摘要
Abstract
Objective:To investigate the intervention effect of different reinforcement training methods for suprahyoid muscle group in stroke patients with dysphagia.Method:A total of 90 stroke patients with dysphagia admitted to the First Affiliated Hospital of Bengbu Medical University from December 2022 to December 2023 were selected for this study.The patients were divided into two groups with 45 cases in each group according to random number table method.All patients were given routine swallowing training,the control group was given standard Shaker training based on suprahyoid muscle group,and the study group was given chin tuck against resistance(CTAR)training based on suprahyoid muscle group.The therapeutic effect,recovery of swallowing function,kinematic parameters of video-fluoroscopic swallowing study(VFSS)and quality of life were compared between the two groups.Result:The total effective rate of the study group was higher than that of the control group(P<0.05).After intervention,the standardized swallowing assessment(SSA)score of the study group was lower than that of the control group,and the VFSS score was higher than that of the control group(P<0.05).After intervention,the ascending range of hyoid bone,the ascending range of hyoid bone and the ascending distance of thyroid cartilage in the study group were higher than those in the control group(P<0.05).After intervention,the scores of quality of life in the study group were higher than those in the control group(P<0.05).Conclusion:Both Shaker training method and CTAR training method can improve the dysphagia of stroke patients,but CTAR training method has higher treatment efficiency,better quality of life and higher practical value.关键词
脑卒中/吞咽障碍/舌骨上肌群/下颏抗阻力训练法/吞咽检查Key words
Stroke/Swallowing disorder/Suprahyoid muscle group/Chin tuck against resistance training/Swallowing examination
