Observation on the Therapeutic Effect of Scenario-based Interactive Breathing Training Combined with High-frequency Repetitive Transcranial Magnetic Stimulation on Swallowing Disorders after Cerebral Infarction
WANG Xiao
WEI Bing
DONG Xiaoying
XUE Cuiping
DAI Xin
WAN Guiling
Abstract：Objective To observe the effect of scenario-based interactive breathing training combined with high-frequency repetitive transcranial magnetic stimulation(rTMS)on swallowing dysfunction after cerebral infarction(CI).Meth-ods A total of 84 elderly patients with swallowing disorders after CI treated from June 2021 to June 2023 were selected.Using the random number table method,they were divided into two groups.The control group(n=42)received high-frequency rTMS,while the observation group(n=42)received scenario-based interactive breathing training combined with high-frequency rTMS.Baseline data,efficacy,and improvement in swallowing function before and after treatment were com-pared between two groups.Results There was no significant difference in baseline data between the two groups(P＞0.05).After treatment,degree of aspiration score,the swallowing difficulty score,and Wadian drinking water test grading of the ob-servation group were lower than those in the control group,while the functional food intake scale score and surface electromyo-graphy domain index-root mean square were higher than those in the control group(P＜0.05).After treatment,the observa-tion group showed obvious longer duration and greater degree of esophageal sphincter opening,and duration of pharyngeal con-traction,as compared with the control group(P＜0.05).The total effective rate was 92.86%(39/42)in the observation group and 85.71%(36/42)in the control group,suggesting no significant difference(P＞0.05).Conclusion The combi-nation of scenario-based interactive breathing training and high-frequency rTMS rehabilitation therapy can effectively improve the swallowing function of patients after CI,which have significant implications for the improvement of their condition.
Keywords：Cerebral infarctionSwallowing disordersscenario-based interactive breathing trainingRepetitive tran-scranial magnetic stimulationRehabilitationAspirationSurface electromyography
Publication Date：2025-01-14
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 80-84 )