ENHANCING RECOVERY FROM POST-ISCHEMIC STROKE DYSPHAGIA: EVALUATING THE EFFICACY OF INTEGRATING TRADITIONAL CHINESE MEDICINE ACUPOINT ION INTRODUCTION WITH MOTOR IMAGERY IN ATHLETES

Abstract

Purpose: To explore the efficacy of integrating traditional Chinese medicine (TCM) point iontophoresis with motor imagery on rehabilitation outcomes in patients with dysphagia after ischemic stroke (DAIS). Methods: A randomized controlled trial was conducted involving 156 DAIS patients at a Class III, Grade A hospital. Patients were divided into four groups: the combined therapy group received TCM point iontophoresis using a specific Fuyan prescription combined with motor imagery exercises; the iontophoresis group received only the TCM point iontophoresis; the motor imagery group received only motor imagery therapy; and the control group received standard care with conventional swallowing rehabilitation training. Treatment outcomes were assessed before therapy, on days 3, 7, 11, and 14 post-treatments using the Water Swallowing Test (WST) and Volume-Viscosity Swallowing Test (V-VST). Additionally, we evaluated the serum substance P levels, the rate of nasogastric tube usage, and the patients' daily living activities using the Modified Rankin Scale (mRS). Results: The combined therapy group exhibited a significantly higher treatment efficacy compared to other groups, with marked improvements in WST and V-VST scores, particularly noticeable from day 7 onwards. The combined approach also resulted in elevated serum substance P levels, a reduced rate of nasogastric tube usage, and significant improvements in mRS scores compared to other groups, indicating enhanced recovery of swallowing function and daily living activities. Conclusion: The combined treatment of TCM point iontophoresis with motor imagery therapy significantly improves swallowing function, reduces dependency on nasogastric tubes, and enhances the quality of daily activities in DAIS patients. This integrative approach offers a promising therapeutic strategy for the rehabilitation of stroke-related dysphagia, warranting further clinical promotion and research.