Noninvasive magnetic stimulation with endoscopic navigation for the treatment of cricopharyngeal failure in chronic critical illness

Shajbak A.A.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Yakovleva A.V.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Yakovlev A.A.

Institute of Higher Nervous Activity and Neurophysiology of the Russian Academy of Sciences;
Soloviev Scientific and Practical Psychoneurological Center

Sidorov I.B.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Pryanikova N.I.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Raskatova E.V.

Central City Clinical Hospital of Reutov

Usoltseva N.I.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Grechko A.V.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Noninvasive magnetic stimulation with endoscopic navigation for the treatment of cricopharyngeal failure in chronic critical illness

Authors:

Shajbak A.A., Yakovleva A.V., Yakovlev A.A., Sidorov I.B., Pryanikova N.I., Raskatova E.V., Usoltseva N.I., Grechko A.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(7): 31‑35

DOI: 10.17116/jnevro202112107131

Downloaded: 21

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Shajbak AA, Yakovleva AV, Yakovlev AA, et al. . Noninvasive magnetic stimulation with endoscopic navigation for the treatment of cricopharyngeal failure in chronic critical illness. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(7):31‑35. (In Russ.)
https://doi.org/10.17116/jnevro202112107131

Close metadata

OBJECTIVE

To assess the efficacy of treatment of cricopharyngeal insufficiency in chronic critical illness caused by severe brain injury using non-invasive magnetic stimulation with endoscopic navigation.

MATERIAL AND METHODS

Thirty patients (19 men and 11 women, mean age 50±12 years) were studied. The exposure was carried out by a bipolar alternating magnetic field using an inductor located in the projection of the hyoid bone. The study compared the standard therapy and the complex of therapeutic measures, in which the proposed non-invasive magnetic stimulation method with endoscopic navigation was included. The procedure was carried out daily without regime changes, with objective control 1 time in 10 days. The duration of the first course was 10 days, followed by a decision to extend the course for another 10 days, depending on the objective dynamics. Evaluation was performed with the Rosenbek Penetration and Aspiration Scale (PAS), the Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS), The Mann assessment of swallowing ability (MASA) and the Functional oral intake scale (FOIS).

RESULTS AND CONCLUSION

Improvements of swallowing function were observed in both groups, but qualitative changes were more pronounced in the main group. The use of the proposed method made it possible to obtain a more stable and predictable result.

Keywords:

dysphagia

cricopharyngeal dysfunction

non-invasive magnetic stimulation

chronic critical illness

brain damage

Authors:

Shajbak A.A.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Yakovleva A.V.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Yakovlev A.A.

Institute of Higher Nervous Activity and Neurophysiology of the Russian Academy of Sciences;
Soloviev Scientific and Practical Psychoneurological Center

Sidorov I.B.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Pryanikova N.I.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Raskatova E.V.

Central City Clinical Hospital of Reutov

Usoltseva N.I.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Grechko A.V.

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Received:

29.07.2020

Accepted:

20.08.2020

List of references:

Carney N, Totten AM, O’Reilly C, Ullman JS, Hawryluk GWJ, Bell MJ, Bratton SL, Chesnut R, Harris OA, Kissoon N, Rubiano AM, Shutter L, Tasker RC, Vavilala MS, Wilberger J, Wright DW, Ghajar J. Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition. Neurosurgery. 2017;80(1):6-15. https://doi.org/10.1227/neu.0000000000001432
Zil’ber AP. Meditsina kriticheskikh sostoyanij: obshhie problemy. Petrozavodsk: Izda-tel’stvo PGU; 1995. (In Russ.).
Krylov VV, Petrikov SS, Belkin AA. Lektsii po nejroreanimatsii. M.: Meditsina; 2009. (In Russ.).
Krylov VV. (red.) Lektsii po cherepno-mozgovoj travme. Uchebnoe posobie. M.: Meditsina; 2010. (In Russ.).
Ivashkin VT, Maev IV, Trukhmanov AS, Lapina TL, Sheptulin AA, Storonova OA, Andreev DN. Clinical guidelines of the Russian Gastroenterological Association for the diagnosis and treatment of dysphagia. Rossijskij Zhurnal Gastroehnterologii, Gepatologii, Koloproktologii. 2015(5);10: 34-38. (In Russ.).
Malagelada JR, Bazzoli F, Boeckxstaens G, De Looze D, Fried M, Kahrilas P, Lindberg G, Malfertheiner P, Salis G, Sharma P, Sifrim D, Vakil N, Le Mair A. World Gastroenterology Organisation Global Guidelines Dysphagia-Global Guidelines and Cascades Update September 2014. Journal of Clinical Gastroenterology. 2015;49(5):370-378. https://doi.org/10.1097/mcg.0000000000000307
Diagnosis and treatment of dysphagia in diseases of the central nervous system: clinical guidelines. M. 2013. Accessed Jul 30, 2020. (In Russ.). https://rehabrus.ru/Docs/2020/Disfagia_last.pdf
Mann G. MASA: The Mann assessment of swallowing ability. Delmar cengage learning. 2002.
Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Archives of Physical Medicine and Rehabilitation. 2005;86(8):1516-1520. https://doi.org/10.1016/j.apmr.2004.11.049
Yakovlev AA, Shajbak AA, Grechko AV, Sidorov IB, Yakovleva AV, Pryanikova NI, Usoltceva NI. Method for the treatment of cricopharyngeal insufficiency and recovery of swallowing function. Patent RU 2714177, C1. Feb 12, 2020. (In Russ.). https://patenton.ru/patent/RU2714177C1
Tharavej C, Pungpapong SU, Chanswangphuvana P. Outcome of dilatation and predictors of failed dilatation in patients with acid-induced corrosive esophageal strictures. Surgical Endoscopy and Other Interventional Techniques. 2018;32(2):900-907. https://doi.org/10.1007/s00464-017-5764-x
Drossman DA. Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features, and Rome IV. Gastroenterology. 2016;150(6):1262-1268. https://doi.org/10.1053/j.gastro.2016.02.032
Strel’nikova IA, Poverennova IE, Neklyudova MA. Experience of using the VOCASTIM apparatus in patients with dysphagia in the acute period of stroke. Prakticheskaya Meditsina. 2013;1(66):23-27. (In Russ.).
Sidyakina IV, Voronova MV. Individual approach to the rehabilitation of patients with central dysphagia. Russian Journal of the Physical therapy, Balneotherapy and rehabilitation. 2016;15(3):56-59. (In Russ.).

Close metadata