alexa New Orofacial Physiotherapy of Dysphagia after Stroke
ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
Open Access

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Research Article

New Orofacial Physiotherapy of Dysphagia after Stroke

Petr Konecny1,2,3,4*, Milan Elfmark2, Petra Bastlova2 and Petra Gaul-Alacova2

1Department of Rehabilitation NMB Brno a CLR SMN Prostejov, Czech Republic

2Department of Physiotherapy, Faculty of Health Sciences, Palacky University Olomouc, Czech Republic

3Medical Clinic Ordinace FBLR Elpis Olomouc, Czech Republic

4Department of Neurology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Czech Republic

*Corresponding Author:
Petr Konecny
Department of Physiotherapy
Palacky University Olomouc, Czech Republic
Tel: +420604573931
E-mail: [email protected]

Received Date: January 22, 2017; Accepted Date: May 10, 2017; Published Date: May 12, 2017

Citation: Konecny P, Elfmark M, Bastlova P, Gaul-Alacova P (2017) New Orofacial Physiotherapy of Dysphagia after Stroke. Int J Phys Med Rehabil 5:406. doi: 10.4172/2329-9096.1000406

Copyright: © 2017 Konecny P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background and Aim: Dysphagia commonly occurs after bulbar or pseudobulbar stroke. In our study, we used an X-ray videofluorography examination of swallowing to diagnose and measure the dysphagia post stroke. The therapy recommended for treating swallowing disorders is referred to as orofacial physiotherapy. During the new orofacial physiotherapy, an emphasis is placed on the optimization of movements of the tongue and hyoid muscles.

Methods: The effect was evaluated in a prospective pre-post-test study of chronic post stroke patients with a swallowing disorder. After eight weeks of physiotherapy, changes in swallowing were evaluated using a physiotherapy examination (functional oral intake scale – FOIS) and videofluorography (VFSS). The experimental group of 29 cases treated with our new orofacial physiotherapy was compared with 30 control cases with standard dysphagia therapy.

Results: The experimental group was composed of twenty-nine patients, while the control group was made up of thirty patients. Comparing swallowing function (FOIS) and the time differences of each swallowing phase before and after therapy between the experimental group and the control group, there were statistically significant differences (p˂0.05) in parameters of performance for FOIS (median value change from 4 to 6 in the experimental group, median value change from 4 to 5 in the control group), and two of the swallowing phases: OTT (transport time of the oral phase of swallowing) and PTT (transport time of the pharyngeal phase). The mean of differences before and after therapy of OTT in the experimental group was 0.49 ± 0.15, in the control group 0.12 ± 0.09. The mean difference before and after therapy of PTT in the experimental group was 0.19 ± 0.09, in the control group 0.06 ± 0.05.

Conclusion: After new orofacial physiotherapy, there was significant improvement in swallowing and of food intake in patients post stroke with dysphagia.

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