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Neuromuskuläre Elektrostimulationsverfahren in der HNO-Heilkunde

Neuromuscular electric stimulation therapy in otorhinolaryngology

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Zusammenfassung

Hintergrund

Tierexperimenten zufolge kann nach gezielter Traumatisierung von Nerven eine neuromuskuläre Elektrostimulation (NMES) die Regeneration fördern sowie Synkinesien vermindern und interferiert nicht negativ mit der normalen Regeneration. In der Rehabilitationsmedizin wird die NMES routinemäßig eingesetzt.

Methodik

Bei der selektiven Literaturrecherche in den Datenbanken Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, DAHTA-Datenbank, Health Technology Assessment Database und Medline bzw. PubMed wurden nur Arbeiten über den Nutzen von NMES in der HNO-Heilkunde mit den Publikationssprachen Deutsch oder Englisch berücksichtigt.

Ergebnisse

Es fanden sich 180 Arbeiten, die bei gegebener Relevanz in die weitere Auswertung mit einbezogen wurden.

Diskussion

NMES wurde im Bereich der HNO-Heilkunde und Phoniatrie/Pädaudiologie bei Fazialis- und Larynxparesen, Dysphonien und Dysphagien in klinischen Studien untersucht. Die bisherigen Ergebnisse sind ermutigend, insbesondere bei bestimmten Formen der Dysphagie bzw. Larynxparesen.

Abstract

Background

Animal experiments have shown that after specific nerve traumatization, neuromuscular electrostimulation (NMES) can promote nerve regeneration and reduce synkinesia without negatively interfering with normal regeneration processes. NMES is used routinely in physical rehabilitation medicine.

Methods

This systematic literature search in the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, the DAHTA database, the Health Technology Assessment Database and MEDLINE or PubMed considered studies on the use of NMES in otorhinolaryngology that have been published in German or English.

Results

The search identified 180 studies. These were evaluated and relevant studies were included in the further evaluation.

Discussion

In the fields of otorhinolaryngology and phoniatry/paediatric audiology, clinical studies investigating the effects of NMES on facial and laryngeal paresis, as well as dysphonia and dysphagia have been carried out. The evidence collected to date is encouraging; particularly for the treatment of certain forms of dysphagia and laryngeal paresis.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M.P. und S.M. erhielten Reisekostenerstattungen von der Fa. Physiomed.

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Authors and Affiliations

  1. Klinik für Phoniatrie und Pädaudiologie, MHH. OE 6510, 30623, Hannover, Deutschland

    S. Miller, D. Kühn, M. Jungheim, C. Schwemmle &  M. Ptok

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  1. S. Miller
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  2. D. Kühn
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  3. M. Jungheim
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  4. C. Schwemmle
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  5. M. Ptok
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Correspondence to M. Ptok.

 

 

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Miller, S., Kühn, D., Jungheim, M. et al. Neuromuskuläre Elektrostimulationsverfahren in der HNO-Heilkunde. HNO 62, 131–141 (2014). https://doi.org/10.1007/s00106-013-2810-4

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