Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update
Domenico A Restivo,1 Shaheen Hamdy2 1Neurological Unit, Garibaldi Hospital, Catania, Italy; 2School of Translational Medicine—Inflammation Sciences, Faculty of Medical and Human Sciences, University of Manchester, Salford Royal Hospital, Salford, UK Abstract: Neurogenic dysphagia (ND) can...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-01-01
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| Series: | Medical Devices: Evidence and Research |
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| Online Access: | https://www.dovepress.com/pharyngeal-electrical-stimulation-device-for-the-treatment-of-neurogen-peer-reviewed-article-MDER |
| _version_ | 1819129651897827328 |
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| author | Restivo DA Hamdy S |
| author_facet | Restivo DA Hamdy S |
| author_sort | Restivo DA |
| collection | DOAJ |
| description | Domenico A Restivo,1 Shaheen Hamdy2 1Neurological Unit, Garibaldi Hospital, Catania, Italy; 2School of Translational Medicine—Inflammation Sciences, Faculty of Medical and Human Sciences, University of Manchester, Salford Royal Hospital, Salford, UK Abstract: Neurogenic dysphagia (ND) can occur in patients with nervous system diseases of varying etiologies. Moreover, recovery from ND is not guaranteed. The therapeutic approaches for oropharyngeal ND have drastically changed over the last decade, mainly due to a better knowledge of the neurophysiology of swallowing along with the progress of neuroimaging and neurophysiological studies. For this reason, it is a priority to develop a treatment that is repeatable, safe, and can be carried out at the bedside as well as for outpatients. Pharyngeal electrical stimulation (PES) is a novel rehabilitation treatment for ND. PES is carried out via location-specific intraluminal catheters that are introduced transnasally and enable clinicians to stimulate the pharynx directly. This technique has demonstrated increasingly promising evidence in improving swallowing performance in patients with ND associated with stroke and multiple sclerosis, probably by increasing the corticobulbar excitability and inducing cortical reorganization of swallowing motor cortex. In this article, we update the reader as to both the physiologic background and past and current studies of PES in an effort to highlight the clinical progress of this important technique. Keywords: pharyngeal electrical stimulation, swallowing, neurogenic dysphagia, swallowing motor cortex, pharynx, catheter |
| first_indexed | 2024-12-22T08:47:07Z |
| format | Article |
| id | doaj.art-5c60bc7389084fc7b78fb1a7027a2a22 |
| institution | Directory Open Access Journal |
| issn | 1179-1470 |
| language | English |
| last_indexed | 2024-12-22T08:47:07Z |
| publishDate | 2018-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Medical Devices: Evidence and Research |
| spelling | doaj.art-5c60bc7389084fc7b78fb1a7027a2a222022-12-21T18:32:04ZengDove Medical PressMedical Devices: Evidence and Research1179-14702018-01-01Volume 11212636225Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology updateRestivo DAHamdy SDomenico A Restivo,1 Shaheen Hamdy2 1Neurological Unit, Garibaldi Hospital, Catania, Italy; 2School of Translational Medicine—Inflammation Sciences, Faculty of Medical and Human Sciences, University of Manchester, Salford Royal Hospital, Salford, UK Abstract: Neurogenic dysphagia (ND) can occur in patients with nervous system diseases of varying etiologies. Moreover, recovery from ND is not guaranteed. The therapeutic approaches for oropharyngeal ND have drastically changed over the last decade, mainly due to a better knowledge of the neurophysiology of swallowing along with the progress of neuroimaging and neurophysiological studies. For this reason, it is a priority to develop a treatment that is repeatable, safe, and can be carried out at the bedside as well as for outpatients. Pharyngeal electrical stimulation (PES) is a novel rehabilitation treatment for ND. PES is carried out via location-specific intraluminal catheters that are introduced transnasally and enable clinicians to stimulate the pharynx directly. This technique has demonstrated increasingly promising evidence in improving swallowing performance in patients with ND associated with stroke and multiple sclerosis, probably by increasing the corticobulbar excitability and inducing cortical reorganization of swallowing motor cortex. In this article, we update the reader as to both the physiologic background and past and current studies of PES in an effort to highlight the clinical progress of this important technique. Keywords: pharyngeal electrical stimulation, swallowing, neurogenic dysphagia, swallowing motor cortex, pharynx, catheterhttps://www.dovepress.com/pharyngeal-electrical-stimulation-device-for-the-treatment-of-neurogen-peer-reviewed-article-MDERpharyngeal electrical stimulationswallowingneurogenic dysphagiaswallowing motor cortexpharynxcatheter |
| spellingShingle | Restivo DA Hamdy S Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update Medical Devices: Evidence and Research pharyngeal electrical stimulation swallowing neurogenic dysphagia swallowing motor cortex pharynx catheter |
| title | Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update |
| title_full | Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update |
| title_fullStr | Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update |
| title_full_unstemmed | Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update |
| title_short | Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update |
| title_sort | pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia technology update |
| topic | pharyngeal electrical stimulation swallowing neurogenic dysphagia swallowing motor cortex pharynx catheter |
| url | https://www.dovepress.com/pharyngeal-electrical-stimulation-device-for-the-treatment-of-neurogen-peer-reviewed-article-MDER |
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