The Impact of Central-Peripheral Coordination Training on Post-Stroke Dysarthria

Abstract

Objective: To explore the Intervention effect of central peripheral cooperative training on post-stroke dysarthria. Methods: A total of 30 patients with post-stroke dysarthria admitted to the Department of Rehabilitation Medicine at the First Affiliated Hospital of Yangtze University from September 2020 to December 2022 were selected as the coordination group. Another 30 patients with post-stroke dysarthria admitted from September 2018 to September 2020 were selected as the sequential group. There were no statistically significant differences between the two groups in terms of age, gender, or severity of the primary disease. The sequential group was given sequential treatment of speech training, vocal electromyographic stimulation and transcranial direct current stimulation in chronological order. The coordination group was given transcranial direct current stimulation in addition to speech training and vocal electromyographic stimulation. The Frenchay articulation disorder grades and intervention effects of the two groups were compared. Results: The Frenchay Dysarthria Assessment scores in both the sequential group and the coordination group were significantly higher after the intervention compared to before the intervention. The Frenchay Dysarthria Assessment scores in the coordination group after the intervention were significantly higher than those in the sequential group, with a statistically significant difference (P < 0.05) . Conclusion: Central-peripheral coordination training can effectively improve dysarthria symptoms in stroke patients, enhancing intervention outcomes and quality of life.