{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:06:04Z","timestamp":1790737564356,"version":"4.1.0"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:00:00Z","timestamp":1713225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82060899"],"award-info":[{"award-number":["82060899"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the clinical effectiveness of combining postural control with electroacupuncture in the treatment of dysphagia following stroke, with the goal of establishing a solid clinical foundation for this therapeutic approach and investigating potential mechanisms to stimulate additional research and progress in post-stroke dysphagia management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>138 patients who met the diagnostic and inclusion criteria were enrolled and divided into control group and observation group. Both groups received conventional rehabilitation training. Additionally, the control group received swallowing training and diet optimize, while the observation group received swallowing training, diet optimize, posture control as well as electroacupuncture therapy. After four weeks, swallowing function was assessed and compared between the two groups using the Standardized Swallowing Assessment (SSA) score and water swallowing test (WST).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients who underwent postural control therapy in combination with electroacupuncture demonstrated significantly higher treatment efficacy compared to the control group. Notably, The SSA score and WST score in both groups decreased significantly, and the observation group showed more improvements in aspiration compared to the control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The integration of posture control, electroacupuncture, and conventional rehabilitation training can effectively lower the degree of post-stroke swallowing disorders, restore swallowing function, and significantly reduce the occurrence of complications such as aspiration, fever, and nutritional disorders. Moreover, this approach significantly improves the quality of life of patients and is more effective than conventional rehabilitation training in treating post-stroke swallowing disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.chictr.org.cn\/<\/jats:ext-link>\n                      , Identifier ChiCTR2300075870.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneur.2024.1296758","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T12:10:35Z","timestamp":1713269435000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Clinical study on the efficacy of postural control combined with electroacupuncture in treating dysphagia after stroke"],"prefix":"10.3389","volume":"15","author":[{"given":"Yanli","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongwen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiu","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiange","family":"Ren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"He","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"23","DOI":"10.3390\/ijms23020602","article-title":"Potential biomarkers for post-stroke cognitive impairment: a systematic review and Meta-analysis","volume":"23","author":"Kim","year":"2022","journal-title":"Int J Mol Sci"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1016\/B978-0-444-63916-5.00013-6","article-title":"Stroke","volume":"159","author":"Mansfield","year":"2018","journal-title":"Handb Clin Neurol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1177\/17474930221144911","article-title":"Cerebral small vessel disease: recent advances and future directions","volume":"18","author":"Markus","year":"2023","journal-title":"Int J Stroke"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"322","DOI":"10.12968\/bjon.2015.24.6.319","article-title":"Nasogastric feeding for stroke patients: Practice and education","volume":"24","author":"Mahoney","year":"2015","journal-title":"Br J Nurs"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"558","DOI":"10.23736\/S1973-9087.22.07337-3","article-title":"Effects of vitamin C stimulation on rehabilitation of dysphagia after stroke: a randomized trial","volume":"58","author":"Wang","year":"2022","journal-title":"Eur J Phys Rehabil Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1011824","DOI":"10.3389\/fnins.2022.1011824","article-title":"Neuromuscular electrical stimulation improves swallowing initiation in patients with post-stroke dysphagia","volume":"16","author":"Zhang","year":"2022","journal-title":"Front Neurosci"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1128","DOI":"10.1007\/s00455-022-10536-z","article-title":"Effect of modified pharyngeal electrical stimulation on patients with severe chronic neurogenic dysphagia: a single-arm prospective