**4. Conclusions**

NMES has shown benefits in dysphagia therapy for individuals affected by stroke, mainly related to the classification of the degree of dysphagia and the level of oral intake. Some authors propose that the use of NMES associated with conventional therapy is more beneficial to the treatment of these individuals; however, there is a wide variety of electrode placement, level of the stimulus, and type and

**169**

**Author details**

Cláudia Tiemi Mituuti1

provided the original work is properly cited.

2 Base Hospital of Bauru, Bauru, Brazil

© 2019 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

\*, Marcela Maria Alves da Silva2

1 Federal University of Santa Catarina, Florianópolis, Brazil

\*Address all correspondence to: claudia.mituuti@ufsc.br

3 Bauru School of Dentistry, University of São Paulo, Bauru, Brazil

and Giédre Berretin-Felix3

*Neuromuscular Electrical Stimulation and Electromyographic Biofeedback as Adjunctive…*

location of the stroke; thus, further studies are necessary to prove the efficacy of

On the other hand, swallowing training using EMG biofeedback can assist speech therapists in their clinical practice, enabling the patient to learn and monitor new muscle patterns, using visual and auditory reinforcement, and, from the learning and training of new neuromuscular recruitment, present a swallowing pattern

However, further controlled and randomized clinical studies are necessary for a understanding on the contribution of the EMG technique, for there are still many doubts on the application method, the number of therapeutic sessions, and the characteristics of patients who can benefit from the training with EMG

as functional as possible, with a positive impact on quality of life.

The authors declare no conflict of interest.

*DOI: http://dx.doi.org/10.5772/intechopen.84942*

this treatment modality.

biofeedback.

**Conflict of interest**

*Neuromuscular Electrical Stimulation and Electromyographic Biofeedback as Adjunctive… DOI: http://dx.doi.org/10.5772/intechopen.84942*

location of the stroke; thus, further studies are necessary to prove the efficacy of this treatment modality.

On the other hand, swallowing training using EMG biofeedback can assist speech therapists in their clinical practice, enabling the patient to learn and monitor new muscle patterns, using visual and auditory reinforcement, and, from the learning and training of new neuromuscular recruitment, present a swallowing pattern as functional as possible, with a positive impact on quality of life.

However, further controlled and randomized clinical studies are necessary for a understanding on the contribution of the EMG technique, for there are still many doubts on the application method, the number of therapeutic sessions, and the characteristics of patients who can benefit from the training with EMG biofeedback.
