Electrical Stimulation May Improve the Feeding and Nutritional Status of Children with Dysphagia
Source abstract
Abstract
Dysphagia in children poses a significant health concern. Difficulties in swallowing can lead to an impairment in food intake and malnutrition, as well as a risk of aspiration and pneumonia. It is a life-threatening condition, especially for newborns and infants. Children with dysphagia and their parents are experiencing increased anxiety and stress. Traditional methods of dysphagia therapy involve manual exercises of the orofacial muscles and modifications of the diet to fit the child’s abilities. These methods often do not achieve the desired results, which prompts researchers to look for new solutions to increase the effectiveness of standard therapy. One promising approach is neuromuscular electrical stimulation (NMES) applied to muscles involved in the process of swallowing. The purpose of this paper is to highlight and discuss the feeding difficulties associated with pediatric dysphagia, as well as the possibility of NMES application in its treatment. It is anticipated that NMES, by enhancing muscles that regulate swallowing, may improve the nutritional status of children with dysphagia. More research is needed to show that NMES is effective in improving the feeding and nutritional status of children with dysphagia.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Dysphagia Assessment and Management · Child Nutrition and Feeding Issues · Tracheal and airway disorders
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Doctoral School, Medical University of Lublin, 20-081 Lublin, Poland
Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland
References (100+)
Show source-provided references
1. Clinical pediatrics an overview of pediatric dysphagia10.1177/0009922808327323 ↗
2. Pediatric dysphagia: Physiology, assessment, and management10.1159/000381372 ↗
3. Dysfunctional swallowing in the pediatric patient: Clinical considerations
4. Anatomy and Physiology of Feeding and Swallowing—Normal and Abnormal10.1016/j.pmr.2008.06.001 ↗
5. Neurophysiology of swallowing10.1016/S1388-2457(03)00237-2 ↗
6. Electrical stimulation in treatment of pharyngolaryngeal dysfunctions10.1159/000355562 ↗
7. Parent-report Instruments for assessing feeding difficulties in children with neurological impairments: A systematic review10.1111/dmcn.13986 ↗
8. Diagnosis and Management of Pediatric Dysphagia: A Review
9. World Health Organization (2001). International Classification of Functioning, Disability and Health: ICF, World Health Organization.
10. Transcutaneous electrical stimulation and dysphagia rehabilitation: A narrative review
11. Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study10.1111/j.1469-8749.2000.tb00678.x ↗
12. Pediatric feeding disorders10.1097/00004836-200001000-00007 ↗
13. Early feeding problems in children with cerebral palsy: Weight and neurodevelopmental outcomes
14. Sdravou, K., Fotoulaki, M., Emmanouilidou-Fotoulaki, E., Andreoulakis, E., Makris, G., Sotiriadou, F., and Printza, A. (2021). Feeding Problems in Typically Developing Young Children, a Population-Based Study. Children, 8.10.3390/children8050388 ↗
