A Case of Study on the Effect of Intensive Rehabilitation Therapy of Dysphagia in Acute Phase for the Miller-Fisher Syndrome Patient

This case study evaluated severe swallowing disorders that were specific to patients with Miller-Fischer syndrome, a variant of Guillain-Barre syndrome, in addition to the main three symptoms, performed initial active treatment, and investigated its effects. The subject of the study was a male patient in his 30s who was diagnosed with Miller-Fisher's syndrome. As a result of video fluoroscopy, the ability to chew and swallow food was not observed. For 23 days, electrical stimulation treatment and active swallowing disorder rehabilitation were combined. After application, changes in orofacial muscle strength and swallowing function were analyzed. After active swallowing rehabilitation, the tongue and bilateral ball muscle strength increased by 13.5 kPa and 5.5 kPa, respectively. In addition, as a result of the new video fluoroscopy scale analyzed through video fluoroscopy, the score decreased from an initial 74 points to 37.5 points. In this study, in the treatment of swallowing disorder in patients with Miller-Fisher syndrome, early active swallowing disorder rehabilitation therapy and electric stimulation therapy are thought to have a positive effect on the improvement of oral facial strength and swallowing function.