Neuromuscular Electrical Stimulation in Dysphagia Management

ABSTRACT: Purpose: Neuromuscular electrical stimulation (NMES) is a relatively new yet controversial approach to the treatment of dysphagia that is gaining clinical popularity. The purpose of this study was to contribute to our understanding of the clinical viability of NMES, in light of empirical controversy, by describing current trends in the use/nonuse of NMES and clinician-perceived barriers to use among a sample of speech-language pathologists (SLPs) in the state of Iowa. Method: Eighty SLPs employed in a variety of professional settings completed an online survey on practice patterns and perceptions related to general clinical practice, dysphagia management, and the use of NMES. Responses from 73 of these participants were included for quantitative and qualitative analyses. Results: Despite high familiarity with NMES (70%) and the frequent provision of dysphagia services (74% of facilities and 62% of individuals), only 17% of facilities providing dysphagia services were reported to offer NMES as a treatment option, and only 3 respondents personally D Neuromuscular Electrical Stimulation in Dysphagia Management: Clinician Use and Perceived Barriers