The Effect of Functional Electrical Stimulation for Swallowing Function on the Autonomic Nervous System in Patients with Dysphagia
연하기능을 위한 기능적 전기자극치료가 연하장애 환자의 자율신경계에 미치는 영향
Purpose: This study aimed to investigate the effects of functional electrical stimulation on the autonomic nervous system for improving swallowing function in patients with dysphagia. Methods: Seventeen patients hospitalized at Busan T Rehabilitation Hospital participated in this study; only those who voluntarily agreed to participate were included. All participants had dysphagia; nine had cerebral infarction and nine had cerebral hemorrhage, and were classified as stroke patients. Functional electrical stimulation for swallowing was performed using a Vitalstim electrical stimulation device (SME Inc., USA) for 30 min/day, five times a week. Autonomic nervous system activity was measured using a pulse-wave pulsoximeter (Ubioclip, Biosensecretive, ROK) before and after electrical stimulation. The analyzed variables included mean heart rate, low frequency (LF), high frequency (HF), LF/HF ratio, standard deviation of normal-to-normal intervals (SDNN), and root mean square of successive differences (RMSSD). All data were analyzed using paired t-tests. Results: There were no statistically significant differences before and after the intervention in the mean heart rate, LF, HF, LF/HF ratio, SDNN, and RMSSD among the 17 patients with dysphagia who received functional electrical stimulation therapy (p>.05). Conclusion: Functional electrical stimulation therapy administered by an occupational therapist did not affect the autonomic nervous system in patients with dysphagia, indicating that the intervention was safe. However, because the SDNN and RMSSD values decreased, occupational therapists should apply the treatment with caution. Further studies are required to establish safer treatment protocols for these conditions.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구 방법 1. 연구 대상자 2. 측정도구 및 실험도구 3. 실험절차 4. 자료분석 Ⅲ. 연구 결과 1. 대상자의 일반적 정보 2. 연하기능을 위한 기능적 전기자극 치료 후 자율신경계 활성도 변화 Ⅳ. 고찰 Ⅴ. 결론 참고문헌
대한스포츠물리치료학회 [Korean Society of Sports Physical Therapy]
설립연도
1992
분야
의약학>물리치료학
소개
스포츠물리치료학의 발전향상과 회원 상호간의 유대강화 및 친목을 도모함을 목적으로 하며 다음 사업을 한다.
1.스포츠물리치료학의 연구발전에 관한 사항.
2.학술지 발간에 관한 사항.
3.스포츠물리치료 정보의 수집 및 교환에 관한 사항.
4.국제 스포츠물리치료 교류에 관한 사항.
5.스포츠물리료학 교육 및 지도에 관한 사항.
6.기타 본회 목적 달성에 관한 사항.
간행물
간행물명
정형스포츠물리치료학회지 [Archives of Orthopedic and Sports Physical Therapy]