Analysis of the application effect of transcranial magnetic stimulation combined with swallowing training in patients with swallowing dysfunction after cerebral Infarction
WANG Kuokuo
FAN Mingxuan
LANG Xueping
LIU Jishi
Abstract：Objective To investigate the effect analysis of transcranial magnetic stimulation(TMS)combined with swallowing training on swallowing function,surface electromyography and nutritional status in patients with dysphagia after cerebral infarction with swallowing dysfunction.Methods A prospective study was conducted on 102 patients with dysphagia after cerebral infarction who were treated in our hospital from March 2021 to March 2024,and they were divided into control group(51 cases)and observation group(51 cases)by random single blind method.Both groups were given routine intervention,the control group was given swallowing training on the basis of routine intervention,and the observation group was given TMS on the basis of the control group.Both groups were treated continuously for 8 weeks.The efficacy,water swallowing test(WST)grading,videofluoroscopic swallowing study(VFSS)score,standardized swallowing assessment(SSA)score,surface electromyography index[surface electromyography signal(amplitude,duration,median frequency)of mandibular hyoid muscle],nutritional status index[serum prealbumin(PAB),serum albumin(ALB),hemoglobin(HB)],and generic quality of life inventory-74(GQOLI-74)were compared between the two groups.Each dimension(physical function,material life,social function,psychological function)score.Results After treatment,the total effective rate of the observation group was 92.16%,which was higher than 74.51%in the control group(χ2=5.718,P<0.05).The WST grading,SSA score,amplitude,and duration in the observation group were lower than those in the control group after treatment(t=3.529,9.549,9.344,5.349,P<0.05).The VFSS score,median frequency,PAB,Alb,HB,and each dimension score of GQOLI-74 in the observation group were higher than those in the control group(t=6.607,5.436,2.116,3.469,2.357,9.056,5.443,5.647,5.883,P<0.05).Conclusion TMS combined with swallowing training has a significant effect on swallowing in patients with dysphagia after cerebral infarction,which can effectively improve their swallowing function,improve the surface electromyography activity characteristics(amplitude,time course,median frequency),nutritional indicators and quality of life of mandibular hyoid muscle.
Keywords：transcranial magnetic stimulationswallowing trainingswallowing functionsurface electromyographynutritional status
Publication Date：2025-12-31
Online Publishing Date：2026-01-06(First online date of this platform, not the publication date of the document)
Pages：5( 1002-1006 )