BƯỚC ĐẦU ĐÁNH GIÁ HIỆU QUẢ PHỤC HỒI CHỨC NĂNG RỐI LOẠN NUỐT CHO NGƯỜI BỆNH ĐỘT QUỴ NÃO TẠI TRUNG TÂM PHỤC HỒI CHỨC NĂNG, BỆNH VIỆN BẠCH MAI BẰNG THANG ĐIỂM ĐÁNH GIÁ KHẢ NĂNG NUỐT CỦA MANN

Abstract

Objective: Initial evaluation of the rehabilitation effectiveness for dysphagia patients after stroke using the Mann Assessment Swallowing Ability (MASA).

Subject and methods: 30 stroke patients at Rehabilitation Center, Bach Mai Hospital. The study was conducted using a before-after comparative design. A convenience sampling method was used to recruit participants.

Results: The proportion of patients requiring feeding via gastrostomy decreased from 93.3% at the time of the initial evaluation to 23.7% at discharge (p < 0.001). The mean of MASA before and after rehabilitation increased from 151.3 ± 20.24 to 165.7 ± 19.77 (p < 0.001), along with significant changes in the severity of dysphagia and aspiration according to the MASA classification. The most commonly used swallowing rehabilitation techniques were thermal-tactile stimulation, food texture modification, the Shaker exercise, and oral motor exercises. Regresstion analysis found a negative correlation between the pharyngeal phase score and thermal-tactile stimulation (OR = 0.55; 95% CI = 0.32-0.92). In the patient group with a MASA comprehension score ≥ 6, there was an inverse relationship between tongue coordination score and oral motor exercises (OR = 0.45; 95% CI = 0.20-0.99).

Conclusion: Rehabilitation is important to improve swallowing function in stroke patients. The MASA is useful in the clinical assessment for patients with swallowing disorders.