Effect of Transcutaneous Electrical Stimulation in Chronic Poststroke Patients with Oropharyngeal Dysphagia: 1-Year Results of a Randomized Controlled Trial

 

Is this enough to get written in a protocol and distributed to all stroke hospitals? Or will it fall by the wayside since we have fucking failures of stroke associations  doing nothing to get research into the real world? And once again a waste of time and money?

Effect of Transcutaneous Electrical Stimulation in Chronic Poststroke Patients with Oropharyngeal Dysphagia: 1-Year Results of a Randomized Controlled Trial

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Viridiana Arreola, MSc∗, Omar Ortega, PhD∗, Daniel Álvarez-Berdugo, PhD,

First Published June 17, 2021 Research Article Find in PubMed 

https://doi.org/10.1177/15459683211023187

Article information

Abstract

Background. 

Chronic poststroke oropharyngeal dysphagia (CPSOD) is associated with impaired oropharyngeal sensory/motor function. We aimed to assess effect of sensory (SES) and motor (NMES) transcutaneous electrical stimulation (TES) on safety of swallow and clinical outcomes in patients with CPSOD in a one-year follow-up randomized controlled trial.  

Methods. 

Ninety patients (74.1 ± 11.5 y, modified Rankin score 2.6 ± 1.7) with CPSOD and impaired safety of swallow were randomized to (a) compensatory treatment (CT), (b) CT + SES, and (c) CT + NMES. Patients were treated with up to two cycles (6 months apart) of 15 × 1 hour TES sessions over two weeks and followed up with 4-5 clinical and videofluoroscopic assessments during one year.  

Key results. 

Baseline penetration–aspiration scale (PAS) was 4.61 ± 1.75, delayed time to laryngeal vestibule closure (LVC) 396.4 ± 108.7 ms, and impaired efficacy signs 94.25%. Swallowing parameters significantly improved between baseline and 1-year follow-up in SES and NMES groups for prevalence of patients with a safe swallow (P < .001), mean PAS (P < .001), time to LVC (P < .01), and need for thickening agents (P < .001). Patients in the CT presented a less intense improvement of signs of impaired safety of swallow without significant changes in time to LVC. No differences between groups were observed for 1-year mortality (6.1%), respiratory infections (9.6%), nutritional and functional status, QoL, and hospital readmission rates (27.6%). No significant adverse events related to TES were observed.  

Conclusions and inferences. 

Transcutaneous electrical stimulation is a safe and effective therapy for older patients with CPSOD. After 1-year follow-up, TES greatly improved the safety of swallow and reduced the need for fluid thickening in these patients.

Keywords

stroke, electric stimulation therapy, swallowing disorders, therapeutics, VitalStim

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Transcranial Electrical Stimulation Shows Promise for Treating Mild Traumatic Brain Injury

Would this help stroke survivors? We'll never know since we have NO stroke leadership to go to to ask these fuckingly simple questions and NO stroke strategy to address any of the problems in stroke.
I bet your doctor did NOTHING with this from April, 2016, fucking incompetence in public display once again.

Transcranial Electrical Stimulation in Post-Stroke Cognitive Rehabilitation

http://dgnews.docguide.com/transcranial-electrical-stimulation-shows-promise-treating-mild-traumatic-brain-injury?

