Brooks Marinda, McLaughlin Emma, Shields Nora
a Department of Allied Health , Northern Health , Epping , Australia.
b School of Allied Health , La Trobe University , Melbourne , Australia , and.
Int J Speech Lang Pathol. 2019 Feb;21(1):89-100. doi: 10.1080/17549507.2017.1387285. Epub 2017 Nov 1.
To investigate the effects of expiratory muscle strength training on communication and swallowing outcomes in adults with acquired motor based communication and/or swallowing difficulties of any aetiology.
A systematic review was conducted. Six databases (CINAHL, MEDLINE, EMBASE, SPEECHBYTE, AMED and PUBMED) were searched from inception until end of May 2016. Randomised and non-randomised controlled studies and pre-test/post-test studies published in English that investigated the effects of expiratory muscle strength training were included. Study quality was assessed using the PEDro scale. Data were analysed descriptively and effect sizes and associated 95% confidence intervals were calculated.
Seven articles reporting data from five studies were included. Preliminary data suggests expiratory muscle strength training improved airway safety during swallowing in people with dysphagia and increased the strength of the expiratory muscles in all patient groups. There was little evidence to suggest changes in communication outcomes after expiratory muscle strength training.
Speech-language pathologists might consider using expiratory muscle strength training to improve airway safety in adults with swallowing disorders.
探讨呼气肌力量训练对因任何病因导致获得性运动性沟通和/或吞咽困难的成年人的沟通及吞咽结果的影响。
进行了一项系统评价。检索了六个数据库（CINAHL、MEDLINE、EMBASE、SPEECHBYTE、AMED和PUBMED），检索时间从建库至2016年5月底。纳入了以英文发表的、研究呼气肌力量训练效果的随机和非随机对照研究以及前后测试研究。使用PEDro量表评估研究质量。对数据进行描述性分析，并计算效应量及相关的95%置信区间。
纳入了七篇报告五项研究数据的文章。初步数据表明，呼气肌力量训练可改善吞咽困难患者吞咽时的气道安全性，并增强所有患者组的呼气肌力量。几乎没有证据表明呼气肌力量训练后沟通结果会发生变化。
言语病理学家可考虑使用呼气肌力量训练来改善患有吞咽障碍的成年人的气道安全性。
