[논문]Neuromuscular electrical stimulation for treatment of dysphagia in infants and young children with neurological impairment: a prospective pilot study

Marcus, Sherna; Friedman, Jeremy N; Lacombe-Duncan, Ashley; Mahant, Sanjay

doi:10.1136/bmjpo-2018-000382

Neuromuscular electrical stimulation for treatment of dysphagia in infants and young children with neurological impairment: a prospective pilot study 원문보기

Bmj paediatrics open, v.3 no.1, 2019년, pp.e000382 -

Marcus, Sherna (Department of Rehabilitation , Hospital for Sick Children , Toronto , Ontario , Canada) , Friedman, Jeremy N (Division of Pediatric Medicine, Department of Paediatrics , University of Toronto , Toronto , Ontario , Canada) , Lacombe-Duncan, Ashley (Division of Pediatric Medicine, Department of Paediatrics , University of Toronto , Toronto , Ontario , Canada) , Mahant, Sanjay (Division of Pediatric Medicine, Department of Paediatrics , University of Toronto , Toronto , Ontario , Canada)

Abstract ▼ AI-Helper

ObjectivesTo describe the acceptability, safety and effectiveness of neuromuscular electrical stimulation (NMES) in infants and young children with neurological impairment (NI) who have severe dysphagia.DesignA prospective pilot study using a before and after study design.SettingThe Hospital for Sick Children, Toronto, Canada.PatientsTen infants and young children (0–24 months) with NI and severe dysphagia on videofluoroscopic swallow study (VFSS) who were referred to an occupational therapist (OT). Those with neurodegenerative conditions were excluded.InterventionNMES treatments lasting 20–45 min twice weekly for the duration of 2–4 months. The NMES was administered during feeding therapy sessions by a trained OT.Main outcome measuresImprovement in swallowing function as measured by VFSS and the need for tube feeding, adverse events and parental acceptability.ResultsSeven of 10 enrolled subjects (median age, 8.9 months) completed biweekly NMES treatments (median number of treatments per subject, 18). All of the seven (100%) subjects who completed treatment showed an improvement in swallow function on VFSS. Of the five patients who were not safe to orally feed on any consistency of liquid or puree at baseline, three established full oral feeding and two established partial oral feeding. At baseline, 5/7 children were completely fed by tube versus 0/7 at the end of treatment. No adverse events occurred other than mild skin irritation at the site of electrode placement. Five of seven caregivers felt that feeding was improved and were satisfied with the intervention.ConclusionsOur prospective pilot study of NMES in seven neurologically impaired infants and young children with severe dysphagia suggests that NMES is safe, acceptable to parents and has potential efficacy. Trials are needed to determine if any treatment benefit exists.Trial registrationClinicalTrials.gov NCT01723358.

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참고문헌 (15)

1. Sullivan PB , Lambert B , Rose M , et al Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study . Dev Med Child Neurol 2000 ; 42 : 674 – 80 . 10.1017/S0012162200001249 11085295

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2. Clark H , Lazarus C , Arvedson J , et al Evidence-based systematic review: effects of neuromuscular electrical stimulation on swallowing and neural activation . Am J Speech Lang Pathol 2009 ; 18 : 361 – 75 . 10.1044/1058-0360(2009/08-0088) 19726568

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3. Carnaby-Mann GD , Crary MA Examining the evidence on neuromuscular electrical stimulation for swallowing: a meta-analysis . Arch Otolaryngol Head Neck Surg 2007 ; 133 : 564 – 71 . 10.1001/archotol.133.6.564 17576907

상세보기
4. Bülow M , Speyer R , Baijens L , et al Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunction . Dysphagia 2008 ; 23 : 302 – 9 . 10.1007/s00455-007-9145-9 18437464

상세보기
5. Lim KB , Lee HJ , Lim SS , et al Neuromuscular electrical and thermal-tactile stimulation for dysphagia caused by stroke: a randomized controlled trial . J Rehabil Med 2009 ; 41 : 174 – 8 . 10.2340/16501977-0317 19229451

상세보기
6. National Dysphagia Diet Task Force, American Dietetic Association . The national dysphagia diet: standardization for optimal care . 1 edn Chicago : D. Faulhaber , 2002 .
7. Marcus S , Breton S Infant and child feeding and swallowing: occupational therapy assessment and intervention . 1 edn Bethesda : AOTA Press , 2013 .
8. Mann LL , Wong K Development of an objective method for assessing viscosity of formulated foods and beverages for the dysphagic diet . J Am Diet Assoc 1996 ; 96 : 585 – 8 . 10.1016/S0002-8223(96)00160-5 8655906

상세보기
9. DeMatteo C , Matovich D , Hjartarson A Comparison of clinical and videofluoroscopic evaluation of children with feeding and swallowing difficulties . Dev Med Child Neurol 2005 ; 47 : 149 – 57 . 10.1017/S0012162205000289 15739718

상세보기
10. Freed ML Clinical trial data in support of vital stim 510(k) clearance application with FDA . 2001 http://www.vitalstim.com/uploadedFiles/Health_Professionals/FDA_VitalStim_clearance_letter.pdf ( accessed 1 Sep 2014 ).
11. Bath PM , Lee HS , Everton LF Swallowing therapy for dysphagia in acute and subacute stroke . Cochrane Database Syst Rev 2018 ; 10 : CD000323 10.1002/14651858.CD000323.pub3 30376602

상세보기
12. Christiaanse ME , Mabe B , Russell G , et al Neuromuscular electrical stimulation is no more effective than usual care for the treatment of primary dysphagia in children . Pediatr Pulmonol 2011 ; 46 : 559 – 65 . 10.1002/ppul.21400 21560262

상세보기
13. Kerr C , McDowell B , McDonough S Electrical stimulation in cerebral palsy: a review of effects on strength and motor function . Dev Med Child Neurol 2004 ; 46 : 205 – 13 . 10.1111/j.1469-8749.2004.tb00472.x 14995090

상세보기
14. Wright PA , Durham S , Ewins DJ , et al Neuromuscular electrical stimulation for children with cerebral palsy: a review . Arch Dis Child 2012 ; 97 : 364 – 71 . 10.1136/archdischild-2011-300437 22447997

상세보기
15. Novak I , McIntyre S , Morgan C , et al A systematic review of interventions for children with cerebral palsy: state of the evidence . Dev Med Child Neurol 2013 ; 55 : 885 – 910 . 10.1111/dmcn.12246 23962350

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Neuromuscular electrical stimulation for treatment of dysphagia in infants and young children with neurological impairment: a prospective pilot study 원문보기

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