双模态信号生物反馈对卒中后吞咽困难患者声门上吞咽手法的影响：一项随机对照试验
Effect of bimodal signal biofeedback on the supraglottic swallowing maneuver in patients with post-stroke dysphagia: A randomised controlled trial.
文献信息
| PMID | 42913768 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Lian Wang |
| 作者单位 | Department of Rehabilitation Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou. Guangdong. China. |
| 期刊 | Archives of physical medicine and rehabilitation |
| SCI 分区 | Q1 |
| IF | 4.3 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
目的： 探讨结合加速度计与鼻气流传感器的双模态信号生物反馈对卒中后吞咽困难患者声门上吞咽手法的影响。
设计： 前瞻性随机对照试验。
场所： 单一家康复医院。
参与者： 卒中后吞咽困难患者。
干预： 纳入卒中后吞咽困难患者并随机分配至对照组或试验组。对照组接受常规吞咽康复治疗，包括声门上吞咽训练。试验组接受相同的常规康复和声门上吞咽训练，但在手法训练期间额外提供双模态生物反馈。训练强度为30分钟/天，每周6天，连续两周。
主要结局指标： 结局指标包括功能性经口摄食量表（FOIS）、穿透-误吸量表（PAS），以及源自电视透视吞咽研究（VFSS）的时间和运动学参数。所有VFSS参数均按照既定方案定义和测量。评估在基线、2周干预结束后即刻以及治疗后一个月随访时进行。
结果： 共纳入30例患者（试验组15例，对照组15例），两组均无脱落。在治疗后和一个月随访评估时，试验组FOIS评分均显著高于对照组（p < 0.001）。此外，干预后试验组PAS评分≥6的百分比显著低于对照组（p = 0.026）。
结论： 本研究结果表明，辅以双模态生物反馈的声门上吞咽手法可显著改善卒中后吞咽困难患者的吞咽功能。
英文摘要
OBJECTIVE: To investigate the effect of bimodal signal biofeedback combining an accelerometer and a nasal airflow sensor on the supraglottic swallowing maneuver in patients with post-stroke dysphagia.
DESIGN: Prospective Randomised Controlled Trial.
SETTING: Single rehabilitation hospital.
PARTICIPANTS: Patients with post-stroke dysphagia.
INTERVENTION: Patients with post-stroke dysphagia were enrolled and randomly assigned to either the control group or the experimental group. The control group received conventional swallowing rehabilitation therapy, including supraglottic swallowing training. The experimental group received the same conventional rehabilitation and supraglottic swallowing training, but was additionally provided with bimodal biofeedback during the maneuver sessions. The training intensity was 30 min/day, 6 days/week, for two consecutive weeks.
MAIN OUTCOME MEASURES: Outcome measures included the Functional Oral Intake Scale (FOIS), the Penetration-Aspiration Scale (PAS), and temporal and kinematic parameters derived from videofluoroscopic swallowing studies (VFSS). All VFSS parameters were defined and measured according to established protocols. Assessments were conducted at baseline, immediately after the 2-week intervention, and at a one-month follow-up after treatment.
RESULTS: A total of 30 patients were enrolled in the study (15 in the experimental group and 15 in the control group), with no attrition in either group. At both the post-treatment and one-month follow-up assessments, FOIS scores in the experimental group were significantly higher than those in the control group (p < 0.001). Additionally, the percentage of PAS scores ≥ 6 was significantly lower in the experimental group than in the control group after the intervention (p = 0.026).
CONCLUSION: The findings of this study suggest that supraglottic swallowing maneuver assisted with bimodal biofeedback can lead to significant improvements in swallowing function for patients with post-stroke dysphagia.