Department of Clinical Speech & Language Studies, University of Dublin, Trinity College Dublin, Dublin, Republic of Ireland.
Department of Neurorehabilitation Sciences, Casa Cura Policlinico, Milan, Italy.
Arch Phys Med Rehabil. 2021 Feb;102(2):314-322. doi: 10.1016/j.apmr.2020.06.033. Epub 2020 Aug 27.
To examine the effectiveness of biofeedback used in the treatment of adults with Parkinson disease (PD) and dysphagia, define the factors associated with biofeedback treatment outcomes, and inform a theory to guide the implementation of biofeedback in future dysphagia interventions.
A systematic review using a narrative synthesis approach of all published and unpublished studies were sought with no date or language restrictions. Ten electronic databases (EMBASE, PubMed, CINAHL, Web of Science, Scopus, Science Direct, AMED, The Cochrane Database of Systematic Reviews, ProQuest Dissertations and Theses A & I, Google Scholar) were searched from inception to April 2019. This search was updated in January 2020. The methodological quality of included studies was assessed using Downs and Black checklist.
Four studies were included. The methodological quality of the included studies was low with a high risk of bias. Data were analyzed narratively and descriptively. Despite the heterogeneity of the included studies, the findings suggest that interventions incorporating visual biofeedback may have positive effects on swallowing-related quality of life.
Based on these preliminary findings, we provide directions for further research and clinical interventions that incorporate an augmentative biofeedback component of swallowing interventions in people with PD. Future studies should be rigorously designed and set appropriate biofeedback treatment in terms of types, schedules, and timing.
研究生物反馈在治疗帕金森病（PD）伴吞咽困难成人中的有效性，确定与生物反馈治疗结果相关的因素，并为指导未来吞咽障碍干预中生物反馈的实施提供理论依据。
系统检索了截至 2019 年 4 月，所有已发表和未发表的研究，无时间或语言限制。共检索了 10 个电子数据库（EMBASE、PubMed、CINAHL、Web of Science、Scopus、Science Direct、AMED、Cochrane 系统评价数据库、ProQuest Dissertations and Theses A & I、Google Scholar）。该检索于 2020 年 1 月进行了更新。使用 Downs 和 Black 清单评估纳入研究的方法学质量。
纳入了 4 项研究。纳入研究的方法学质量较低，存在较高的偏倚风险。采用叙述性和描述性方法对数据进行分析。尽管纳入研究存在异质性，但研究结果表明，纳入视觉生物反馈的干预措施可能对与吞咽相关的生活质量产生积极影响。
基于这些初步发现，我们为进一步研究和临床干预提供了方向，即在 PD 患者的吞咽干预中纳入增强型生物反馈成分。未来的研究应严格设计，并根据类型、方案和时间设置适当的生物反馈治疗。
