Pediatric Otorhinolaryngology Japan
Online ISSN : 2186-5957
Print ISSN : 0919-5858
ISSN-L : 0919-5858
Case Reports
Effective approach of rehabilitation therapy using interferential current stimulation for pediatric dysphagia following cardiovascular surgery: Case report
Mami KanekoYoichiro SugiyamaShinya FuseShigeyuki MukudaiShigeru Hirano
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2022 Volume 43 Issue 3 Pages 355-363

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Abstract

We report two cases of early pediatric dysphagia that were successfully treated by a novel swallowing rehabilitation procedure using interferential current stimulation (IFC) of the neck.

These two cases developed aspiration during suckling and were managed with tube feeding.

Videofluoroscopy showed aspiration during and after the pharyngeal stage of swallowing, and showed the instability of swallowing-respiratory coordination.

Since the application of IFC stimulation to the neck provided an immediate improvement of the swallowing function, swallowing rehabilitation therapy using concurrent IFC stimulation to the neck was performed. At one month after the initiation of IFC therapy, they were capable of taking a whole feeding orally, without aspiration or penetration. We therefore propose that the combination of the environmental adjustments and the surface IFC stimulation to the neck has a potential role in rehabilitation therapy for pediatric dysphagia.

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© 2022 Pediatric Otorhinolaryngology Japan
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