Back to Search
Start Over
Neurophysiological Adaptation and Neuromodulatory Treatment Approaches in Patients Suffering from Post-stroke Dysphagia
- Source :
- Current Physical Medicine and Rehabilitation Reports. 6:227-238
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- This review gives an outline of the current state of knowledge on swallowing-related neurophysiology, neuroplasticity mechanisms following dysphagic stroke and neuromodulatory treatment approaches to enhance recovery processes for faster and better rehabilitation of post-stroke dysphagia. A widely distributed network including bilateral cortical and subcortical as well as medullary structures is involved in the act of swallowing. Distinct brain areas are related to specific aspects of swallowing control. Stroke lesions in these areas may lead to post-stroke dysphagia. Compensatory reorganization takes place mainly in the contralesional hemisphere making this a promising target of central neuromodulatory treatment approaches. Also, the peripheral pharyngeal electrical stimulation has shown to promote functional neuronal reorganization for clinical improvement of swallowing function. With promising results from recent studies—at least in distinct stroke patient collectives—central and peripheral neuromodulatory interventions seem to be at the threshold to implementation in clinical practice.
- Subjects :
- 0301 basic medicine
medicine.medical_specialty
medicine.medical_treatment
Medicine (miscellaneous)
Physical Therapy, Sports Therapy and Rehabilitation
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Swallowing
Neuroplasticity
otorhinolaryngologic diseases
Medicine
Orthopedics and Sports Medicine
In patient
Stroke
Rehabilitation
business.industry
Neurophysiology
medicine.disease
Dysphagia
030104 developmental biology
Post stroke
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 21674833
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Current Physical Medicine and Rehabilitation Reports
- Accession number :
- edsair.doi...........59abf6d83395f956f116e12801430e28