Abstract
Effect of swallowing coordination training under controlled breathing mode on swallowing function after cerebellar infarction
  
DOI:10.3870/zgkf.2025.07.004
EN KeyWords: cerebellar infarction  swallowing function  control of breathing pattern  swallowing coordination training  respiratory-swallowing coordination
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作者单位
蒋海燕 1.湘雅博爱康复医院康复治疗部长沙 410100 
汤秀云 1.湘雅博爱康复医院康复治疗部长沙 410100 
鞠婷婷 1.湘雅博爱康复医院康复治疗部长沙 410100 
胡啸龙 2.湖南农业大学环境与生态学院长沙 410000 
刘盈 1.湘雅博爱康复医院康复治疗部长沙 410100 
阳庆军 1.湘雅博爱康复医院康复治疗部长沙 410100 
李艳平 1.湘雅博爱康复医院康复治疗部长沙 410100 
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EN Abstract:
  Objective: To investigate the efficacy of swallowing coordination training in controlled breathing mode for swallowing function after cerebellar infarction. Methods: Totally, 60 patients with swallowing dysfunction after cerebellar infarction in our hospital were selected and divided into a control group and an observation group by random number table method, with 30 cases in each group. The control group was given conventional swallowing training (ice stimulation, Mendelsohn maneuver) and supraglottic swallowing. The observation group was given conventional swallowing training and swallowing coordination training in controlled breathing mode. Both groups received treatment once a day, 6 times a week, for 4 weeks. The swallowing function of the patients in the two groups was assessed by functional oral intake (FOIS), modified Mann swallowing ability (MMASA), and Rosenbek permeation-absorption scale (PAS) before and 4 weeks after treatment, respectively. The vocal function was assessed by maximum phonation time (MPT) at the longest sound. Forceful lung volume (FVC), forceful expiratory volume in one second (FEV1), and peak expiratory flow (PEF) were used to assess the changes in respiratory function. Results: Before treatment, there were no significant differences in the indexes of the two groups. After 4 weeks of treatment, the FOIS, MMASA, PAS and MPT in both groups were better than those before treatment (P<0.05). The FVC, FEV1, PEF in the observation group were better than those before treatment (P<0.05). Moreover, the results of the FOIS, MMASA, PAS, MPT, FVC, FEV1, and PEF in observation groups were better than those in the control group, with statistical significance (P<0.05). Conclusion: Swallowing coordination training in controlled breathing mode can improve swallowing and breathing function after cerebellar infarction, swallowing and breathing coordination, improve feeding ability, and achieve effective and safe eating.
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