Korean Journal of Occupational Therapy

Article

The Relevant Factors and Effect of Swallowing Function on OropharyngealStimulation Program in Stroke Patients With Swallowing Disorder

Author
우지희(Ji-Hee Woo), 정원미(Won-Mee Jeong), 김용규(Yong-Gyu Kim), 구정완(Jung-Wan Koo)
Information
pp. 1~12 / 2009 Vol.17 No.4
e-ISSN2671-4450
p-ISSN1226-0134
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Abstract

Objective : The aim of this study was to investigate the related factors and effects of an oropharyngealstimulation program on the swallowing function of dysphagia patients after suffering a stroke.Methods : We applied an oropharyngeal stimulation program for 3 weeks to 40 patients (20 were under 6months since suffering a stroke, and the other 20 were over 6 months, as of November 2008). Weinvestigated the general features of dysphagia patients, cognitive function, duration after onset, and functionaldyspahgia scale scores according to PO/NPO feeding type.Results : The results are as follows:1. According to the onset duration, cognitive function, and PO/NPO feeding type, the functional dyspahgiascale showed a difference between before and after the program. In particular, the normal cognitive groupunder 6 months since suffering a stroke showed a statistically significant difference (p<.05).2. The subjects were stratified according to the duration after onset (under or over 6 months), cognitivefunction, and feed type and applied oropharyngeal stimulation program. We found that the subjects under 6months since their onset, with normal cognitive function and PO feeding type, showed a significantdifference with functional dysphagia scale (p<.05). 3. The results of multiple regression analyses before and after the oropharyngeal stimulation program provesthat the duration after onset, cognitive function, and PO/NPO feeding type have an influence on thefunctional dysphagia scale.Conclusion : Our findings suggest that an oropharyngeal stimulation program is beneficial to dysphagiapatients under 6 months since suffering a stroke, with normal cognitive function and PO feeding type. It isnecessary that more comparative studies on the related factors of an oropharyngeal stimulation program withfunctional electric stimulation be conducted.

Keywords

구강인두자극 프로그램 기능적 연하곤란척도 뇌졸중 연하곤란 Dysphagia Functional dysphagia scale Oropharyngeal stimulation Program Stroke