15. The prevalence of pediatric voice and swallowing problems in the United States10.1002/lary.24931 ↗
16. Dysphagia and aspiration in children10.1002/ppul.21576 ↗
17. Groher, M.E. (1992). The neurology of swallowing. Dysphagia, Diagnosis and Management, Butterworth-Heinemann.
18. Dysphagia in Children
19. Neuromuscular electrical stimulation improves feeding and aspiration status in medically complex children undergoing feeding therapy10.1016/j.ijporl.2019.109646 ↗
20. Neuromuscular electrical stimulation for children with dysphagia: Asystematic review
21. Neuromuscular electrical stimulation is no more effective than usual care for the treatment of primary dysphagia in children10.1002/ppul.21400 ↗
22. Managing feeding problems and feeding disorders10.1542/pir.34.12.549 ↗
23. Printza, A., Sdravou, K., and Triaridis, S. (2022). Dysphagia Management in Children: Implementation and Perspectives of Flexible Endoscopic Evaluation of Swallowing (FEES). Children, 9.10.3390/children9121857 ↗
24. Logemann, J.A. (1998). Evaluation and Treatment of Swallowing Disorders, Pro-Ed, Inc.10.1097/00020840-199812000-00008 ↗
25. The use of electrical stimulation in speech therapy clinical: An integrative literature review
26. Effectiveness of neuromuscular electrical stimulation on post-stroke dysphagia: A systematic review of randomized controlled trials10.2147/CIA.S262596 ↗
27. Diéguez-Pérez, I., and Leirós-Rodríguez, R. (2020). Effectiveness of different application parameters of neuromuscular electrical stimulation for the treatment of dysphagia after a stroke: A systematic review. J. Clin. Med., 9.10.3390/jcm9082618 ↗
28. The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: A systematic review and metaanalysis10.1177/0269215515571681 ↗
29. Impact of transcutaneous neuromuscular electrical stimulation on dysphagia in patients with head and neck cancer treated with definitive chemoradiation10.1002/hed.23708 ↗
30. Clinimetrics of measures of oropharyngeal dysphagia for preschool children with cerebral palsy and neurodevelopmental disabilities: A systematic review10.1111/j.1469-8749.2012.04302.x ↗
31. A randomized controlled study of neuromuscular electrical stimulation in oropharyngeal dysphagia secondary to acquired brain injury
32. A stimulus for eating. The use of neuromuscular transcutaneous electrical stimulation in patients affected by severe dysphagia after subacute stroke: A pilot randomized controlled trial
33. Neuromuscular electrical stimulation efficacy in acute stroke feeding tube-dependent dysphagia during inpatient rehabilitation10.1097/PHM.0b013e31828762ec ↗
34. Analysis of Dysphagia Patterns Using a Modified Barium Swallowing Test Following Treatment of Head and Neck Cancer10.3349/ymj.2015.56.5.1221 ↗
35. The Effects of Neuromuscular Electrical Stimulation on Swallowing Functions in Post-stroke Dysphagia: A Randomized Controlled Trial10.1007/s00455-022-10512-7 ↗
36. Effects of transcutaneous neuromuscular electrical stimulation on swallowing disorders: A systematic review and meta-analysis10.1097/PHM.0000000000001397 ↗
37. Feeding, eating, and swallowing disorders in infants and children: An overview
38. The Effect of Cranial Nerve Stimulation on Swallowing: A Systematic Review10.1007/s00455-020-10126-x ↗
39. Myofunctional orofacial examination tests: A literature review
40. Surgical anatomy and physiology of swallowing10.1016/j.otot.2016.04.002 ↗
41. Neural control of swallowing10.1590/s0004-2803.201800000-45 ↗
42. Feher, J. (2017). Mouth and Esophagus. Quantitative Human Physiology, Academic Press. [2nd ed.].10.1016/B978-0-12-800883-6.00077-X ↗
43. Pediatric Feeding Disorder: Consensus Definition and Conceptual Framework10.1097/MPG.0000000000002188 ↗
44. Assessment and management of dysphagia and achalasia10.7861/clinmed.2021-0069 ↗
45. Dysphagia: A practical approach10.1016/j.gpeds.2024.100136 ↗
