Objective: To investigate the clinical effects of the mirror neuron system based mirror visual feedback (MVF) training on dysphagia in stroke patients with cognitive impairment. Methods: Forty cases of stroke were randomly divided into the control group (n=20) and the treatment group (n=20). Both groups were given routine swallow rehabilitation training, and the treatment group accepted MVF training in addition. The differences in the swallowing function and cognitive level were compared between two groups before and after intervention. Results: Two weeks after treatment, the scores of Montreal cognitive assessment (MoCA) were increased as compared with those before treatment, and sub items such as visual spatial execution, attention of both groups were increased notably as compared with those before treatment (all P<0.05), more significantly in observation group than in control group (P<0.05). The reaction time was markedly reduced after treatment as compared with that before treatment (P<0.05), more significantly in observation group than in control group (P<0.05). The scores of Standardized Swallowing Assessment (SSA) were notably decreased after treatment as compared with those before treatment(P<0.05), more significantly in observation group than in control group (P<0.05). Conclusion: MVF based on routine rehabilitation may improve the swallowing function, attention and execution for stroke patients. |