Pharyngeal Electrical Stimulation For Dysphagia

Research design and methods.

Pharyngeal electrical stimulation for dysphagia.

It also records and stores patient information to avoid errors in treatment. Phagenyx consists of a base station and a treatment catheter which in combination enable the healthcare professional to deliver personalised dysphagia treatment for every patient. Irrespective of the modality of neurostimulation applied most of these studies focussed on mild to moderate stroke and included only a small proportion of severely dysphagic patients i e. Pharyngeal electric stimulation pes is a novel treatment for poststroke dysphagia that has shown promise in 3 pilot randomized controlled trials.

In normal volunteers and patients with subacute stroke and dysphagia pharyngeal electrical stimulation pes at 5 hz and 75 of maximum tolerated intensity typically 10 20 ma for 10 minutes produced the strongest effect on brain excitability measured with transcranial magnetic stimulation tms. We therefore postulated that low frequency 5 hz intraluminal pharyngeal electrical stimulation may improve disrupted swallowing in ms. Pharyngeal electrical stimulation pes is a novel technique intended to activate the peripheral sensory afferents to the central pattern generator and to the cortical swallowing area by a. Methods we randomly assigned 162 patients with a recent ischemic or hemorrhagic stroke and dysphagia defined as a penetration aspiration score pas of 3 on video fluoroscopy to pes or sham.

A randomized controlled trial. Electrical pharyngeal stimulation eps has been shown to improve swallowing function and in particular decrease airway aspiration in acute stroke patients. Listing a study does not mean it has been evaluated by the u s. In this pilot study we evaluated the effect of 5 hz pharyngeal electrical stimulation on swallowing function in twenty dysphagic and aspirating ms patients.

Pharyngeal electrical stimulation evaluation for dysphagia after stroke pheed the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Phagenyx base station. Pharyngeal electrical stimulation pes is a novel rehabilitation treatment for nd. Electrical pharyngeal stimulation for dysphagia treatment in tracheotomized stroke patients.

The pharyngeal electrical stimulation for early decannulation in tracheotomised stroke patients with neurogenic dysphagia phast trac trial was designed to replicate validate and extend this single centre experience in a larger phase 3 design.