The Effect of Bedside Exercise Program on Stroke Patients with Dysphagia
강정호, 박래영, 이수진, 김자영, 윤서라, 정광익,
소속 상세정보
강정호 ( Kang Jung-Ho )
Gwangju Veterans Hospital Department of Rehabilitation Medicine
박래영 ( Park Rae-Young )
Gwangju Veterans Hospital Department of Rehabilitation Medicine
이수진 ( Lee Su-Jin )
Gwangju Veterans Hospital Department of Rehabilitation Medicine
김자영 ( Kim Ja-Young )
Gwangju Veterans Hospital Department of Rehabilitation Medicine
윤서라 ( Yoon Seo-Ra )
Gwangju Veterans Hospital Department of Rehabilitation Medicine
정광익 ( Jung Kwang-Ik )
Gwangju Veterans Hospital Department of Rehabilitation Medicine
KMID : 0361420120360040512
Abstract
Objective: To examine the effects of a bedside exercise program on the recovery of swallowing after a stroke.
Method: Fifty stroke patients with dysphagia (<6 months post-stroke) were enrolled and classified into two groups, the experimental (25 subjects) and control groups (25 subjects). The control group was treated with conventional swallowing therapy. The experimental group received additional bedside exercise training, which consisted of oral, pharyngeal, laryngeal, and respiratory exercises, 1 hour per day for 2 months, and they were instructed regarding this program through the nursing intervention. All patients were assessed for their swallowing function by Videofluoroscopic Swallowing Study (VFSS), using the New VFSS scale, the level of functional oral intake, the frequency of dysphagia complications, the presence (or not) of tube feeding, the mood state and quality of life before the treatment and at 2 months after the treatment.
Results: After 2 months of treatment, the experimental group showed a significant improvement in the swallowing function at the oral phase in the New VFSS Scale than that of the control group (p<0.05). Further, they also showed less depressive mood and better quality of life than the control group. However, there was no significant change in the incidence of dysphagia complication and the presence (or not) of tube feeding between the two groups.
Conclusion: Bedside exercise program showed an improvement of swallowing function and exhibited a positive secondary effect, such as mood state and quality of life, on subacute stroke patients with dysphagia. For improvement of rehabilitation results on subacute stroke patients with dysphagia, this study suggests that additional intensive bedside exercise would be necessary.
키워드
Dysphagia; Videofluoroscopic swallowing study; Bedside exercise
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