Efficacy observation of electromyography-guided targeted injection of swallowing muscles for treating dysphagia resulting from medullary paralysis - Summary - MDSpire

Efficacy observation of electromyography-guided targeted injection of swallowing muscles for treating dysphagia resulting from medullary paralysis

  • By

  • Hong Ren

  • Yan Shang

  • Tiantian Wang

  • Chunxiang Zhao

  • Pei Wang

  • Yue Yang

  • Yufei Yin

  • May 29, 2026

  • 0 min

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Objective:

To observe the clinical efficacy of electromyography (EMG)-guided targeted mecobalamin injections for treating dysphagia resulting from medullary paralysis.

Key Findings:
  • The treatment group had a significantly higher overall response rate on the WST compared to the control group (P < 0.05).
  • Marked and overall effectiveness rates based on VFSS were 50.9% and 96.4% in the treatment group, significantly higher than 18.2% and 83.6% in the control group (both P < 0.05).
  • The incidence of aspiration decreased significantly in both groups post-treatment, with a more pronounced reduction in the treatment group (P < 0.05).
Interpretation:

Limitations:
Conclusion:

EMG-guided mecobalamin injections can improve swallowing function in dysphagia patients resulting from medullary paralysis.

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