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  4. Vol 7, Issue 2, 2026

Clinical Observation of Manual Breathing Function Training Combined with Repetitive Transcranial Magnetic Stimulation in the Treatment of Post-stroke Dysphagia

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DOI: 10.23977/medsc.2026.070207 | Downloads: 7 | Views: 109

Author(s)

Tian Xiangyang 1, Xu Yongtao 1, Zhao Wanting 1, Li Wei 1

Affiliation(s)

1 First People's Hospital of Zhengzhou, Henan, Zhengzhou, 450000, China

Corresponding Author

Li Wei

ABSTRACT

To investigate the clinical efficacy of manual breathing training combined with repetitive transcranial magnetic stimulation (rTMS) in post-stroke dysphagia. A total of 90 patients with post-stroke dysphagia were randomly divided into three groups: respiratory training group, transcranial magnetic stimulation (TMS) group, and combined therapy group, with 30 cases in each group. All three groups received conventional swallowing rehabilitation therapy (including swallowing organ motor training, sensory stimulation, and low-frequency electrical stimulation). The respiratory training group additionally received manual breathing training, the TMS group received rTMS therapy, and the combined therapy group received both interventions simultaneously. After four weeks of treatment, the swallowing function of the three groups was evaluated using the Standard Swallowing Assessment (SSA). After treatment, the SSA scores of all three groups showed significant improvement compared to baseline (P<0.01). The combined therapy group demonstrated significantly better improvement in SSA scores than the respiratory training group and the TMS group (P<0.01), while no statistically significant difference was observed between the latter two groups (P>0.05). Manual breathing training combined with rTMS can significantly improve swallowing function in post-stroke dysphagia patients and reduce the risk of aspiration. Its therapeutic efficacy is superior to that of single interventions, demonstrating a synergistic promoting effect.

KEYWORDS

Stroke; Dysphagia; Repetitive Transcranial Magnetic Stimulation (rTMS); Respiratory Function Training; Standard Swallowing Function Assessment; Aspiration

CITE THIS PAPER

Tian Xiangyang, Xu Yongtao, Zhao Wanting, Li Wei. Clinical Observation of Manual Breathing Function Training Combined with Repetitive Transcranial Magnetic Stimulation in the Treatment of Post-stroke Dysphagia. MEDS Clinical Medicine (2026). Vol. 7, No.2, 45-50. DOI: http://dx.doi.org/10.23977/medsc.2026.070207.

REFERENCES

[1] Zhang M, Li C, Zhang F, et al. Prevalence of Dysphagia in China: An Epidemiological Survey of 5943 Participants [J]. Dysphagia, 2021,36(3):339-350.
[2] Wang Longde, Liu Jianmin, Yang Yi, et al. China still faces huge challenges in stroke prevention and treatment- Summary of the "China Stroke Prevention and Treatment Report 2018" [J]. China Circulation Journal, 2019, 34(02):105-119.
[3] China Rehabilitation Medical Association Swallowing Disorders Rehabilitation Committee. China Swallowing Disorders Rehabilitation Management Guidelines (2023 Edition) [J]. Chinese Journal of Physical Medicine and Rehabilitation, 2023,45(12):1057-1072.
[4] Gao Shiai, Yu Zifu, Chen Jinhui, et al. Meta-analysis of the efficacy of respiratory muscle training on post-stroke dysphagia[J]. Neurological Injury and Functional Reconstruction, 2025,20(07):402-407.
[5] Yan Yingying, Guo Ganghua, Guo Jun, et al. Observation on the efficacy of high-frequency repetitive transcranial magnetic stimulation at different frequencies in treating swallowing disorders in patients with unilateral stroke [J]. China Rehabilitation, 2022,37(08):486-488.
[6] Xiao Wangjing, Li Xinmeng, Lu Songling, et al. Meta-analysis on the efficacy and safety of repetitive transcranial magnetic stimulation in treating central nervous system-related dysphagia [J]. Clinical Review, 2023,38(07):588-599.
[7] Chinese Medical Association Neurology Branch, Cerebrovascular Disease Group of Chinese Medical Association Neurology Branch. China Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke 2018[J]. Chinese Journal of Neurology, 2018,51(9):17.
[8] Chinese Medical Association Neurology Branch, Cerebrovascular Disease Group of Chinese Medical Association Neurology Branch. China Guidelines for the Diagnosis and Treatment of Cerebral Hemorrhage (2019) [J]. Chinese Journal of Neurology, 2019,52(12):994-1005.
[9] Zhang Yumin, Chen Zhiwei, Zhan Chao, et al. Clinical observation of transcranial magnetic stimulation in different target areas for post-stroke dysphagia [J]. Shizhen Journal of Traditional Chinese Medicine and Pharmacy, 2024,35(05):1184-1186.
[10] Wu Shaoling, Ma Chao, Huang Fenyen, et al. Clinical application of the standardized swallowing function assessment scale [J]. Chinese Journal of Physical Medicine and Rehabilitation, 2008,30(6):4.
[11] Li YP, Han TT, Chen DH, et al. Research progress on respiratory training in improving post-stroke dysphagia[J]. Reflexology & Rehabilitation Medicine, 2024,5(08):192-195.
[12] Wu Liyan, Cui Yanyin, Zhang Yujie, et al. Systematic analysis of the rehabilitation application effects of intensive breathing training on patients with post-stroke dysphagia [J]. Chinese General Practice, 2024,22(11):1967-1970.
[13] Li Jiayao, Liu Zejian, Qi Hongjing, et al. Research progress on the application of transcranial magnetic stimulation in the rehabilitation of post-stroke dysphagia [J]. China Geriatric Health Care Medicine, 2024,22(03):7-11.
[14] Zhang Yu, Xue Jianqin, Wang Lijie, et al. The efficacy of repetitive peripheral magnetic stimulation combined with repetitive transcranial magnetic stimulation in the treatment of post-stroke dysphagia [J]. China Rehabilitation, 2025,40(06):344-348.
[15] Li Xiaoli, Guo Ganghua, Li Zhe, et al. Effect of repetitive transcranial magnetic stimulation on swallowing function in patients with postoperative hemiparesis and skull defects after cerebral hemorrhage [J]. Chinese Journal of Physical Medicine and Rehabilitation, 2021,43(3):3.
[16] Huang H. Efficacy of repetitive transcranial magnetic stimulation combined with respiratory function training in post-stroke dysphagia [J]. Massage and Rehabilitation Medicine, 2019,10(01):8-10.
[17] Xiong Xingjuan, Liu Xun, Wang Yue, et al. Effects of a swallowing therapy device combined with repetitive transcranial magnetic stimulation based on the "central-peripheral" theory on swallowing function, electromyographic signals, and morphology in patients with post-stroke dysphagia [J]. Clinical Medical Engineering, 2025, 32(06):605-609.

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