고유수용성신경근촉진법의 짧은 목 굽힘 운동과 신경근전기자극치료가 만성 뇌졸중 환자의 삼킴 기능에 미치는 효과

• Published in: Journal of the Korean Society of Integrative Medicine Vol. 5; no. 4; pp. 31 - 39
• Main Authors: 김경돈, Kim, Kyoungdon
• Format: Journal Article
• Language: Korean
• Published: 대한통합의학회 01.12.2017
• Subjects: 예방의학; dysphagia; proprioceptive neuromuscular facilitation; stroke
• ISSN: 2288-1174; 2383-9651

Purpose : The purpose of this study was to examine the effects of short neck flexor strengthening in proprioceptive neuromuscular facilitation and neuromuscular electrical stimulation on swallowing function in patients with chronic stroke and to provide basic data for swallowing rehabilitation in stroke patients. Method : The study involved 30 chronic stroke patients who visited ${\bigcirc}{\bigcirc}$ General Hospital in Daegu Metropolitan City between March and July, 2017. The subjects were randomly assigned to either an experimental group (n=15) or a control group (n=15). Both groups underwent traditional swallowing rehabilitation therapy for 30 minutes five times a week over a six-week period. The experimental group performed short neck flexor exercises, which are part of the proprioceptive neuromuscular facilitation, for 30 minutes three times a week over a six-week period. The control group performed neuromuscular electrical stimulation for 30 minutes three times a week over a six-week period. Based on its results, changes in the patients' swallowing function and degree of food intake were analyzed. Result : In terms of the ASHA NOMS scale and new VFSS scale, the experimental group and the control group showed statistically significant changes in ten sub-items and six sub-items, respectively. Statistically significant differences in one sub-item were found between the groups. Conclusion : PNF-based short neck flexion exercise appear to be effective at improving swallowing function of stroke patients with dysphagia.