虚拟现实生物反馈训练联合口腔定位疗法对口腔癌术后吞咽障碍的效果

doi:10.3969/j.issn.1006-9771.2026.04.008

Abstract

Abstract:

Objective To explore the application of virtual reality biofeedback training combined with oral localization therapy in dysphagia after oral cancer surgery.

Methods From May, 2023 to July, 2024, 86 patients with dysphagia after oral cancer surgery in Zhejiang Provincial People's Hospital were randomly divided into control group (n = 43) and experimental group (n = 43). The control group received conventional swallowing function training, while the experimental group added virtual reality biofeedback training combined with oral positioning therapy, for four weeks. The Standardized Swallowing Function Assessment Scale (SSA), Functional Oral Intake Scale (FOIS) and M.D.Anderson Dysphagia Inventory (MDADI) were used for evaluation before intervention, and two weeks, four weeks and eight weeks after intervention.

Results For scores of SSA, the main effects of group (F = 150.190, P < 0.001, η²_p = 0.641) and time (F = 230.870, P < 0.001, η²_p = 0.733), as well as the interaction effect (F = 16.910, P < 0.001, η²_p = 0.168) were all significant. For scores of FOIS, the main effects of group (F = 59.601, P < 0.001, η²_p = 0.415) and time (F = 89.464, P < 0.001, η²_p = 0.516), as well as the interaction effect (F = 7.990, P < 0.001, η²_p = 0.087) were all significant. For scores of MDADI, the main effects of group (F = 33.133, P < 0.001, η²_p = 0.283) and time (F = 49.650, P < 0.001, η²_p = 0.371), as well as the interaction effect (F = 3.224, P = 0.023, η²_p = 0.037) were all significant.

Conclusion Virtual reality biofeedback training combined with oral localization therapy could improve the swallowing function, oral feeding ability and overall quality of life of patients with dysphagia after oral cancer surgery.

Key words: oral cancer, dysphagia, virtual reality, biofeedback, oral positioning therapy

CLC Number:

R767

XU Mingxia, ZHU Hui, CHEN Piaopiao, MENG Kexin, CHEN Jie, CHEN Jing, SUN Huifang, SUN Yanyan. Effect of virtual reality biofeedback training combined with oral positioning therapy on dysphagia after oral cancer surgery[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(4): 445-452.

Figures/Tables 3

Table 1

Table 2

Table 3

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组别	对照组(n = 43)	试验组(n = 43)	t/χ²值	P值
年龄/岁	49.28±5.67	49.44±5.72	0.897	0.130
性别/n
男	25	23	0.189	0.664
女	18	20	0.189	0.664
文化程度/n
小学及以下	17	14	0.864	0.649
初中或中专	13	12
高中以上	13	17
癌变部位/n
唇部	8	9	0.471	0.993
舌	9	10
舌根	8	7
上下颌牙龈	9	8
硬腭	4	3
颊黏膜部位	5	6
疾病诊断(TNM分期)/n
Ⅰ期	7	8	0.215	0.975
Ⅱ期	15	14
Ⅲ期	14	13
Ⅳ期	7	8
手术方式/n
单纯病灶切除术	24	22	0.187	0.665
同期行颈淋巴结清扫术	19	21	0.187	0.665
修复方式/n
直接缝合	26	20	1.683	0.195
皮瓣移植修复	17	23	1.683	0.195

变量	组别	n	干预前		干预后2周		干预后4周		随访8周
变量	组别	n	均值	标准差	均值	标准差	均值	标准差	均值	标准差
SSA评分	对照组	43	37.01	4.22	33.45	3.43	30.23	3.86	26.28	3.86
	试验组	43	37.26	4.30	26.99	2.16	24.12	2.43	21.22	2.34
FOIS评分	对照组	43	3.22	0.87	4.46	1.13	4.77	1.14	5.02	1.29
	试验组	43	3.16	0.88	5.23	1.25	6.38	1.28	6.48	1.25
MDADI评分	对照组	43	65.98	9.85	74.23	11.04	78.66	11.21	80.11	11.43
	试验组	43	66.14	9.94	82.27	13.22	86.28	13.58	89.52	8.12

变量		平方和	自由度	均方	F值	P值	η²_p
SSA评分	组别	1609.116	1	1609.116	150.190	< 0.001	0.641
	时间	8403.465	3	2801.155	230.870	< 0.001	0.733
	组别×时间	615.512	3	205.171	16.910	< 0.001	0.168
FOIS评分	组别	61.119	1	61.119	59.601	< 0.001	0.415
	时间	319.613	2.786	114.725	89.464	< 0.001	0.516
	组别×时间	28.544	2.786	10.246	7.990	< 0.001	0.087
MDADI评分	组别	3453.779	1	3453.779	33.133	< 0.001	0.283
	时间	17531.000	3	5843.667	49.650	< 0.001	0.371
	组别×时间	1138.291	3	379.430	3.224	0.023	0.037

Effect of virtual reality biofeedback training combined with oral positioning therapy on dysphagia after oral cancer surgery

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