Abstract
Efficacy of phrenic nerve electrical stimulation combined with articulation training in the treatment of dysarthria after stroke
  
DOI:10.3870/zgkf.2025.08.003
EN KeyWords: stroke  articulation training  phrenic nerve electrical stimulation
Fund Project:湖北省自然科学基金项目(2024AFD254)
作者单位
张伟 湖北省中西医结合医院康复医学中心湖北省脑卒中后中西医结合康复临床医学研究中心武汉 437000 
崔晓阳 湖北省中西医结合医院康复医学中心湖北省脑卒中后中西医结合康复临床医学研究中心武汉 437000 
曹瀚元 湖北省中西医结合医院康复医学中心湖北省脑卒中后中西医结合康复临床医学研究中心武汉 437000 
徐婷 湖北省中西医结合医院康复医学中心湖北省脑卒中后中西医结合康复临床医学研究中心武汉 437000 
郑婵娟 湖北省中西医结合医院康复医学中心湖北省脑卒中后中西医结合康复临床医学研究中心武汉 437000 
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EN Abstract:
  Objective: To explore the effect of phrenic nerve electrical stimulation on respiratory function, and to study the curative effect of phrenic nerve electrical stimulation combined with articulation training on patients with dysarthria after stroke. Methods: A total of 70 patients with dysarthria after stroke were randomly divided into observation group and control group, 35 cases in each group. The observation group was treated with phrenic nerve electrical stimulation combined with dysarthria training, while the control group was treated with phrenic nerve pseudo-stimulation combined with dysarthria training. The treatment period was 3 weeks. Before and after treatment, the modified French Day Dysarthria Assessment Scale (m-FDA), the longest sound time (MPT), the maximum inspiratory pressure (MIP) and the peak expiratory flow rate (PEF) were used. Results: After treatment, m-FDA, MPT, MIP and PEF in the observation group and the control group were significantly higher than those before treatment (P<0.05). After treatment, the scores and total scores of m-FDA in the observation group were significantly higher than those in the control group (P<0.05), and MPT, PEF and MIP were also significantly higher than those in the control group (P<0.05). Conclusion: Compared with simple articulation training, combined use of phrenic nerve electrical stimulation and articulation training can significantly improve articulation disorder after stroke.
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