46. Clinical signs and symptoms of oropharyngeal aspiration and dysphagia in children10.1183/09031936.00090308 ↗
47. Effects of Neuromuscular Electrical Stimulation on the Swallowing Function in a Child—A Case Report10.34160/jkds.2018.8.2.008 ↗
48. Therapy of dysphagia using electrostimulation: Experience in pediatric population
49. The lived experience of mothers of children with chronic feeding and/or swallowing difficulties10.1007/s00455-009-9210-7 ↗
50. Effect of swallowing rehabilitation protocol on swallowing function in patients with esophageal atresia and/or tracheoesophageal fistula10.1055/s-0037-1599231 ↗
51. Attrill, S., White, S., Murray, J., Hammond, S., and Doeltgen, S. (2018). Impact of oropharyngeal dysphagia on healthcare cost and length of stay in hospital: A systematic review. BMC Health Serv. Res., 18.10.1186/s12913-018-3376-3 ↗
52. Recognizing the importance of dysphagia: Stumbling blocks and stepping stones in the twenty-first century10.1007/s00455-016-9746-2 ↗
53. Eating and Swallowing Disorders in Children with Cleft Lip and/or Palate10.5937/afmnai39-30733 ↗
54. Evaluation and Management of Pediatric Feeding Disorder10.3390/gidisord5010008 ↗
55. Lanzoni, G., Sembenini, C., Gastaldo, S., Leonardi, L., Bentivoglio, V.P., Faggian, G., Bosa, L., Gaio, P., and Cananzi, M. (2022). Esophageal Dysphagia in Children: State of the Art and Proposal for a Symptom-Based Diagnostic Approach. Front. Pediatr., 10.10.3389/fped.2022.885308 ↗
56. Distal Esophageal Spasm: An Updated Review
57. Sirinawasatien, A., and Sakulthongthawin, P. (2021). Manometrically jackhammer esophagus with fluoroscopically/endoscopically distal esophageal spasm: A case report. BMC Gastroenterol., 21.10.1186/s12876-021-01808-3 ↗
58. Congenital and Iatrogenic Esophageal Diverticula in Infants and Children: A Case Series of Four Patients
59. Pathophysiology of Dysphagia in Eosinophilic Esophagitis: Causes, Consequences, and Management10.1007/s10620-022-07419-6 ↗
60. Peng, D., Tan, Y., Li, C., Lv, L., Zhu, H., Liang, C., Li, R., and Liu, D. (2022). Peroral Endoscopic Myotomy for Pediatric Achalasia: A Retrospective Analysis of 21 Cases With a Minimum Follow-Up of 5 Years. Front. Pediatr., 10.10.3389/fped.2022.845103 ↗
61. Ortiz Pérez, P., Valero-Arredondo, I., Torcuato-Rubio, E., Herrador-López, M., Martín-Masot, R., and Navas-López, V.M. (2024). Nutritional Issues in Children with Dysphagia. Nutrients, 16.10.3390/nu16111590 ↗
62. Texture-Modified Diet for Improving the Management of Oropharyngeal Dysphagia in Nursing Home Residents: An Expert Review10.1007/s12603-020-1377-5 ↗
63. History of the use and impact of compensatory strategies in management of swallowing disorders10.1007/s00455-016-9779-6 ↗
64. Dipasquale, V., Cucinotta, U., Alibrandi, A., Laganà, F., Ramistella, V., and Romano, C. (2023). Early Tube Feeding Improves Nutritional Outcomes in Children with Neurological Disabilities: A Retrospective Cohort Study. Nutrients, 15.10.3390/nu15132875 ↗
65. Review of the effectiveness of neuromuscular electrical stimulation in the treatment of dysphagia—An update
66. A comparison of neuromuscular electrical stimulation and traditional therapy, versus traditional therapy in patients with longstanding dysphagia10.1097/MOO.0000000000000454 ↗
67. Clinical effectiveness of the sequential 4-channel NMES compared with that of the conventional 2-channel NMES for the treatment of dysphagia in a prospective double-blind randomized controlled study10.1186/s12984-021-00884-6 ↗
68. Principles of electrical stimulation, Top10.1310/981Y-E0UD-JKPV-GXPC ↗
69. The effect of electrical stimulation therapy on dysphagia following treatment for head and neck cancer10.1016/j.oraloncology.2008.10.005 ↗
70. Effectiveness of Conventional Dysphagia Therapy (CDT), Neuromuscular Electrical Stimulation (NMES), and Transcranial Direct Current Stimulation (tDCS) in Acute Post-Stroke Dysphagia: A Comparative Evaluation10.1007/s00455-023-10595-w ↗
