Beckman口部运动训练联合喉部振动治疗对脑瘫患儿吞咽功能改善的临床效果OA

Objective:To observe the synergistic effect of Beckman oral motor training combined with 100 Hz la-ryngeal vibration therapy on oropharyngeal dysphagia in children with cerebral palsy(CP).Methods:A total of 68 children with CP and dysphagia admitted to the Children's Hospital Affiliated to Soochow University from June 2023 to December 2024 were selected.Using the stratified block randomization method(stratified by GMFCS classi-fication,block length=4),they were divided into an observation group and a control group.The control group re-ceived conventional rehabilitation treatment for dysphagia.The observation group was additionally given laryngeal vibration therapy on this basis.The swallowing function of the children was evaluated using the Eating and Drinking Ability Classification System(EDACS),Standardized Swallowing Assessment(SSA),Penetration-Aspiration Scale(PAS),and surface electromyography(sEMG)before treatment and after 4 weeks of treatment.Results:After 4 weeks of treatment,SSA scores and EDACS levels in both groups significantly decreased compared with those be-fore treatment(P<0.01),and these scores were significantly lower in the observation group than in the control group(P<0.01).The PAS score of the observation group decreased significantly(P<0.01).After treatment,the observation group was significantly better than the control group in terms of VFSS and PAS(P<0.01).The sEMG amplitude and peak value significantly increased in both groups,with statistically significant differences(P<0.01),and those in the observation group were significantly better than in the control group(P<0.01).Conclu-sion:Beckman oral motor training combined with laryngeal vibration therapy can significantly improve dysphagia in children with CP,and its efficacy is better than oral motor training alone.This combined therapy is worthy of pro-motion and application in children with CP complicated with dysphagia.