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[Effect of electrical stimulation with bilateral scalp acupuncture on time parameters in video fluoroscopic swallowing study and cortical excitability in patients with dysphagia after cortical stroke].
Zhen Ci Yan Jiu. 2020 Jun 25; 45(6):473-9.ZC

Abstract

OBJECTIVE

To investigate the effect of electrical stimulation with bilateral scalp acupuncture on time parameters in video fluoroscopic swallowing study and cortical excitability in patients with dysphagia after cortical stroke, as well as its possible mechanism of action.

METHODS

A total of 84 patients with dysphagia after cortical stroke were randomly divided into control group with 41 patients and observation group with 43 patients. The patients in the control group were given acupuncture based on acupoint selection for pseudobulbar palsy, and in addition to the treatment in the control group, the patients in the observation group were given electrical stimulation of bilateral scalp acupuncture, with acupuncture and pulse acupuncture at the lower 2/5 of the bilateral anterior oblique parietotemporal lines[on the line connecting Qianshencong (EX-HN1) to Xuanli (GB6)] and the lower 2/5 of the bilateral posterior oblique parietotemporal lines [on the line connecting Baihui (GV20)and Qubin (GB7)], with a needle retaining time of 30 minutes, once a day and 6 times a week for 3 weeks. Before treatment and after 3 weeks of treatment, oral delay time (ODT), oral transit time (OTT), pharyngeal delay time (PDT), and pharyngeal transit time (PTT) were compared between the two group; the Rosenbek Penetration-Aspiration Scale was used to evaluate penetration-aspiration and appro-ximate entropy (ApEn) of EEG nonlinear index.

RESULTS

After treatment, both groups had significant reductions in ODT, OTT, PDT, PTT, and Rosenbek Penetration-Aspiration score and a significant increase in ApEn (P<0.05). Compared with the control group after treatment, the observation group had significant reductions in ODT and OTT (P<0.05) and significant increases in the ApEn values of bilateral central, parietal, and posterior temporal regions (P<0.05), while there were no significant differences in PDT, PTT, and Rosenbek Penetration-Aspiration score between the two groups (P>0.05).

CONCLUSION

In addition to body acupuncture, electrical stimulation with bilateral scalp acupuncture can improve ODT and OTT in the treatment of patients with dysphagia after cortical stroke, which may be associated with the increased excitability of the swallowing cortex.

Authors+Show Affiliations

Department of Acupuncture and Rehabilitation, Xiamen Hospital of Beijing University of Chinese Medicine, Xiamen 361009, Fujian Province, China.Department of Acupuncture and Rehabilitation, Xiamen Hospital of Beijing University of Chinese Medicine, Xiamen 361009, Fujian Province, China.Department of Acupuncture and Rehabilitation, Xiamen Hospital of Beijing University of Chinese Medicine, Xiamen 361009, Fujian Province, China.Department of Acupuncture and Rehabilitation, Xiamen Hospital of Beijing University of Chinese Medicine, Xiamen 361009, Fujian Province, China.

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

32643884

Citation

Jin, Hai-Peng, et al. "[Effect of Electrical Stimulation With Bilateral Scalp Acupuncture On Time Parameters in Video Fluoroscopic Swallowing Study and Cortical Excitability in Patients With Dysphagia After Cortical Stroke]." Zhen Ci Yan Jiu = Acupuncture Research, vol. 45, no. 6, 2020, pp. 473-9.
Jin HP, Li XL, Ye QJ, et al. [Effect of electrical stimulation with bilateral scalp acupuncture on time parameters in video fluoroscopic swallowing study and cortical excitability in patients with dysphagia after cortical stroke]. Zhen Ci Yan Jiu. 2020;45(6):473-9.
Jin, H. P., Li, X. L., Ye, Q. J., & Wang, Y. (2020). [Effect of electrical stimulation with bilateral scalp acupuncture on time parameters in video fluoroscopic swallowing study and cortical excitability in patients with dysphagia after cortical stroke]. Zhen Ci Yan Jiu = Acupuncture Research, 45(6), 473-9. https://doi.org/10.13702/j.1000-0607.190697
Jin HP, et al. [Effect of Electrical Stimulation With Bilateral Scalp Acupuncture On Time Parameters in Video Fluoroscopic Swallowing Study and Cortical Excitability in Patients With Dysphagia After Cortical Stroke]. Zhen Ci Yan Jiu. 2020 Jun 25;45(6):473-9. PubMed PMID: 32643884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effect of electrical stimulation with bilateral scalp acupuncture on time parameters in video fluoroscopic swallowing study and cortical excitability in patients with dysphagia after cortical stroke]. AU - Jin,Hai-Peng, AU - Li,Xiang-Liang, AU - Ye,Qing-Jing, AU - Wang,Yong, PY - 2020/7/10/entrez KW - Bilateral scalp acupuncture KW - Cerebral cortex KW - Dysphagia KW - Electroacupuncture KW - Stroke SP - 473 EP - 9 JF - Zhen ci yan jiu = Acupuncture research JO - Zhen Ci Yan Jiu VL - 45 IS - 6 N2 - OBJECTIVE: To investigate the effect of electrical stimulation with bilateral scalp acupuncture on time parameters in video fluoroscopic swallowing study and cortical excitability in patients with dysphagia after cortical stroke, as well as its possible mechanism of action. METHODS: A total of 84 patients with dysphagia after cortical stroke were randomly divided into control group with 41 patients and observation group with 43 patients. The patients in the control group were given acupuncture based on acupoint selection for pseudobulbar palsy, and in addition to the treatment in the control group, the patients in the observation group were given electrical stimulation of bilateral scalp acupuncture, with acupuncture and pulse acupuncture at the lower 2/5 of the bilateral anterior oblique parietotemporal lines[on the line connecting Qianshencong (EX-HN1) to Xuanli (GB6)] and the lower 2/5 of the bilateral posterior oblique parietotemporal lines [on the line connecting Baihui (GV20)and Qubin (GB7)], with a needle retaining time of 30 minutes, once a day and 6 times a week for 3 weeks. Before treatment and after 3 weeks of treatment, oral delay time (ODT), oral transit time (OTT), pharyngeal delay time (PDT), and pharyngeal transit time (PTT) were compared between the two group; the Rosenbek Penetration-Aspiration Scale was used to evaluate penetration-aspiration and appro-ximate entropy (ApEn) of EEG nonlinear index. RESULTS: After treatment, both groups had significant reductions in ODT, OTT, PDT, PTT, and Rosenbek Penetration-Aspiration score and a significant increase in ApEn (P<0.05). Compared with the control group after treatment, the observation group had significant reductions in ODT and OTT (P<0.05) and significant increases in the ApEn values of bilateral central, parietal, and posterior temporal regions (P<0.05), while there were no significant differences in PDT, PTT, and Rosenbek Penetration-Aspiration score between the two groups (P>0.05). CONCLUSION: In addition to body acupuncture, electrical stimulation with bilateral scalp acupuncture can improve ODT and OTT in the treatment of patients with dysphagia after cortical stroke, which may be associated with the increased excitability of the swallowing cortex. SN - 1000-0607 UR - https://www.unboundmedicine.com/medline/citation/32643884/[Effect_of_electrical_stimulation_with_bilateral_scalp_acupuncture_on_time_parameters_in_video_fluoroscopic_swallowing_study_and_cortical_excitability_in_patients_with_dysphagia_after_cortical_stroke] L2 - https://antibodies.cancer.gov/detail/CPTC-APEX1-2 DB - PRIME DP - Unbound Medicine ER -
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