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Category: Volume 06 Issue 05 May 2018
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Title: A Comparative Study in Assessing the Improvement of Dysphagia in between Ischemic and Hemorrhagic Stroke of Subacute Stage Using Pharyngeal Neuromuscular Electrical Stimulation and Mendelsohn Manuever

Author: Prof. V.Vijayaraj

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.66

Abstract

Background: Swallowing is a complicated mechanism, principally because the pharynx sub serves respiration as well as swallowing. Dysphagia is common after stroke, associated with increased death and dependency, and treatment options are limited. Pharyngeal Neuromuscular Electrical Stimulation with Mendelsohn manuever is a novel treatment for post stroke. This study focuses on specific treatment for Dysphagia as well as the improvement strategies between the ischemic and hemorrhagic stroke.

Method: The study sample comprised 30 patients, of which 15 were ischemic stroke patients and 15 were haemorrhagic stroke patients who are have a age between 40 to 60years.The median time interval between and FOIS & DOSS applied before and after therapy was 2 weeks. Among 30 patients were treated with Neuromuscular Electrical stimulation with Mendelsohn Manuever was given for both the groups.

Result: The paired ‘t’ test values have shows that Pharyngeal Neuromuscular Electrical Stimulation with Mendelsohn manuever was more effective in both ishemic and haemorraghic stroke patients. The unpaired ‘t’ test values have shown that there was significant difference between two groups in showing improvement in their swallowing between hemorrhagic than ischemic type of subacute stroke patients .

Conclusion: There is significant difference between the improvement of dysphagia in between ischemic and hemorrhagic stroke of subacute stage using neuromuscular pharyngeal stimulation with Mendelsohn manuever. Further concluded that the Patients with hemorrhagic stroke was recovered faster than the ischemic stroke.

Keywords: Dysphagia, Pharyngeal Neuromuscular Electrical Stimulation, Mendelsohn manuever, Functional Oral Intake Scale, Dysphagia Severity and Outcome Scale.

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Corresponding Author

Prof. V.Vijayaraj M.P.T., Ph.D (Research Scholar)

HoD, Department of Neurology,

Nandha College of Physiotherapy Erode-52