Amira Farag El-Sheikh, Amira Mohamed El- Tohamy, Bosina Mohamed Abd El-Aziz, Manal Salah El-Din. Abd El-wahab

Amira Farag El-Sheikh, Amira Mohamed El- Tohamy, Bosina Mohamed Abd El-Aziz, Manal Salah El-Din. Abd El-wahab – Neuromuscular electrical stimulation therapy on controlling dysphagia in spastic cerebral palsy: A randomized controlled clinical trial. Fizjoterapia Polska 2020; 20(2); 194-198

Abstract
Purpose. The purpose of this study was to evaluate the effectiveness of neuromuscular electrical stimulation (NMES) on controlling dysphagia in children with spastic cerebral palsy. Methods. Forty children, with age ranging from 2 to 5 years with a diagnosis of spastic cerebral palsy, they had dysphagia with level four or more in functional oral intake scale. They were randomly assigned into two groups of equal number, the study group that was treated by NMES in addition to selected oromotor exercise home program, whereas the control group was treated by placebo effect of NMES and the same oromotor exercise home program. Feeding level progress was evaluated by functional oral intake scale, weight gain and height were measured pre and post 2 months of the treatment. Results. A statistically insignificant difference was recorded before treatment (P > 0.05) between the study and control group, while a significant difference was recorded in each group after treatment in all measured variables. Comparing between both groups regarding feeding level progress there was significant difference (P < 0.05), but no statistically significant difference between both groups regarding weight gain and height (P < 0.05). Conclusions. The results of this randomized controlled study showed that NMES has more effect on feeding level progress than oromotor exercise home programme but no effect on weight gain and height, so the study suggests that oromotor exercise home Programme with NMES is superior to oromotor exercise home Programme alone for treating dysphagia in children with spastic cp.

Key words:
dysphagia, neuromuscular electrical stimulation, spastic cerebral palsy

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