71. Możliwości zastosowania elektrostymulacji w motoryce twarzowo-ustnej
72. Evidence-based systematic review: Effects of neuromuscular electrical stimulation on swallowing and neural activation10.1044/1058-0360(2009/08-0088) ↗
73. Swallowing Rehabilitation With Neuromuscular Electrical Stimulation for Sarcopenic Dysphagia:A Case Report
74. Contemporary Trends in the Diagnosis and Management of Pediatric Dysphagia10.1007/s40746-024-00305-5 ↗
75. Examining the evidence on neuromuscular electrical stimulation for swallowing10.1001/archotol.133.6.564 ↗
76. Functional outcome in acute stroke patients with oropharyngeal dysphagia after swallowing therapy10.1016/j.jstrokecerebrovasdis.2014.05.031 ↗
77. Comparing the effect of rehabilitation swallowing therapy vs. neuromuscular electrical stimulation therapy among stroke patients with persistent pharyngeal dysphagia: A randomized controlled study
78. Transcutaneous electrical stimulation versus traditional dysphagia therapy: A nonconcurrent cohort study10.1016/j.otohns.2006.04.016 ↗
79. Pownall, S., Enderby, P., and Sproson, L. (2017). Electrical stimulation for the treatment of dysphagia. Electroceuts, Springer.10.1007/978-3-319-28612-9_6 ↗
80. Effects of different intensity neuromuscular electrical stimulation on dysphagia in children with cerebral palsy
81. Neuromuscular electrical stimulation therapy on controlling dysphagia in spastic cerebral palsy: A randomized controlled clinical trial
82. Effect of electrical stimulation on aspiration in children with cerebral palsy and dysphagia10.1589/jpts.31.93 ↗
83. Effect of acupuncture at proximal and distal acupoints combined with neuromuscular electrical stimulation on children with cerebral palsy salivation
84. Neuromuscular electrical stimulation in the early intervention population: A series of five case studies
85. Neuromuscular electrical stimulation for children with dysphagia: A systematic review
86. Neuromuscular electrical stimulation to treat dysphagia in infants and young children with neurological impairment
87. Electrical stimulation therapy for severe dysphagia in medically complex children: A case series
88. Improvement of swallowing function due to neuromuscular electrical stimulation in children with primary dysphagia
89. Evaluation of the use of neuromuscular electrical stimulation in children with dysphagia10.1002/ppul.21400 ↗
90. Neuromuscular electrical stimulation for children with dysphagia: A case study
91. The effect of neuromuscular electrical stimulation on swallowing function in children with cerebral palsy: A randomized controlled trial
92. Electrical stimulation for swallowing disorders caused by stroke
93. Social and psychological burden of dysphagia: Its impact on diagnosis and treatment10.1007/s00455-001-0113-5 ↗
94. Effects of surface electrical stimulation during swallowing in chronic pharyngeal dysphagia10.1007/s00455-006-9029-4 ↗
95. Transcutaneous neuromuscular electrical stimulation for dysphagia: A review of the literature10.1016/j.otohns.2006.04.016 ↗
96. Guo, X., Mu, H., Sun, Y., Wang, J., and Wei, J. (2024). Analysis of the Improvement Effect of Combined Application of Oral Rehabilitation Training and Neuromuscular Electrical Stimulation on Pediatric Swallowing Disorders. Int. J. Neurosci., 1–7. Online ahead of print.10.1080/00207454.2024.2346802 ↗
97. Zdanowicz, K., Rycyk, A., Lebensztejn, D.M., and Daniluk, U. (2025). Dysphagia Among Children—A Single-Center Experience. J. Clin. Med., 14.10.3390/jcm14092906 ↗
98. Baker, L.L., and Parker, K. (2006). Neuromuscular Electrical Stimulation—A Practical Guide, Los Amigos Research and Education Institute.
99. Electrical stimulation: Neurophysiological basis and application
100. Kilohertz-frequency stimulation of the nervous system: A review of underlying mechanisms