study","volume":"38","author":"Zhang","year":"2023","journal-title":"Dysphagia"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/s11910-020-01081-z","article-title":"Post-stroke dysphagia: recent insights and unanswered questions","volume":"20","author":"Jones","year":"2020","journal-title":"Curr Neurol Neurosci Rep"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"3983","DOI":"10.4103\/jfmpc.jfmpc_528_21","article-title":"The Bobath concept (NDT) as rehabilitation in stroke patients: a systematic review","volume":"10","author":"Pathak","year":"2021","journal-title":"J Family Med Prim Care"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"891","DOI":"10.13703\/j.0255-2930.20190708-k0001","article-title":"Acupoint selection rules of neurogenic dysphagia treated with acupuncture and moxibustion in ancient times","volume":"40","author":"Qiu","year":"2020","journal-title":"Zhongguo Zhen Jiu"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1177\/1747493016639057","article-title":"Post-stroke dysphagia: a review and design considerations for future trials","volume":"11","author":"Cohen","year":"2016","journal-title":"Int J Stroke"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"5875","DOI":"10.1007\/s10072-022-06191-9","article-title":"Research progress of clinical intervention and nursing for patients with post-stroke dysphagia","volume":"43","author":"Fang","year":"2022","journal-title":"Neurol Sci"},{"key":"ref13","first-page":"8252","article-title":"Evidence summary on nutrition management for post-stroke dysphagia","volume":"14","author":"Wang","year":"2022","journal-title":"Am J Transl Res"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.1177\/0963689719863784","article-title":"Neural repair in stroke","volume":"28","author":"Toman","year":"2019","journal-title":"Cell Transplant"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1042\/CS20160380","article-title":"Pathogenesis of white matter changes in cerebral small vessel diseases: beyond vessel-intrinsic mechanisms","volume":"131","author":"Joutel","year":"2017","journal-title":"Clin Sci (Lond)"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"6881","DOI":"10.1007\/s10072-022-06382-4","article-title":"The stroke mechanism, clinical presentation, and radiological feature of bilateral medial medullary infarction","volume":"43","author":"Hu","year":"2022","journal-title":"Neurol Sci"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"219763","DOI":"10.1136\/bcr-2017-219763","article-title":"Cor triatriatum and stroke","volume":"2017","author":"Diestro","year":"2017","journal-title":"BMJ Case Rep"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"444","DOI":"10.33588\/rn.7012.2019447","article-title":"Oropharyngeal dysphagia in stroke: diagnostic and therapeutic aspects","volume":"70","author":"Terr\u00e9","year":"2020","journal-title":"Rev Neurol"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1016\/B978-0-444-64034-5.00019-5","article-title":"Hemorrhagic stroke","volume":"176","author":"Monta\u00f1o","year":"2021","journal-title":"Handb Clin Neurol"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1097\/NRL.0000000000000392","article-title":"Platelet-to-neutrophil ratio is related to hemorrhagic transformation in patients with acute cerebral infarction","volume":"27","author":"Liu","year":"2022","journal-title":"Neurologist"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1177\/1747493016641968","article-title":"Post-stroke depression, obstructive sleep apnea, and cognitive impairment: rationale for, and barriers to, routine screening","volume":"11","author":"Swartz","year":"2016","journal-title":"Int J Stroke"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1111\/j.1741-6787.2012.00255.x","article-title":"Nursing interventions for improving nutritional status and outcomes of stroke patients: descriptive reviews of processes and outcomes","volume":"10","author":"Perry","year":"2013","journal-title":"Worldviews Evid-Based Nurs"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1182","DOI":"10.1111\/j.1365-2702.2012.04127.x","article-title":"Effects of a nurse-led acupressure programme for stroke patients in China","volume":"22","author":"Yue","year":"2013","journal-title":"J Clin Nurs"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2020\/6415083","article-title":"The therapeutic effect of Electroacupuncture therapy for ischemic stroke","volume":"2020","author":"Yu","year":"2020","journal-title":"Evid Based Complement Alternat Med"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2020\/8372647","article-title":"Detrimental and beneficial effect of autophagy and a potential therapeutic target after ischemic stroke","volume":"2020","author":"Wang","year":"2020","journal-title":"Evid Based Complement Alternat Med"},{"key":"ref26","first-page":"1169","article-title":"Post-stroke dysphagia treated with acupoint