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Effciency of a rehabilitation training method by means of special infant formulas in patients with ischemic stroke and neurogenic dysphagia as part of combined therapy

https://doi.org/10.14412/2074-2711-2019-2-65-70

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Abstract

Objective: to evaluate the efficiency of a training method using special infant formulas as part of combined rehabilitation for patients with ischemic stroke and neurogenic dysphagia.

Patients and methods. The investigation enrolled 55 patients (30 men and 25 women) aged 45–80 years with dysphagia during the acute period of ischemic stroke. Thirty patients used special astringent formulas as part of combined therapy and 25 patients did not. The investigators studied the time of course of changes in the restoration of swallowing function, by using the Penetration-Aspiration Scale (PAS) and the Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS), as well as the transition from probe feeding to independent one.

Results and discussion. The best restoration of swallowing function was shown to be achieved through training using formulas with different astringency. Stronger astringent formulas, like solid foods, stimulate better the pharyngeal receptor apparatus; the most active restoration of a dynamic swallowing stereotype occurs. The gradual transition to a milder astringent formula allows restoration of the skill to swallow thinner liquid foods. It takes 10 days to achieve a significant clinical effect in most patients, mainly in those with pseudobulbar disorders. Training may be prolonged to 2 weeks or more in severe cases, in bulbar dysfunctions.

Conclusion. The training rehabilitation method using special infant formulas in combination with electrical stimulation in patients with ischemic stroke and neurogenic dysphagia allows achieving the significantly better indicators of restoration of swallowing function in accordance with the PAS scale. The application of the method contributes to the significantly better transition from probe feeding to independent one.

About the Authors

V. I. Ershov
Orenburg State Medical University, Ministry of Health of Russia; University Research and Clinical Center of Neurology, Neurosurgery, and Neuroreanimatology
Russian Federation

Vadim Ivanovich Ershov

6, Sovetskaya St., Orenburg 460000



A. A. Belkin
Clinical Brain Institute
Russian Federation

28-6, Shilovskaya St., Berezovsky 623700



A. V. Karpets
N.I. Pirogov City Clinical Hospital
Russian Federation
140B, Prospekt Pobedy, Orenburg 460000


S. V. Zdvizhkova
University Research and Clinical Center of Neurology, Neurosurgery, and Neuroreanimatology; N.I. Pirogov City Clinical Hospital
Russian Federation

6, Sovetskaya St., Orenburg 460000, 140B, Prospekt Pobedy, Orenburg 460000



A. P. Gonchar-Zaikin
Orenburg State Medical University, Ministry of Health of Russia
Russian Federation

6, Sovetskaya St., Orenburg 460000



N. V. Gumalatova
Orenburg State Medical University, Ministry of Health of Russia
Russian Federation

6, Sovetskaya St., Orenburg 460000



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For citation:


Ershov V.I., Belkin A.A., Karpets A.V., Zdvizhkova S.V., Gonchar-Zaikin A.P., Gumalatova N.V. Effciency of a rehabilitation training method by means of special infant formulas in patients with ischemic stroke and neurogenic dysphagia as part of combined therapy. Neurology, Neuropsychiatry, Psychosomatics. 2019;11(2):65-70. (In Russ.) https://doi.org/10.14412/2074-2711-2019-2-65-70

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)