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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 8
First page : ( 694) Last page : ( 699)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.01969.7

Effect of Electrical Stimulation along with Mendelsohn Maneuver in Muscles of Swallowing Function and Cognitive Function on Post-Stroke Dysphagia

Blessy K. Monica1,*, Kumaresan A.2, Alagesan Jagatheesan3

12nd Year, MPT (Neurology), Saveetha College of Physiotherapy, Saveetha Medical Technical Sciences, Thandalam, Chennai

2Assistant Professor, Saveetha College of Physiotherapy, Saveetha Medical Technical Sciences, Thandalam, Chennai

3Professor and Principal, Saveetha College of Physiotherapy, Saveetha Medical Technical Sciences, Thandalam, Chennai

*Corresponding Author: Dr. K Monica Blessy. MPT (Neurology) 2nd Year, Saveetha college of Physiotherapy, Saveetha Medical Technical Sciences, Thandalam, Chennai-602105, Phone: +91 9441125510, Email: blessyk234@gmail.com

Online published on 26 September, 2019.

Abstract

Aim & Objectives

To find out the Effect of electrical stimulation along with Mendelsohn maneuver in muscles of swallowing function and cognitive function on post stroke dysphagia subjects. To analyze the characteristics of cognition through MMSE in patients with sub-acute post-stroke dysphagia subjects and to evaluate laryngeal elevation and closure during swallowing muscle activity by Surface EMG.

Methodology

In this study, 30 subjects with stroke were selected as per inclusion and exclusion criteria. All samples under pre measures were assessed by therapist using sEMG (surface electromyography) for masseter, infrahyoid, suprahyoid muscles and MMSE (mini mental state examination) for cognition. After the pre-test measures all samples were reviewed for electrical stimulation. These were performed in supine lying on treatment table. Mendelsohn maneuver is taught to the patient and they are requested to do for every 2hrs. This protocol consists of 1 session/day; 6days/week for 2 weeks. Similarly outcome measures were re assessed for post test measurements of movement for swallowing recovery after 12 sessions.

Results

Statistical analysis of pre-test and post test values of group showed the significant changes with the p values of FOIS, MMSE and Surface EMG were p≤0.001, p≤0.001 and p≤0.001 respectively.

Conclusion

This study shows the significant improvement by using electrical stimulation with mendelsohn maneuver can improve the function of swallowing muscles and cognitive function was improved by treating dysphagia in subjects with post stroke dysphagia. Patient with severe dysphagia and decreased cognition had been improved when compared to the pre test assessment.

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Keywords

Electrical stimulation, cognition, mendelsohn maneuver, post stroke dysphagia, surface EMG, deglutation.

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