. DOI: 10.2340/16501977-0317.

  • 31. Verin E Maltete D Ouahchi Y Marie JP Hannequin D Massardier EG et al. Submental sensitive transcutaneous electrical stimulation (SSTES) at home in neurogenic oropharyngeal dysphagia: a pilot study. Ann Phys Rehabil Med. 2011;54(6):366-75. DOI: 10.1016/j.rehab.2011.07.003. Epub 2011 Aug 17.

  • 32. Park JW Kim Y Oh JC Lee HJ. Effortful swallowing training combined with electrical stimulation in post-stroke dysphagia: a randomized controlled study. Dysphagia. 2012;27(4):521-7. DOI: 10.1007/s00455-012-9403-3. Epub 2012 Mar 24.

  • 33. Humbert IA Poletto CJ Saxon KG Kearney PR Crujido L Wright-Harp W et al. The effect of surface electrical stimulation on hyo-laryngeal movement in normal individuals at rest and during swallowing. J Appl Physiol. 2006;101(6):1657-63. DOI: 10.1152/japplphysiol.00348.2006.

  • 34. Suiter DM Leder SB Ruark JL. Effects of neuromuscular electrical stimulation on submental muscle activity. Dysphagia. 2006;21(1):56-60.

  • 35. Boem J Kim SJ Han TR. Electrical stimulation of the suprahyoid muscles in brain-injured patients with dysphagia: a pilot study. Ann Rehabil Med. 2011;35(3):322-7. DOI: 10.5535/arm.2011.35.3.322. Epub 2011 Jun 30.

  • 36. Heijnen BJ Speyer R Baijens LW Bogaardt HC. Neuromuscular electrical stimulation versus traditional therapy in patients with Parkinson’s disease and oropharyngeal dysphagia: effects on quality of life. Dysphagia. 2012;27(3):336-45. DOI: 10.1007/s00455-011-9371-z. Epub 2011 Nov 13.

  • 37. Kiger M Brown CS Watkins L. Dysphagia management: an analysis of patients outcomes using VitalStim therapy compared to traditional swallowing therapy. Dysphagia. 2006;21(4):243-53.

  • 38. Freed M Wijting Y. Training manual for patients assessment and treatment using VitalStim electrical stimulation. CIAO Seminars Gulf Breeze Fla December 2004.

Search
Journal information
Metrics
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 386 261 11
PDF Downloads 258 166 2