Children's Hospital of Wisconsin-Milwaukee, Milwaukee, WI, USA.
Dev Med Child Neurol. 2010 Nov;52(11):1000-13. doi: 10.1111/j.1469-8749.2010.03707.x.
The aim of this unregistered evidence-based systematic review was to determine the state and quality of evidence on the effects of oral motor exercises (OME) on swallowing physiology, pulmonary health, functional swallowing outcomes, and drooling management in children with swallowing disorders.
A systematic search of 20 electronic databases was completed to identify relevant peer-reviewed literature published in English between 1960 and 2007. Experimental or quasi-experimental design studies examining OME as a treatment for children with swallowing disorders were appraised for methodological quality by two assessors and reviewed by a third.
Sixteen studies of varying methodological quality were included. No study examining the effects of OME on pulmonary health in children was identified. The included studies incorporated a wide variety of OME, and mixed findings were noted across all of the outcomes targeted in this review.
Based on the results of this evidence-based systematic review, there is insufficient evidence to determine the effects of OME on children with oral sensorimotor deficits and swallowing problems. Well-designed studies are needed to provide clinicians with evidence that can be incorporated into the preferences of the client and the clinicians' knowledge of anatomy, physiology, and neurodevelopment in the management of this group of children.
本未注册的基于证据的系统评价旨在确定有关口腔运动练习（OME）对吞咽生理、肺部健康、功能性吞咽结果以及吞咽障碍儿童流涎管理影响的证据的现状和质量。
对 20 个电子数据库进行了系统搜索，以确定 1960 年至 2007 年期间以英文发表的相关同行评审文献。对评估口腔运动练习作为吞咽障碍儿童治疗方法的实验性或准实验性设计研究进行了两位评估者的方法学质量评估，并由第三位评估者进行了审查。
纳入了 16 项不同方法学质量的研究。未发现研究口腔运动练习对儿童肺部健康影响的研究。所纳入的研究采用了多种口腔运动练习，并且在本综述中针对的所有结果都出现了混合发现。
基于这项基于证据的系统评价的结果，尚无足够证据确定口腔运动练习对口腔感觉运动缺陷和吞咽问题儿童的影响。需要精心设计的研究为临床医生提供证据，以便将这些证据纳入客户的偏好以及临床医生对解剖、生理学和神经发育的了解，以管理这群儿童。
