用神经肌肉电刺激进行吞康复治疗萨尔科佩尼克:一个案例报告
Kazuki Eimoto1, Koutatsu Nagai2, Yuta Nakao3
1Department of Rehabilitation, Hyogo Medical University Hospital, Nishinomiya, JPN.
Cureus
|May 30, 2024
概括
神经肌肉电刺激 (NMES) 改善了患有sarcopenic dysphagia的患者的吞功能. 这种肌肉增强技术对因肌肉损失而难以吞的人来说非常有前途.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 萨尔科佩尼性消化不良症的特点是由于一般化的萨尔科佩尼症和削弱的吞肌肉而导致的吞困难.
- 一名78岁的男性患者在胰腺手术和长时间的床上休息后出现营养不良和吞障碍,导致吸入性肺炎.
研究的目的:
- 为了研究神经肌肉电刺激 (NMES) 作为治疗性干预的疗效,对sarcopenic失足症.
- 在接受NMES治疗的患者中记录吞功能和肌肉力量的改善.
主要方法:
- 患者接受了为期三周的吞康复治疗,其中包括NMES用于吞相关的肌肉增强.
- 用最大舌头压力,打开力测量和视频光镜吞研究 (VFSS) 来评估吞功能.
主要成果:
- 在NMES治疗后,舌头最大压力从21.4kPa增加到28.4kPa,开口力从5.1kg提高到6.8kg.
- 治疗后的VFSS显示在吞时没有显著的渴望.
- 患者的吞功能得到了改善,足以在正常饮食下出院.
结论:
- 神经肌肉电刺激 (NMES) 可能是吞康复的有益组成部分,用于患有肉骨乱症的患者.
- 在老年患者中,NMES可以有效地加强吞肌肉,并改善老年患者的功能吞结果.
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