Estimulação Elétrica Neuromuscular na Reabilitação da Disfagia Orofaríngea Neurogênica
DOI:
https://doi.org/10.4181/RNC.2012.20.02.682.9pPalavras-chave:
Transtornos de Deglutição, Terapia por Estimulação Elétrica, Acidente Cerebral VascularResumo
Objetivo. Apresentar revisão de literatura sobre a eficácia da estimulação elétrica neuromuscular (EENM) na reabilitação da disfagia orofaríngea neurogênica e comparar os métodos de terapia no acidente vascular cerebral (AVC). Método. Foi realizada revisão de literatura em diferentes bases de dados, como Medline, Scielo Brasil, Chile e Espanha e Lilacs com as seguintes palavras-chave: transtornos de deglutição, terapia, estimulação elétrica, faringe e acidente cerebral vascular no período entre 1990 e 2011. Resultados. Os artigos utilizaram a EENM em populações heterogêneas, não havendo ainda consenso sobre o método utilizado e qual a eficácia da EENM na reabilitação de pacientes com disfagia orofaríngea neurogênica. Conclusão. Após este estudo, concluímos que são necessárias investigações futuras que envolvam grupos homogêneos de disfágicos neurogênicos e, que discutam a proposição de um protocolo específico de aplicação da EENM para a reabilitação da disfagia orofaríngea neurogênica.
Downloads
Métricas
Referências
Foley N, Teasell R, Salter K, Kruger E, Martino R. Dysphagia treatment post stroke: a systematic review of randomized controlled trials. Age Ageing 2008;37(3):258-64. http://dx.doi.org/10.1093/ageing/afn064
Carnaby-Mann GD, Crary MA. Examining the evidence on neuromuscular electrical stimulation for swallowing. A meta-analysis. Arch Otolaryngol 2007;133:564-71.
Ayala KJ, Cruz KJ. Transcutaneous electrical stimulation in dysphagia treatment: is there sufficient evidence? TEJAS 2008;31:37-54.
Conceição TMC, Alves TM, Cardoso F, Beresford H. Avaliação da estimulação elétrica no tratamento da disfagia secundário ao acidente vascular encefálico. Acta Fisitátrica 2009;16:191-5.
Guimarães BTL, Furkim AM, Silva RG. Estimulação neuromuscular na reabilitação da disfagia orofaríngea. Rev. Soc. Bras. Fonoaudiol 2010;15:615-21.
Barritt AW, Smithard DG. Role of cerebral cortex plasticity in recovery of swallowing function following dysphagic stroke. Dysphagia 2009;24:83-90. http://dx.doi.org/10.1007/s00455-008-9162-3
Robbins J, Butler SG, Daniels SK, Gross RD, Langmore S, Lazarus CL, et al. Swallowing and dysphagia rehabilitation: translating principles of neural plasticity into clinically oriented evidence. J Speech Lang Hear Res 2008;51:S276- S300. http://dx.doi.org/10.1044/1092-4388(2008/021)
Teismann IK, Steinstraeter O, Stoeckigt K, Suntrup S, Wollbrink A, Pantev C, et al. Functional oropharyngeal sensory disruption interferes with the cortical control of swallowing. BMC Neurosci 2007;2;8:62.
Oh BM, Kim DY, Paik NJ. Recovery of swallowing function is accompanied by the expansion of the cortical map. Int J Neurosci 2007;117:1215-27. http://dx.doi.org/10.1080/00207450600936254
Blumenfeld L, Hahn Y, LePage A, Leonard R, Belaksky PC. Transcutaneous electrical stimulation versus traditional dysphagia therapy: A nonconcurrent cohort study. Otolaryngol. Head Neck Surg 2006;135:754-7. http://dx.doi.org/10.1016/j.otohns.2006.04.016
Park CL, O’Neill PA, Martin DF. A pilot exploratory study of oral electrical stimulation on swallowing function following stroke: an innovative technique. Dysphagia 1997;12:161-6. http://dx.doi.org/10.1007/PL00009531
Bülow M, Speyer R, Baijens L, Woisard V, Ekberg O. Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunction. Dysphagia 2008;23:302-9. http://dx.doi.org/10.1007/s004550079145-9
Permsirivanich W, Tipchatyotin S, Wongchai M, Leelamanit V, Setthawatcharawanich S, Sathirapanya P, et al. Comparing the effects of rehabilitation swallowing therapy vs neuromuscular electrical stimulation therapy among stroke patients with persistent pharyngeal dysphagia: a randomized controlled study. J. Med. Assoc. Thai 2009;92:259-65.
