Cl. Park et al., A PILOT EXPLORATORY-STUDY OF ORAL ELECTRICAL-STIMULATION ON SWALLOW FUNCTION FOLLOWING STROKE - AN INNOVATIVE TECHNIQUE, Dysphagia, 12(3), 1997, pp. 161-166
This pilot study investigated the effect of oral electrical stimulatio
n on swallow function in stroke patients with chronic dysphagia. The p
urpose was to determine whether an innovative technique could make an
improvement in swallow function that might be developed as a potential
treatment for patients with persistent dysphagia, Four stroke patient
s with chronic dysphagia were recruited on the basis of videofluorosco
pic findings of a delayed swallow reflex, A single case design was use
d, Oral electrical stimulation of swallowing was carried out using a p
alatal prosthesis starting at an output pulse of 0.5 mA, with a fixed
duration of 200 mu sec, repeated at 1-sec intervals, Barium paste (1 x
5 ml) was introduced at the level of the patient's maximum tolerance
of stimulation and any effect on swallow function was recorded by vide
ofluoroscopy. The findings from the pilot study indicated that oral el
ectrical stimulation resulted in an improvement in swallow function in
2 of the 4 patients. The stimulation was well tolerated in all cases
with no serious adverse effects, These early results are promising, bu
t further research is needed.