Boya
Dysphagia

Rehabilitation for Dysphagia at Boya Clinic

Boya Hospital in Yuncheng admits children with swallowing disorders to its pediatric neurological rehabilitation courses. The program is built around the muscles of the mouth and throat: daily speech therapy including work on swallowing, Tui Na massage, acupuncture, and apparatus-based physiotherapy. There are 6–9 sessions a day, 6 days a week; before the start the child is always examined by a specialist on site. The course is 2–3 months, with payment on site and no prepayment.

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About the condition

What is Dysphagia?

Dysphagia is a swallowing disorder. It looks different from case to case: the child coughs and chokes while eating or drinking, keeps food in the mouth for a long time, eats very slowly, refuses some textures and accepts only others. An ordinary meal turns into a long, tense event for the whole family. Drooling, chewing difficulties, and unclear speech often come alongside it — all of these rest on the same group of muscles of the mouth and throat.

A swallow seems instantaneous, but behind it lies a precise sequence: gather the food with the tongue, move it back, close the airway at the right moment, let the food pass on. When the nervous system controls the muscles less well — as happens in cerebral palsy, after hypoxia and birth trauma, or following neuroinfections — that sequence breaks down. Boya Hospital (Yuncheng, Shanxi Province) admits such children as part of its core specialization — pediatric neurological rehabilitation. The course runs intensively: 6–9 sessions a day, 6 days a week. At its center is daily speech therapy, which covers not only speech but also the work of the mouth muscles, chewing, and swallowing. Alongside it run pediatric Tui Na massage, acupuncture and scalp acupuncture, pharmacopuncture, meridian point stimulation, and apparatus-based physiotherapy. When the mouth is oversensitive, sensory integration is added to the program.

Why an on-site assessment is required

With swallowing disorders, what matters is not the wording in a medical record but the real picture: which texture the child handles calmly, where the coughing begins, in what position they eat, how quickly they tire. A specialist can see all of this only in person, watching a meal. That is why a program for dysphagia is not built remotely: the child is examined on site first, and only then is it decided where to start and how exactly the child should be fed during the course. The reason for this caution is the risk of food and liquid entering the airway — here safety comes before speed.

What matters for parents

The honest goal of the course is to make swallowing safer and easier, not to "remove dysphagia" in a single trip. Progress is tracked over time: how coughing and choking have changed, whether meals have become shorter and calmer, which textures the child accepts without strain. Much depends on what you tell the specialists at the start — the details of feeding shape the program more than any written report. Getting started is simple: send your child's documents and, if possible, a short video of a meal. The document-based consultation is free, and there is no prepayment: you pay on site and only for what your child has actually received.

Causes

Swallowing is a fast, precisely coordinated reflex involving dozens of muscles of the mouth, tongue, and throat. In children it is disrupted above all by damage to the central nervous system: cerebral palsy, consequences of hypoxia and birth trauma, past neuroinfections, head injuries. A weak oral motor base and heightened sensitivity inside the mouth also contribute.

Symptoms

The child chokes or coughs while eating and drinking, holds food in the mouth for a long time, eats slowly, and refuses certain textures. The voice may sound "wet" after a swallow. Drooling and unclear speech often come with it — they rely on the same group of muscles.

Diagnostics

The assessment is made by a specialist observing how the child actually drinks and eats: movements of the tongue and lips, the moment of the swallow, the reaction after it, the position of the head and body. The speech therapist checks the tone and mobility of the muscles of the mouth and throat; the neurologist looks for the cause on the nervous system side. Additional examinations are ordered by the doctor overseeing the child when indicated.

Prognosis and rehabilitation approach

With dysphagia the goal is twofold — to make swallowing safer and more effective. The work is gradual: first the muscles of the mouth and throat are strengthened and coordinated, then the swallow is consolidated on the textures the child tolerates calmly. The outcome depends on the cause and severity, so the program is reviewed as the course goes on.

