PDF(Pubmed)
Abstract：
A neurogenic dysphagia is dysphagia caused by problems with the central and peripheral nervous systems, is particularly prevalent in conditions such as Parkinson\'s disease and stroke. It significantly impacts the quality of life for affected individuals and causes additional burdens, such as malnutrition, aspiration pneumonia, asphyxia, or even death from choking due to improper eating. Physical therapy offers a non-invasive treatment with high efficacy and low cost. Evidence supporting the use of physical therapy in dysphagia treatment is increasing, including techniques such as neuromuscular electrical stimulation, sensory stimulation, transcranial direct current stimulation, and repetitive transcranial magnetic stimulation. While initial studies have shown promising results, the effectiveness of specific treatment regimens still requires further validation. At present, there is a lack of scientific evidence to guide patient selection, develop appropriate treatment regimens, and accurately evaluate treatment outcomes. Therefore, the primary objectives of this review are to review the results of existing research, summarize the application of physical therapy in dysphagia management, we also discussed the mechanisms and treatments of physical therapy for neurogenic dysphagia.
摘要：
神经性吞咽困难是由中枢神经系统和周围神经系统的问题引起的吞咽困难。在帕金森病和中风等疾病中尤为普遍。它严重影响受影响个人的生活质量，并造成额外负担，比如营养不良，吸入性肺炎,窒息,甚至因饮食不当而窒息而死亡。物理疗法提供高疗效和低成本的非侵入性治疗。支持在吞咽困难治疗中使用物理疗法的证据正在增加，包括神经肌肉电刺激等技术，感官刺激,经颅直流电刺激，重复经颅磁刺激.虽然初步研究显示出了有希望的结果，具体治疗方案的有效性仍需进一步验证.目前,缺乏科学证据来指导患者选择，制定适当的治疗方案，并准确评估治疗结果。因此,这篇综述的主要目的是回顾现有研究的结果，总结物理治疗在吞咽困难管理中的应用,我们还讨论了物理治疗神经性吞咽困难的机制和治疗方法。
