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KMID : 0603920090170040001
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Journal of Korean Academy of Occupational Therapy
2009 Volume.17 No. 4 p.1 ~ p.12
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The Relevant Factors and Effect of Swallowing Function on Oropharyngeal Stimulation Program in Stroke Patients With Swallowing Disorder
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Kim Yong-Kyu
Koo Jung-Wan
Jeong Won-Mee
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Abstract
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Objective : The aim of this study was to investigate the related factors and effects of an oropharyngeal stimulation 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 6 months since suffering a stroke, and the other 20 were over 6 months, as of November 2008). We investigated the general features of dysphagia patients, cognitive function, duration after onset, and functional dyspahgia 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 dyspahgia scale showed a difference between before and after the program. In particular, the normal cognitive group under 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), cognitive function, and feed type and applied oropharyngeal stimulation program. We found that the subjects under 6 months since their onset, with normal cognitive function and PO feeding type, showed a significant difference with functional dysphagia scale (p<.05). 3. The results of multiple regression analyses before and after the oropharyngeal stimulation program proves that the duration after onset, cognitive function, and PO/NPO feeding type have an influence on the functional dysphagia scale.
Conclusion : Our findings suggest that an oropharyngeal stimulation program is beneficial to dysphagia patients under 6 months since suffering a stroke, with normal cognitive function and PO feeding type. It is necessary that more comparative studies on the related factors of an oropharyngeal stimulation program with functional electric stimulation be conducted.
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KEYWORD
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Dysphagia, Functional dysphagia scale, Oropharyngeal stimulation Program, stroke
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