{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T06:14:27Z","timestamp":1788243267693,"version":"build-2803163510"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the short-term swallowing outcomes associated with videofluoroscopy-guided inductive electrical stimulation combined with tongue pressure resistance feedback training in patients with post-stroke dysphagia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This non-randomized, single-center prospective study enrolled 238 patients with post-stroke dysphagia between January 2024 and December 2025. Patients were allocated according to preference to receive conventional swallowing rehabilitation or a a time-matched integrated program in which inductive electrical stimulation and tongue pressure resistance feedback training were incorporated within the same 30-minute rehabilitation session. The primary outcome was the change in Penetration-Aspiration Scale (PAS) score from baseline to post-treatment. Secondary outcomes included Functional Oral Intake Scale (FOIS), Swallowing Quality of Life questionnaire, Standardized Swallowing Assessment, videofluoroscopic kinematic parameters, surface electromyography parameters, maximum isometric tongue pressure, and post-treatment swallowing status improvement rate. Adjusted ANCOVA or logistic regression models were used to estimate treatment-associated differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Several baseline imbalances were observed, including stroke type, modified Rankin Scale score, baseline FOIS, baseline SWAL-QOL, and baseline tongue pressure. After adjustment for baseline values and clinically relevant covariates, the intervention group showed a greater reduction in PAS score than the control group, with an adjusted difference of \u22120.21 points; 95% CI, \u22120.37\u2013\u22120.05;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.012. The intervention group also showed greater improvements in FOIS, SWAL-QOL, SSA, tongue pressure, thyroid cartilage and hyoid bone displacement, and swallowing time. The post-treatment swallowing status improvement rate was 89.9% in the intervention group and 73.1% in the control group, corresponding to an absolute rate difference of 16.8%, 95% CI, 7.2%\u201326.4%. In adjusted logistic regression, the intervention was associated with higher odds of clinical response, with an adjusted OR of 1.71, 95% CI, 1.15\u20132.59. Ordinal logistic sensitivity analyses for post-treatment PAS and FOIS yielded consistent findings. No serious adverse events were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Videofluoroscopy-guided inductive electrical stimulation combined with tongue pressure resistance feedback training was associated with greater short-term improvements in swallowing-related clinical, kinematic, and tongue pressure outcomes compared with conventional rehabilitation. Given the preference-based allocation and the multicomponent nature of the intervention, these findings should be interpreted as associative rather than definitive evidence of causal association.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1911750","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:26:35Z","timestamp":1788240395000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Short-term swallowing outcomes associated with inductive electrical stimulation combined with tongue pressure resistance feedback training in post-stroke dysphagia"],"prefix":"10.3389","volume":"13","author":[{"given":"Fangfang","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, The Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University","place":["Jiangsu, Huai'an, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, The Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University","place":["Jiangsu, Huai'an, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiong","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, The Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University","place":["Jiangsu, Huai'an, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1177\/17474930211065917","article-title":"World stroke organization (WSO): global stroke fact sheet 2022","volume":"17","author":"Feigin","year":"2022","journal-title":"Int J Stroke"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2259","DOI":"10.1016\/S0140-6736(24)00769-4","article-title":"Findings from the global burden of disease study 2021","volume":"403","author":"Murray","year":"2024","journal-title":"Lancet"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2756","DOI":"10.1161\/01.STR.0000190056.76543.eb","article-title":"Dysphagia after stroke: incidence, diagnosis, and pulmonary complications","volume":"36","author":"Martino","year":"2005","journal-title":"Stroke"},{"key":"B4","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1093\/ageing\/afn064","article-title":"Dysphagia treatment post stroke: a systematic review of randomised controlled trials","volume":"37","author":"Foley","year":"2008","journal-title":"Age Ageing"},{"key":"B5","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1186\/s42466-021-00122-3","article-title":"Diagnosis and treatment of neurogenic dysphagia - 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