Lim KB, Lee HJ, Lim SS, Choi YI. Neuromuscular electrical and thermaltactile stimulation for dysphagia caused by stroke: a randomized controlled trial. J Rehabil Med 2009;41:174-8. http://dx.doi.org/10.2340/16501977-0317
Bülow M, Speyer R, Baijens L, Woisard V, Ekberg O. Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunctionDysphagia 2008;23:302-9 http://dx.doi.org/10.1007/s004550079145-9
Shaw GY, Sechten PR, Searl J, Keller K, Rawi TA, Dowdy E. Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphagia: myth or reality? Ann Otol Rhinol Laryngol 2007;116:36-44.
Ayala KJ, Cruz KJ. Transcutaneous Electrical Stimulation in Dysphagia Treatment: Is There Sufficient Evidence? TEJAS 2008;31:37-54.
Clark H, Lazarus C, Arvedson J, Schooling T, Frymark T. Evidence-based systematic review: effects neuromuscular electrical stimulation on swallowing and neural activation. Am J Speech Lang Pathol 2009;18:361-75. http://dx.doi.org/10.1044/1058-0360(2009/08-0088)
Leelamanit V, Limsakul C, Geater A. Synchronized electrical stimulation in treating pharyngeal dysphagia. Laryngoscope 2002;112:2204-10. http://dx.doi.org/10.1097/00005537-200212000-00015
Park JW, Oh JC, Lee HJ, Park SJ, Yoon TS, Kwon BS. Effortful swallowing training coupled with electrical stimulation leads to an increase in hyoid elevation during swallowing. Dysphagia 2009;24:296-301. http://dx.doi.org/10.1007/s00455-008-9205-9
Suiter DM, Leder SB, Ruark JL. Effects of neuromuscular electrical stimulation on submental muscle activity. Dysphagia 2006;21:56-60. http://dx.doi.org/10.1007/s00455-005-9010-7
Humbert IA, Poletto CJ, Saxon KG, Kearney PR, Crujido L, Wright- Harp W, et al. The effect of surface electrical stimulation on hyo-laryngeal movement in normal individuals at rest and during swallowing. J Appl Physiol 2006; 101:1657-63. http://dx.doi.org/10.1152/japplphysiol.00348.2006
Ludlow CL, Humbert I, Saxon K, Poletto C, Sonies B, Crujido L. Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal dysphagia. Dysphagia 2007;22:1-10. http://dx.doi.org/10.1007/s00455-006-9029-4
Carnaby-Mann GD, Crary MA. Adjunctive neuromuscular electrical stimulation for treatment-refractory dysphagia. Ann Otol Rhinol Laryngol 2008;117:279-87.
Freed ML, Freed L, Chatburn RL, Christian M. Electrical stimulation for swallowing disorders caused by stroke. Respir care 2001;46:466-74.
Kiger M, Brown CS, Watkins L. Dysphagia management: an analysis of patient outcomes using VitalStim therapy compared to traditional swallow therapy. Dysphagia 2006;21:243-53. http://dx.doi.org/10.1007/s00455006-9056-1
Baijens L, Speyer R, Nel Roodenburg N, Manni J. The effects of neuromuscular electrical stimulation for dysphagia in opercular syndrome: a case study. Eur Arch Otorhinolaryngol 2008;265:825-30. http://dx.doi.org/10.1007/s00405-007-0516-5
Carnaby-Mann GD, Crary MA. McNeill dysphagia therapy program: a case-control study. Arch Phys Med Rehabil 2010;91:743-9. http://dx.doi.org/10.1016/j.apmr.2010.01.013
Ney D, Weiss J, Kind A, Robbins J. Senescent swallowing: impact, strategies and interventions. Nutr Clin Pract 2009;24:395-413. http://dx.doi.org/10.1177/0884533609332005
Gallas S, Marie JP, Leroi AM, Verin E. Sensory transcutaneous electrical stimulation improves post-stroke dysphagic patients. Dysphagia 2010;25:291-7. http://dx.doi.org/10.1007/s00455-009-9259-3
Downloads
Publicado
Como Citar
Edição
Seção
Publicado: 2012-03-31
Português
English
Español
