Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review

Background: Dysphagia causes severe complications among people with a stroke. Physiotherapy allows the cure of this pathology, and among the tools it offers is neuromuscular electrical stimulation. However, this is a technique that has not been protocolized. Therefore, it was considered necessary to...

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Main Authors: Isabel Diéguez-Pérez, Raquel Leirós-Rodríguez
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/8/2618
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author Isabel Diéguez-Pérez
Raquel Leirós-Rodríguez
author_facet Isabel Diéguez-Pérez
Raquel Leirós-Rodríguez
author_sort Isabel Diéguez-Pérez
collection DOAJ
description Background: Dysphagia causes severe complications among people with a stroke. Physiotherapy allows the cure of this pathology, and among the tools it offers is neuromuscular electrical stimulation. However, this is a technique that has not been protocolized. Therefore, it was considered necessary to carry out a systematic review on the efficacy of the various parameters of application of the neuromuscular electrical stimulation in dysphagia generated after a stroke. Methods: A systematic search for publications was conducted in March 2020 in the Pubmed, Cinahl, Medline, Web of Science and Scopus databases, using as search terms: Electric stimulation therapy, Deglutition disorders and Stroke. Results: 21 articles were obtained in which the application of neuromuscular electrical stimulation was applied in isolation (<i>n</i> = 7) or in combination with other techniques such as strengthening exercises and manual therapy techniques (<i>n</i> = 14), with this second modality of treatment having greater benefits for patients. Conclusion: The greatest efficacy of this technique is reached when applied at 60-80 Hz, 700 μs of pulse duration, at the motor intensity threshold and in sessions of 20–30 min.
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spelling doaj.art-3cfdf08174424d479a9bac33f0180c012023-11-20T09:55:38ZengMDPI AGJournal of Clinical Medicine2077-03832020-08-0198261810.3390/jcm9082618Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic ReviewIsabel Diéguez-Pérez0Raquel Leirós-Rodríguez1Faculty of Physical Therapy, University of Vigo, Campus a Xunqueira, s/n., 36005 Pontevedra, SpainFaculty of Physical Therapy, University of Vigo, Campus a Xunqueira, s/n., 36005 Pontevedra, SpainBackground: Dysphagia causes severe complications among people with a stroke. Physiotherapy allows the cure of this pathology, and among the tools it offers is neuromuscular electrical stimulation. However, this is a technique that has not been protocolized. Therefore, it was considered necessary to carry out a systematic review on the efficacy of the various parameters of application of the neuromuscular electrical stimulation in dysphagia generated after a stroke. Methods: A systematic search for publications was conducted in March 2020 in the Pubmed, Cinahl, Medline, Web of Science and Scopus databases, using as search terms: Electric stimulation therapy, Deglutition disorders and Stroke. Results: 21 articles were obtained in which the application of neuromuscular electrical stimulation was applied in isolation (<i>n</i> = 7) or in combination with other techniques such as strengthening exercises and manual therapy techniques (<i>n</i> = 14), with this second modality of treatment having greater benefits for patients. Conclusion: The greatest efficacy of this technique is reached when applied at 60-80 Hz, 700 μs of pulse duration, at the motor intensity threshold and in sessions of 20–30 min.https://www.mdpi.com/2077-0383/9/8/2618deglutitionstrokeelectric stimulationneurologyphysical therapy modalities
spellingShingle Isabel Diéguez-Pérez
Raquel Leirós-Rodríguez
Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review
Journal of Clinical Medicine
deglutition
stroke
electric stimulation
neurology
physical therapy modalities
title Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review
title_full Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review
title_fullStr Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review
title_full_unstemmed Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review
title_short Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review
title_sort effectiveness of different application parameters of neuromuscular electrical stimulation for the treatment of dysphagia after a stroke a systematic review
topic deglutition
stroke
electric stimulation
neurology
physical therapy modalities
url https://www.mdpi.com/2077-0383/9/8/2618
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