injection combined with neural electrical stimulation","volume":"34","author":"Ma","year":"2014","journal-title":"Zhongguo Zhen Jiu"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1038\/s41467-023-36448-6","article-title":"Electroacupuncture improves swallowing function in a post-stroke dysphagia mouse model by activating the motor cortex inputs to the nucleus tractus solitarii through the parabrachial nuclei","volume":"14","author":"Yao","year":"2023","journal-title":"Nat Commun"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"688","DOI":"10.13703\/j.0255-2930.20210706-k0004","article-title":"Application of teaching method for the interpretation of acupoint names in the course of science of meridians and Acupoints","volume":"42","author":"Yang","year":"2022","journal-title":"Zhongguo Zhen Jiu"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"269","DOI":"10.13703\/j.0255-2930.2018.03.010","article-title":"Special penetration needling for refractory peripheral facial paralysis","volume":"38","author":"Cao","year":"2018","journal-title":"Zhongguo Zhen Jiu"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"586","DOI":"10.13703\/j.0255-2930.20190609-k0001","article-title":"Therapeutic effect of nape cluster acupuncture combined with swallowing function training on post-stroke dysphagia","volume":"40","author":"Gao","year":"2020","journal-title":"Zhongguo Zhen Jiu"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"69","DOI":"10.13703\/j.0255-2930.2017.01.017","article-title":"JIN Bohua's experience of peripheral facial paralysis diagnosed and treated by Yifeng (TE 17)","volume":"37","author":"Zhao","year":"2017","journal-title":"Zhongguo Zhen Jiu"},{"key":"ref32","first-page":"265","article-title":"Regularities of Acupoint combinations for facial paralysis in Chinese ancient times analyzed in accordance with modern complex network community framework partition","volume":"41","author":"Sun","year":"2016","journal-title":"Zhen Ci Yan Jiu"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"115","DOI":"10.13703\/j.0255-2930.2018.02.001","article-title":"Clinical study of electroacupuncture with different frequencies at Lianquan (CV 23) and Fengfu (GV 16) for stroke dysphagia","volume":"38","author":"Zhang","year":"2018","journal-title":"Zhongguo Zhen Jiu"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s12929-015-0145-z","article-title":"Low-frequency electroacupuncture suppresses focal epilepsy and improves epilepsy-induced sleep disruptions","volume":"22","author":"Yi","year":"2015","journal-title":"J Biomed Sci"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"133","DOI":"10.13703\/j.0255-2930.20210128-0002","article-title":"Acupoint injection combined with Vitalstim electrical stimulation for post-stroke dysphagia:a randomized controlled trial","volume":"42","author":"Ma","year":"2022","journal-title":"Zhongguo Zhen Jiu"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"e139","DOI":"10.1161\/STR.0000000000000165","article-title":"Correction to: accuracy of prediction instruments for diagnosing large vessel occlusion in individuals with suspected stroke: a systematic review for the 2018 guidelines for the early Management of Patients with Acute Ischemic Stroke","volume":"49","author":"Smith","year":"2018","journal-title":"Stroke"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"e123","DOI":"10.1161\/STR.0000000000000159","article-title":"Effect of dysphagia screening strategies on clinical outcomes after stroke: a systematic review for the 2018 guidelines for the early Management of Patients with Acute Ischemic Stroke","volume":"49","author":"Smith","year":"2018","journal-title":"Stroke"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"742","DOI":"10.3109\/00016489.2016.1145797","article-title":"Effect of IQoro\u00ae training on impaired postural control and oropharyngeal motor function in patients with dysphagia after stroke","volume":"136","author":"H\u00e4gg","year":"2016","journal-title":"Acta Otolaryngol"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1055\/s-0042-1757692","article-title":"Brazilian practice guidelines for stroke rehabilitation: part II","volume":"80","author":"Minelli","year":"2022","journal-title":"Arq Neuropsiquiatr"}],"container-title":["Frontiers in Neurology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2024.1296758\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T12:10:46Z","timestamp":1713269446000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2024.1296758\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,16]]},"references-count":39,"alternative-id":["10.3389\/fneur.2024.1296758"],"URL":"https:\/\/doi.org\/10.3389\/fneur.2024.1296758","relation":{},"ISSN":["1664-2295"],"issn-type":[{"value":"1664-2295","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,16]]},"article-number":"1296758"}}