Ravinder Narwal


Aims and Objectives: Dysphagia has been associated with higher rates of respiratory complications and increased risk of aspiration pneumonia, dehydration and nutritional com-promise.Therefore the present study was design to find out the efficacy of TENS with exercise maneuvers in the treatment of dysphagia.Methodology:- This Experimental study conducted in the Himalayan Hospital, Jollygrant, Dehradun-UK. A sample of 20 subjects was recruited for the study. The subjects were randomly divided into 2 groups, Subjects in Group A were given TENS therapy. The therapy is usually given for 30 min session for 6 days. Following this the subjects were given swallowing therapy for 30 min for same no. of days. Subjects in group B will be given only TENS therapy. Functional oral intake scale (FOIS) was use as Main outcome variable.Results: Both the exercise regimes showed improvement in the dysphagia but TENS compared with exercise maneuvers provided a significant improvement in dysphagia rehabilitation compared with the TENS alone.Conclusions: TENS with exercise maneuvers should be uses in dysphagia rehabilitation as compared with the TENS alone.


Dysphagia, TENS, exercise maneuvers, FOIS score.

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S.Singh and S.Handy. Dysphagia in Stroke patient; Post Graduate Medicine J. 2006 june ,82(968):383-391.

Barbara R- Pauloski et al. Rehablitation of dysphagia following head and neck cancer. Physical Med Rehablitation Clin 19(4): 889-928, 2008 november.

Wutichai Permsiri-vanich MD et al. Comparing the effects of rehabilitation swallowing therapy vs. neuromuscular electrical stimulation therapy among stroke patients with persistent pharyngeal dysphagia: a randomized controlled study. J Med Assoc Thai. 2009 Feb;92(2):259-65.

Suttipong Tipchatyotin MD, Manit Wongchai BSc (Occupa-tional Therapy), Vitoon Leelamanit MD et al Compare the Effects of Rehabilitation Swallowing Therapy vs. Neuromuscular Electrical Stim-ulation Therapy among Stroke Patients with Persistent Pharyngeal Dysphagia . J Med Assoc Thai Vol. 92 No. 2 2009.

Crary MA, Carnaby Mann GD, Groher ME.Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehab-iltation 2005;86:1516-20.

Leelamanit V, Limsakul C, Geater A. Synchronized electrical stimulation in treating pharyngeal dysphagia. Laryngoscope. Dec 2002;112 (12):2204-2210.

Lazarus CL, Logemann JA, Rademaker AW, et al. Effects of bolus volume, viscosity and repeated swallows in nonstroke subjects and stroke patients. Arch Phys Med Rehabil. 1993;74:1066–1070.

Ludlow CL, Humbert I, Saxon K, Poletto C, Sonies B, Crujido L. Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal Dysphagia. Dysphagia. Jan 2007;22 (1):1-10.

Beom J, Kim S, Han T. Electrical Stimulation of the Suprahyoid Muscles in Brain –injured Patients with Dysphagia: A Pilot Study. Ann Rehabil Med. 2011(35):322-327.

Gallas S, Marie JP, Leroi AM et al- Sensory transcutaneous electrical stimulation improves post-stroke dysphagic patients. 2010 Dec; 25(4):291-7.

Lake, D. A. (1992). Neuromuscular electrical stimulation. An overview and its application in the treatment of sports injuries. Sports Medicine, 13, 320-336.

K.B. Lim, H.-J. Lee, et al: Effectiveness of “Neuromuscular electrical and thermal-tactile stimulation for dysphagia caused by stroke : a randomized controlled trial,” Journal of Rehabilitation Medicine 2009 , vol. 41, no. 3, pp. 174-178.

Shaker R, Easterling C, Kern M et al- Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening., 2002 May;122(5):1314-21

Lazarus C, Logemann JA, Gibbons P. Effects of maneuvers on swallow functioning in a dysphagic oral cancer patient. Head Neck. 1993;15:419–424.

Suiter DM, Leder SB, Ruark JL. Effects of Neuromuscular electrical stimulation on submental muscle activity. Dysphagia. Jan 2006; 21 (1): 56-60.

Park JW, Oh JC, Lee HJ, Park SJ, Yoon Ts, Kwon BS. Effortful swallowing training coupled with electrical stimulation leads to an increase in hypoid elevation during swallowing. Dysphagia. Sept 2009; 24(3): 296-301.

Steele CM, Thrasher AT, Popovic MR. Electric stimulation approaches to the restoration and rehabilitation of swallowing: a review. Neurol Res. 2007;29(1):9–15.

Freed ML, Freed L, Chatburn RL, et al. Electrical stimulation for swallowing disorders caused by stroke. Respir Care. 2001;46(5):466–74.

Shaw GY, Sechtem PR, Searl J, et al. Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphagia: myth or reality? Ann Otol Rhinol Laryngol.2007;116(1):36–44.

Blumenfeld L, Hahn Y, Lepage A, et al. Transcutaneous electrical stimulation versus traditional dysphagia therapy: a nonconcurrent cohort study. Otolaryngol Head Neck Surg. 2006;135(5):754–7.

Kiger, M., Brown, C. S. & Watkins, L. (2006). Dysphagia management: An analysis of patient outcomes using VitalStim therapy compared to traditional swallow therapy. Dysphagia, 21(4), 243-253.

Crary MA, Carnaby-Mann GD, Faunce A. Electrical stimulation therapy for dysphagia: descriptive results of two surveys. Dysphagia. 2007;22(3):165–73.


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