International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 8 , ISSUE 1 ( January-June, 2018 ) > List of Articles


Effectiveness of Neuromuscular Electrical Stimulation on Neurological Pharyngeal Dysphagia

Jayanta Roy, Amitabha Roychoudhury, Bhaskar Dey, Rajanikanta Pradhan, Abhijit Das, Susmita Ghosh

Keywords : Endoscopic evaluation of swallowing, Neurological, Neuromuscular electrical stimulation, Penetration-aspiration scale, Pharyngeal dysphagia, videofluoroscopic study of swallowing

Citation Information : Roy J, Roychoudhury A, Dey B, Pradhan R, Das A, Ghosh S. Effectiveness of Neuromuscular Electrical Stimulation on Neurological Pharyngeal Dysphagia. Int J Phonosurg Laryngol 2018; 8 (1):31-35.

DOI: 10.5005/jp-journals-10023-1155

License: CC BY-NC 3.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


This study was done to find the effectiveness of neuromuscular electrical stimulation (NMES) over anterior neck muscles. Sixteen patients, age range 50 to 80 years with pharyngeal dysphagia of neurological origin were included for study. A similar age-matched control group of 16 patients was taken from medical records. Detailed history, clinical assessment, investigations that are a flexible endoscopic evaluation of swallowing (FEES) and videofluoroscopic study of swallowing (VFS) was done. Subjective response (percentage of total diet taken orally) and penetration-aspiration scale (PAS) score at the beginning of treatment were noted. NMES was given to the study group along with swallow therapy. The suprahyoid muscles were stimulated regularly for 2 weeks. The reassessment was done after 2 weeks. The control group received only swallow therapy but no NMES. The results of the control group were also noted. Changes in the percentage of the total quantity of diet taken orally were asked. Upgradation in PAS score was assessed using FEES and VFS. The satisfactory improvement was found within 2 weeks in the study group. This took about 2 months in the control group. Hence, NMES was found to be an effective tool for dysphagia management.

PDF Share
  1. Azman MF, Azman AW. The effect of electrical stimulation in improving muscle tone (clinical). InIOP Conference Series: Materials Science and Engineering 2017 Nov (Vol. 260, No. 1, p. 012020). IOP Publishing.
  2. Sheffler LR, Chae J. Neuromuscular electrical stimulation in neurorehabilitation. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine. 2007 May;35(5):562-590.
  3. Press JM, Bergfeld DA. Physical Modalities. Clinical Sports Medicine: Medical Management and Rehabilitation. 2007:207.
  4. Doucet BM, Lam A, Griffin L. Neuromuscular electrical stimulation for skeletal muscle function. The Yale journal of biology and medicine. 2012 Jun;85(2):201.
  5. Choi JB. Effect of neuromuscular electrical stimulation on facial muscle strength and oral function in stroke patients with facial palsy. Journal of physical therapy science. 2016;28(9):2541- 2543.
  6. Lake DA. Neuromuscular electrical stimulation. Sports medicine. 1992 May 1;13(5):320-336.
  7. Frost J, Robinson HF, Hibberd J. A comparison of neuromuscular electrical stimulation and traditional therapy, versus traditional therapy in patients with longstanding dysphagia. Current opinion in otolaryngology & head and neck surgery. 2018 Jun 1;26(3):167-173.
  8. Poorjavad M, Talebian Moghadam S, Nakhostin Ansari N, Daemi M. Surface electrical stimulation for treating swallowing disorders after stroke: a review of the stimulation intensity levels and the electrode placements. Stroke research and treatment. 2014;2014.
  9. Moe JH, Post HW. Functional electrical stimulation for ambulation in hemiplegia. The Journal-lancet. 1962 Jul;82:285-288.
  10. Nussbaum EL, Houghton P, Anthony J, Rennie S, Shay BL, Hoens AM. Neuromuscular Electrical Stimulation for Treatment of Muscle Impairment: Critical Review and Recommendations for Clinical Practice. Physiotherapy Canada. 2017;69(5):1-76.
  11. Mittal R, Mishra AK, Nilakantan A. Therapeutic interventions by speech language pathologist in managing adult dysphagia: An evidence based review. Journal of Laryngology and Voice. 2015 Jan 1;5(1):11.
  12. Gupta H, Banerjee A. Recovery of dysphagia in lateral medullary stroke. Case reports in neurological medicine. 2014.
  13. Mehndiratta MM, Gupta P, Kaur M. The effect of sensory-level electrical stimulation of the masseter muscle in early stroke patients with dysphagia. Neurology India. 2017 Jul 1;65(4):743.
  14. Majid A. Electroceuticals. Springer; 2017, p. 137-156.
  15. American Speech-Language-Hearing Association. Membership Survey summary report: Number and type of responses. Rockville, MD: Author. 2009.
  16. Bülow M, Speyer R, Baijens L, Woisard V, Ekberg O. Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunction. Dysphagia. 2008 Sep 1;23(3):302-309.
  17. Carnaby-Mann GD, Crary MA. Examining the evidence on neuromuscular electrical stimulation for swallowing: a metaanalysis. Archives of Otolaryngology–Head & Neck Surgery. 2007 Jun 1;133(6):564-571.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.