Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update

Domenico A Restivo,1 Shaheen Hamdy2 1Neurological Unit, Garibaldi Hospital, Catania, Italy; 2School of Translational Medicine—Inflammation Sciences, Faculty of Medical and Human Sciences, University of Manchester, Salford Royal Hospital, Salford, UK Abstract: Neurogenic dysphagia (ND) can...

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Autores principales:	Restivo DA, Hamdy S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	pharyngeal electrical stimulation swallowing neurogenic dysphagia swallowing motor cortex pharynx catheter Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/5c60bc7389084fc7b78fb1a7027a2a22
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spelling	oai:doaj.org-article:5c60bc7389084fc7b78fb1a7027a2a222021-12-02T01:51:07ZPharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update1179-1470https://doaj.org/article/5c60bc7389084fc7b78fb1a7027a2a222018-01-01T00:00:00Zhttps://www.dovepress.com/pharyngeal-electrical-stimulation-device-for-the-treatment-of-neurogen-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Domenico A Restivo,1 Shaheen Hamdy2 1Neurological Unit, Garibaldi Hospital, Catania, Italy; 2School of Translational Medicine—Inflammation Sciences, Faculty of Medical and Human Sciences, University of Manchester, Salford Royal Hospital, Salford, UK Abstract: Neurogenic dysphagia (ND) can occur in patients with nervous system diseases of varying etiologies. Moreover, recovery from ND is not guaranteed. The therapeutic approaches for oropharyngeal ND have drastically changed over the last decade, mainly due to a better knowledge of the neurophysiology of swallowing along with the progress of neuroimaging and neurophysiological studies. For this reason, it is a priority to develop a treatment that is repeatable, safe, and can be carried out at the bedside as well as for outpatients. Pharyngeal electrical stimulation (PES) is a novel rehabilitation treatment for ND. PES is carried out via location-specific intraluminal catheters that are introduced transnasally and enable clinicians to stimulate the pharynx directly. This technique has demonstrated increasingly promising evidence in improving swallowing performance in patients with ND associated with stroke and multiple sclerosis, probably by increasing the corticobulbar excitability and inducing cortical reorganization of swallowing motor cortex. In this article, we update the reader as to both the physiologic background and past and current studies of PES in an effort to highlight the clinical progress of this important technique. Keywords: pharyngeal electrical stimulation, swallowing, neurogenic dysphagia, swallowing motor cortex, pharynx, catheterRestivo DAHamdy SDove Medical Pressarticlepharyngeal electrical stimulationswallowingneurogenic dysphagiaswallowing motor cortexpharynxcatheterMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 11, Pp 21-26 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	pharyngeal electrical stimulation swallowing neurogenic dysphagia swallowing motor cortex pharynx catheter Medical technology R855-855.5
spellingShingle	pharyngeal electrical stimulation swallowing neurogenic dysphagia swallowing motor cortex pharynx catheter Medical technology R855-855.5 Restivo DA Hamdy S Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update
description	Domenico A Restivo,1 Shaheen Hamdy2 1Neurological Unit, Garibaldi Hospital, Catania, Italy; 2School of Translational Medicine—Inflammation Sciences, Faculty of Medical and Human Sciences, University of Manchester, Salford Royal Hospital, Salford, UK Abstract: Neurogenic dysphagia (ND) can occur in patients with nervous system diseases of varying etiologies. Moreover, recovery from ND is not guaranteed. The therapeutic approaches for oropharyngeal ND have drastically changed over the last decade, mainly due to a better knowledge of the neurophysiology of swallowing along with the progress of neuroimaging and neurophysiological studies. For this reason, it is a priority to develop a treatment that is repeatable, safe, and can be carried out at the bedside as well as for outpatients. Pharyngeal electrical stimulation (PES) is a novel rehabilitation treatment for ND. PES is carried out via location-specific intraluminal catheters that are introduced transnasally and enable clinicians to stimulate the pharynx directly. This technique has demonstrated increasingly promising evidence in improving swallowing performance in patients with ND associated with stroke and multiple sclerosis, probably by increasing the corticobulbar excitability and inducing cortical reorganization of swallowing motor cortex. In this article, we update the reader as to both the physiologic background and past and current studies of PES in an effort to highlight the clinical progress of this important technique. Keywords: pharyngeal electrical stimulation, swallowing, neurogenic dysphagia, swallowing motor cortex, pharynx, catheter
format	article
author	Restivo DA Hamdy S
author_facet	Restivo DA Hamdy S
author_sort	Restivo DA
title	Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update
title_short	Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update
title_full	Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update
title_fullStr	Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update
title_full_unstemmed	Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update
title_sort	pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/5c60bc7389084fc7b78fb1a7027a2a22
work_keys_str_mv	AT restivoda pharyngealelectricalstimulationdeviceforthetreatmentofneurogenicdysphagiatechnologyupdate AT hamdys pharyngealelectricalstimulationdeviceforthetreatmentofneurogenicdysphagiatechnologyupdate
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Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update

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