SAN DIEGO -- September 29, 2017 -- Using a form of low-impulse electrical stimulation to the brain, documented by neuroimaging, researchers report significantly improved neural function in participants with mild traumatic brain injury (TBI).
Their findings are published online in the current issue of the journal Brain Injury.
In a significant percentage of cases, mild TBI and related post-concussive symptoms persist for months, even years, resulting in chronic, long-term cognitive and/or behavioural impairment.
Much about the pathology of mild TBI is not well understood, which has confounded efforts to develop optimal treatments, explained Roland Lee, MD, University of California at San Diego School of Medicine, San Diego, California. However, they note the use of passive neuro-feedback, which involves applying low-intensity pulses to the brain through transcranial electrical stimulation (LIP-tES), has shown promise.
In their pilot study, which involved 6 participants who had suffered mild TBI and experienced persistent post-concussion symptoms, the researchers used a version of LIP-tES called IASIS, combined with concurrent electroencephalography monitoring (EEG). The treatment effects of IASIS were assessed using magnetoencephalography (MEG) before and after treatment. MEG is a form of non-invasive functional imaging that directly measures brain neuronal electromagnetic activity, with high temporal resolution (1 ms) and high spatial accuracy (~3 mm at the cortex).
“Our previous publications have shown that MEG detection of abnormal brain slow-waves is one of the most sensitive biomarkers for mild traumatic brain injury, with about 85% sensitivity in detecting concussions and, essentially, no false-positives in normal patients,” said Dr. Lee. “This makes it an ideal technique to monitor the effects of concussion treatments such as LIP-tES.”
The researchers found that the brains of all 6 participants displayed abnormal slow-waves in initial, baseline MEG scans. Following treatment using IASIS, MEG scans indicated measurably reduced abnormal slow-waves. The participants also reported a significant reduction in post-concussion scores.
“For the first time, we’ve been able to document with neuroimaging the effects of LIP-tES treatment on brain functioning in mild TBI,” said Ming-Xiong Huang, PhD, University of California San Diego School of Medicine. “It’s a small study, which certainly must be expanded, but it suggests new potential for effectively speeding the healing process in mild traumatic brain injuries.”
Reference: http://dx.doi.org/10.1080/02699052.2017.1363409
SOURCE: University of California San Diego Health

Transcranial Electrical Stimulation in Post-Stroke Cognitive Rehabilitation

Might be entertaining, I need more cognitive rehabilitation, I'm still not smart enough. 

Transcranial Electrical Stimulation in Post-Stroke Cognitive Rehabilitation 

Where We Are and Where We Are Going

Silvia ConventoRelated information

Department of Psychology, University of Milano Bicocca,

Milan, Italy

, Cristina RussoRelated information

Department of Psychology, University of Milano Bicocca,

Milan, Italy

, Luca ZigiottoRelated information

Department of Psychology, University of Milano Bicocca,

Milan, Italy

Laboratory of Neuropsychology, IRCCS Istituto Auxologico Italiano,

Milan, Italy

, and Nadia BologniniRelated information

Department of Psychology, University of Milano Bicocca,

Milan, Italy

Laboratory of Neuropsychology, IRCCS Istituto Auxologico Italiano,

Milan, Italy

NeuroMi – Milan Center for Neuroscience,

Milan, Italy

Received November 30, 2014

Accepted March 13, 2015

Published online March 23, 2016

DOI: http://dx.doi.org/10.1027/1016-9040/a000238

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Abstract

Abstract. Cognitive rehabilitation is an important area of neurological rehabilitation, which aims at the treatment of cognitive disorders due to acquired brain damage of different etiology, including stroke. Although the importance of cognitive rehabilitation for stroke survivors is well recognized, available cognitive treatments for neuropsychological disorders, such as spatial neglect, hemianopia, apraxia, and working memory, are overall still unsatisfactory. The growing body of evidence supporting the potential of the transcranial Electrical Stimulation (tES) as tool for interacting with neuroplasticity in the human brain, in turn for enhancing perceptual and cognitive functions, has obvious implications for the translation of this noninvasive brain stimulation technique into clinical settings, in particular for the development of tES as adjuvant tool for cognitive rehabilitation. The present review aims at presenting the current state of art concerning the use of tES for the improvement of post-stroke visual and cognitive deficits (except for aphasia and memory disorders), showing the therapeutic promises of this technique and offering some suggestions for the design of future clinical trials. Although this line of research is still in infancy, as compared to the progresses made in the last years in other neurorehabilitation domains, current findings appear very encouraging, supporting the development of tES for the treatment of post-stroke cognitive impairments.

Keywords: cognitive rehabilitation, stroke, tDCS

Nadia Bolognini

,

Department of Psychology

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University of Milano Bicocca

,

Piazza dell’Ateneo Nuovo 1

,

Building U6

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20126 Milano

,

Italy

, Tel. +39 02 6448-3922, Fax +39 02 6448-3706, E-mail nadia.bolognini@unimib.it