Swallowing Training Combined With Game-Based Biofeedback in  XXXX .

@entity1 @entity64 @entity1282
BACKGROUND: For @entity1 with @entity1282 due to @entity64 , in addition to compensatory strategies, exercises are used to help improve motor function. Biofeedback is used in neuromuscular training and is promising for swallowing training. OBJECTIVE: To evaluate the functional value of game-based biofeedback in swallowing therapy for @entity1 with @entity1282 . DESIGN: A case-control study. SETTING: Academic tertiary hospital. @entity1 : Subjects with @entity1282 (n = 20) were individually matched to 2 separate groups, a game-based biofeedback group (n = 10) or a control group (n = 10), for age, gender, duration of @entity1282 , and @entity1282 grades. INTERVENTIONS: Each @entity1 underwent 1-hour sessions 3 times per week for a total of 16 treatment sessions. Each session included a 30-minute session of traditional swallow treatment and a 30-minute session of laryngeal elevation exercises. In the experimental group, laryngeal elevation exercises were combined with additional game-based biofeedback. MAIN OUTCOME MEASURES: Outcomes assessed before and after interventions included hyoid bone displacement, Functional Oral Intake Scale (FOIS) scores, and nasogastric (NG) tube removal rate. RESULTS: Intergroup analyses showed larger differences in hyoid bone displacement and FOIS scores (before and after treatment) in the experimental group than in the control group, with statistical significance (P = .007 and P = .014, respectively). Intergroup analyses showed that the hyoid bone displacement change and FOIS scores before and after treatment exhibited statistically significant improvement only in the experimental group (P = .002 and P = .004, respectively). In all, 8 of 10 @entity1 (80%) in the experimental group and 2 of 10 @entity1 (20%) in the control group discontinued NG tube insertion after therapy. Participation in  the experimental group was associated with an increased probability of tube removal (odds ratio = 6.00; 95% confidence interval = 1.08-33.27, P = .009). CONCLUSIONS: Laryngeal elevation training combined with game-based biofeedback augments the change in hyoid bone displacement and FOIS scores, and increases the NG tube removal rate in @entity1 with @entity1282 .