Our approach

How rehabilitation works

01

Diagnostics

Comprehensive examination and patient assessment by an international team of specialists

02

Rehabilitation plan

Development of an individual rehabilitation program considering diagnosis specifics

03

Therapy

Intensive course of procedures: physical therapy, massage, physiotherapy, acupuncture and other methods

04

Results

Progress evaluation, home recommendations and maintenance therapy plan

Rehabilitation methods

Rehabilitation procedures: Dysphagia

A traditional Chinese medicine doctor inserting fine needles into points on a child's back at Boya Hospital

Acupuncture

Acupuncture is a core traditional Chinese medicine method within the centre's programme. Very fine needles are placed at active points on the head, back, body and abdomen; in children's rehabilitation it complements physical therapy, occupational therapy and speech therapy.

Electro. 15–20 min, others — 30–40 min
20 sessions
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A boy stacking wooden blocks during an occupational therapy session at Boya Hospital

Occupational Therapy

Occupational therapy (OT) works on upper limb function and fine motor skills. Sessions are built around everyday actions — dressing, washing, eating, holding a pencil — so that the child becomes more independent.

30 min
12 weeks
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A tuina specialist working with a child's arm in a ward at Boya Hospital

Tuina Massage

Tuina (推拿) is an ancient form of Chinese therapeutic massage: pressing, rubbing, stretching and kneading of points linked to the meridians. In children's rehabilitation it helps release spastic muscles, improve circulation and reduce anxiety.

50 min
10 sessions
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A Boya Hospital doctor performing a meridian stimulation session with a child as part of the PIMS programme

PIMS — Meridian Stimulation

PIMS — full information meridian stimulation: a comprehensive methodology based on acupuncture and the theory of biological holography. One programme brings together scalp acupuncture, body acupuncture, pharmacopuncture, collagen threads, massage and sessions with rehabilitation specialists.

Individually
Part of the programme
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A traditional Chinese medicine doctor performing a New Nine Needles session with a child at Boya Hospital

New Nine Needles

New Nine Needles is a modern revision of a classical TCM method: the doctor matches the instrument to the child. In children's rehabilitation the gentler options are used most often — cutaneous, magnetic and blunt needles, plus painless insertion techniques for the filiform needle.

20 min
20 sessions
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A Boya Hospital doctor injecting medication into an acupuncture point during a child's pharmacopuncture session

Pharmacopuncture (Acupoint Injections)

Pharmacopuncture (acupoint injections) combines the principles of traditional Chinese medicine with modern pharmacology: micro-doses of medication are injected into biologically active points. The medication stays at the point longer, so the effects of acupuncture and the drug combine and last longer.

10 min
15 sessions
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A boy during an apparatus physiotherapy session at Boya Hospital — electrodes held in place by a soft cap

Apparatus Physiotherapy

Apparatus physiotherapy complements physical and occupational therapy: currents of different frequencies, cerebellar stimulation and UHF help work with muscle tone, support weakened muscles and improve local circulation. The set of procedures and their settings are chosen by a doctor.

20 min
20 days
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A TCM doctor working with needles placed in the scalp zones of a child during a scalp acupuncture session at Boya Hospital

Gung's Scalp Acupuncture

Gung's Brain Acupuncture is a scalp acupuncture technique: needles are placed in defined zones of the scalp. The aim is to gently influence how the nervous system works and to support the child's motor, speech and cognitive development.

Set by the doctor
15 sessions
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A teenager holding his balance on balance cones with a specialist standing by

Sensory Integration

Sensory integration is the neurological process by which the brain organises and interprets signals from the senses. Training helps a child process that information more accurately: sessions run through play — on swings, trampolines, balance equipment and with tactile materials.

30 min
12 weeks
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A speech therapist performing oral stimulation with a special tool at Boya Hospital

Speech Therapy

Speech therapy (ST) works on pronunciation, voice and comprehension. The programme covers speech breathing, the muscles of the mouth and the articulatory organs, plus practising speech in real situations.

30 min
12 weeks
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FAQ

Frequently asked questions: Dysphagia

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Send us the medical records and a short video — Boya doctors will review the materials and tell you how they can help. A coordinator will get back to you within 5 minutes.

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