Review Article

Transcutaneous Electrical Stimulation and Dysphagia Rehabilitation: A Narrative Review

Table 2

Summaries of studies regarding the effect of transcutaneous electrical stimulation (TES) on the physiological aspect of swallowing.

StudyStudy designSample sizeSwallowing functionElectrode placementOutcome measuresKey findings

Ludlow et al. [18]Cross-sectional11DysphagiaSubmental and throatHyoid and laryngeal positions at restIncreasing hyoid excursion at rest
Humbert et al. [19]Cross-sectional29Healthy10 electrode placementsHyolaryngeal excursion at rest and during swallowingDecreasing hyoid and laryngeal excursions at rest and during swallowing
Kim et al. [20]Cross-sectional20DysphagiaThree electrode placementsHyolaryngeal excursion at restDecreasing hyoid and laryngeal excursion at rest
Lee et al. [21]Cross-sectional15DysphagiaSubmental and throat vs. submentalHyolaryngeal excursion at restSubmental/throat regions: decreasing hyolaryngeal excursion
Submental: increasing anterior excursion of the hyolaryngeal structures
Park et al. [22]Case-series16HealthyThroatHyolaryngeal excursion during swallowingIncreasing superior hyoid excursion
Nam et al. [23]Case-control50DysphagiaSubmental and throat vs. submentalHyolaryngeal excursion during swallowingSubmental: increasing hyoid excursion during swallowing; submental/throat regions: increasing laryngeal excursion
Heck et al. [24]Cross-sectional20HealthySubmentalHypopharyngeal and UES PPImmediate effect: no TES effect on PP
Delayed effect: decreasing hypopharyngeal PP and increasing UES relaxation
Berretin-Felix et al. [25]Cross-sectional34 (20 young, 14 older adults)HealthySubmental and throatLingual-palatal, BOT, hypopharyngeal, UES PPMotor TES: decreasing anterior tongue pressure in older adults, increasing hypopharyngeal pressure for both age groups
Sensory TES: increasing BOT pressure in older adults, decreasing BOT pressure in younger adults
Barikroo et al. [26]Cross-sectional34 (20 young, 14 older adults)HealthySubmental and throatLingual-palatal, BOT, hypopharyngeal, UES pressure timingMotor TES: no effect
Sensory TES: faster PP for older adults
Barikroo et al. [28]Cross-sectional30 older adultsHealthySubmentalLingual-palatal pressureShort pulse duration decreased lingual palatal peak pressure compared with the long pulse duration
Takahashi et al. [29]Cross-sectional18 youngHealthyThroatLingual-palatal pressure and hyoid excursionDecreasing tongue pressure during stimulation and was significantly lower after stimulation
Decreasing the hyoid position at rest
Increasing the hyoid position both at rest and during the maximum excursion during stimulation
Jungheim et al. [33]Cross-sectional29HealthySubmentalVelopharynx, BOT, and UES pressureMidfrequency stimulation: increasing BOT pressure
No impact on UES
Low-frequency pressure: no significant changes in any parameters examined

TES: transcutaneous electrical stimulation; UES: upper esophageal sphincter; BOT: base of tongue; PP: pharyngeal pressure.