Skip to main content
SpringerLink
Log in

Transcutaneous Electrical Neuromuscular Stimulation (TENS) Along with Traditional Dysphagia Therapy in Patients with Posterior Stroke: A Case Study

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Swallowing is a complicated, multilevel and neuromuscular physiological function. Transcutaneous neuromuscular electrical stimulation is a relatively new therapeutic intervention for the treatment of swallowing disorders. The aim was to administer and focus on pre and post therapy effects of traditional dysphagia therapy and electrical stimulation (TENS) in 2 participants with posterior stroke. Electrical current along with traditional dysphagia therapy on regular intervals with adequate current levels post stroke. These cumulative therapeutic strategies helped in improving the swallowing mechanism. TENS is one of the new therapeutic technique that has greater advantage along with traditional dysphagia therapy, which promises a lot of scope in cases with acute cerebrovascular accidents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Clark H, Lazarus C, Arvedson J, Schooling T, Frymark T (2009) Evidence-based systematic review: effects of neuromuscular electrical stimulation on swallowing and neural activation. Am J Speech Lang Pathol 18:361–375

    Article  Google Scholar 

  2. Restivo DA, Casabona A, Centonze D, Marchese-Ragona R, Maimone D, Pavone A (2013) Pharyngeal electrical stimulation for dysphagia associated with multiple sclerosis: a pilot study. Brain Stimul 6:418–423

    Article  Google Scholar 

  3. Chen YW, Chang KH, Chen HC, Liang WM, Wang YH, Lin YN (2015) The effects of surface neuromuscular electrical stimulation on poststroke dysphagia: a systemic review and meta-analysis. Clin Rehabil 30(1):24–35

    Article  Google Scholar 

  4. Christiaanse ME, Mabe B, Russell G, Simeone TL, Fortunato J, Rubin B (2011) Neuromuscular electrical stimulation is no more effective than usual care for the treatment of primary dysphagia in children. Pediatr Pulmonol 46:559–565

    Article  Google Scholar 

  5. Ashford J, McCabe D, Wheeler-Hegland K, Frymark T, Mullen R, Musson N, Hammond CS (2009) Evidence based systematic review: oropharyngeal dysphagia behavioral treatments. Part III—impact of dysphagia treatments on populations with neurological disorders. J Rehabil Res Dev 46(2):195–204

    Article  Google Scholar 

  6. Huckabee ML, Doeltgen S (2007) Emerging modalities in dysphagia rehabilitation: neuromuscular electrical stimulation. N Z Med J 120:U2744

    PubMed  Google Scholar 

  7. Pownall S, Enderby P, Sproson L (2017) Electrical stimulation for the treatment of dysphagia. In: Majid A (ed) Electroceuticals. Springer, Cham, pp 137–153. https://doi.org/10.1007/978-3-319-28612-9_6

    Chapter  Google Scholar 

  8. Freed ML, Freed L, Chatburn RL, Christian M (2001) Electrical stimulation for swallowing disorders caused by stroke. Respir Care 46:466–474

    CAS  PubMed  Google Scholar 

  9. Gallas S, Marie JP, Leroi AM (2010) Sensory transcutaneous electrical stimulation improves post-stroke dysphagic patients. Dysphagia 25(4):291–297

    Article  Google Scholar 

  10. Bogaardt H (2002) Dysfunctie van de bovenste slokdarmsfincter bij slikstoornissen. Logop Fonatrie 3:84–87

    Google Scholar 

  11. Alon G (1991) Principles of electrical stimulation. In: Nelson RM, Currier DP (eds) Clinical electrotherapy, 2nd edn. Appleton & Lange, Norwalk, CT, pp 25–101

    Google Scholar 

  12. Campbell JM (n.d.) General considerations in the clinical application of electrical stimulation. Retrieved from http://www.ifess.org/cedu_generalconsiderations

  13. Carnaby-Mann GD, Crary MA (2007) Examining the evidence on neuromuscular electrical stimulation for swallowing: a meta-analysis. Arch Otolaryngol Head Neck Surg 133(6):564–571

    Article  Google Scholar 

  14. Crary MA, Carnaby-Mann GD, Faunce A (2007) Electrical stimulation therapy for dysphagia: descriptive results of two surveys. Dysphagia 22:165–173

    Article  Google Scholar 

  15. Freed M, Wijting Y (2007) VitalStim therapy: training manual for the use of neuromuscular electrical stimulation in the treatment of dysphagia in the pediatric population. Chattanooga Group, Hixson, TN

    Google Scholar 

  16. Heijnen BJ, Speyer R, Baijens LW, Bogaardt HC (2012) Neuromuscular electrical stimulation versus traditional therapy in patients with Parkinson’s disease and oropharyngeal dysphagia: effects on quality of life. Dysphagia 27:336–345

    Article  CAS  Google Scholar 

  17. Babani ND, Hattiangadi GA (2014) Bedside assessment protocol and grading scale for dysphagia in adults: a preliminary study. J Indian Speech Lang Hear Assoc 28(1):10

    Google Scholar 

  18. Huckabee M-L, Doeltgen S (2007) Emerging modalities in dysphagia rehabilitation: neuromuscular electrical stimulation. N Engl Med J 120:1–9

    Google Scholar 

  19. Lee K, Kim S, Lee J, Lee S, Ri J, Park J (2014) The effect of early neuromuscular electrical stimulation therapy in acute/subacute ischemic stroke patients with dysphagia. Ann Rehabil Med 38(2):153–159

    Article  Google Scholar 

  20. Shaw GY, Sechtem PR, Searl J, Keller K, Rawi TA, Dowdy E (2007) Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphagia: myth or reality? Ann Otol Rhinol Laryngol 116:36–44

    Article  Google Scholar 

  21. Toyama K, Matsumoto S, Kurasawa M et al (2014) Novel neuromuscular electrical stimulation system for treatment of dysphagia after brain injury. Neurol Med Chir (Tokyo) 54(7):521–528

    Article  Google Scholar 

  22. Park J, Yong S, Kim J, Jung L et al (2014) Cutoff value of pharyngeal residue in prognosis prediction after neuromuscular electrical stimulation therapy for dysphagia in subacute stroke patients. Ann Rehabil Med 38(5):612–619

    Article  Google Scholar 

  23. Thakkar DR, Malarvizhi D (2016) Effectiveness of transcutaneous eletrical neuromuscular stimulation along with exercisces manoeuver in dysphagia: case series. Int J Pharm Bio Sci 7(4):753–756. https://doi.org/10.22376/ijpbs.2016.7.4.b753-756

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Audiology and Speech Therapy Department, TNMC and BYL Nair Ch Hospital, Dr. A. L Nair Road, Mumbai Central, Mumbai, India

    Anindita A. Banik & Gayatri A. Hattiangadi

Authors
  1. Anindita A. Banik
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gayatri A. Hattiangadi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Anindita A. Banik.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Banik, A.A., Hattiangadi, G.A. Transcutaneous Electrical Neuromuscular Stimulation (TENS) Along with Traditional Dysphagia Therapy in Patients with Posterior Stroke: A Case Study. Indian J Otolaryngol Head Neck Surg 72, 279–283 (2020). https://doi.org/10.1007/s12070-019-01714-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-019-01714-x

Keywords

Search

Navigation