Jamil Anam, Imtiaz Momina, Muhammad Asma, Rahat Alina, Obaid Hadia Binte, Jarral Jawaria, Imran Rania
Senior Lecturer, Department of Rehabilitation Sciences, Shifa Tameer-E-Millat University, Park Road, Islamabad, Pakistan.
Mehnaz Fatima Foundation, Jutial, Gilgit, Pakistan.
Eur Arch Otorhinolaryngol. 2025 Jan;282(1):1-10. doi: 10.1007/s00405-024-08874-9. Epub 2024 Aug 6.
Dysphagia is most prevalent among post stroke aging adults. This systematic review was conducted to collect evidence-based data regarding assessment and therapeutic techniques used to rehabilitate post stroke dysphagia patients.
Four major databases including PubMed, Cochrane Library, Science direct and Google scholar were searched systematically using the defined search strategy to target Randomized Controlled Trials conducted from January 2018 to 2023 using the pre-defined search strategy by three independent reviewers.
After following PRISMA guidelines, fifteen articles matched the inclusion criteria. Several evidence based therapies like Neuromuscular Electrical Stimulation Therapy, Effortful Swallowing Training, Tongue Pressure Strength and Accuracy Training, Electrical Stimulation of Hyoid Muscles, Modified Chin Tuck Against Resistance exercise, Oral Neuromuscular Training, and Conventional Speech Therapy with Functional Electrical Stimulation were used frequently for the treatment of old age post stroke dysphagia in different rehabilitation centers. Along with this, a list of different assessment methodologies and tools was made that were used including Functional Oral Intake Scale, Fiber optic Endoscopic Evaluation of Swallowing, Penetration Aspiration Scale, Pooling Scale, Video fluoroscopic Dysphagia Scale, Iowa Oral Performance Instrument, Mann Assessment of Swallowing Ability, and Repetitive Saliva Swallowing Test.
Dysphagia is known to be serious complication of stroke. This systematic review shows a significant impact of therapeutic techniques on post stroke dysphagia patients and demonstrates that neuromuscular electrical stimulation therapy is one of the most effective therapeutic techniques used to rehabilitate post stroke dysphagia patients.
吞咽困难在中风后的老年成年人中最为普遍。本系统评价旨在收集有关用于中风后吞咽困难患者康复的评估和治疗技术的循证数据。
由三名独立评审员使用既定的搜索策略，系统检索包括PubMed、Cochrane图书馆、Science direct和谷歌学术在内的四个主要数据库，以查找2018年1月至2023年进行的随机对照试验。
按照PRISMA指南，有15篇文章符合纳入标准。不同康复中心在治疗老年中风后吞咽困难时，经常使用几种循证疗法，如神经肌肉电刺激疗法、用力吞咽训练、舌压强度和准确性训练、舌骨肌肉电刺激、改良抗阻下颌后缩运动、口腔神经肌肉训练以及功能性电刺激常规言语治疗。与此同时，列出了所使用的不同评估方法和工具，包括功能性经口摄食量表、吞咽功能纤维内镜评估、渗透误吸量表、积液量表、视频荧光吞咽障碍量表、爱荷华口腔功能仪器、吞咽能力曼氏评估和反复唾液吞咽试验。
吞咽困难是中风的严重并发症。本系统评价显示治疗技术对中风后吞咽困难患者有显著影响，并表明神经肌肉电刺激疗法是用于中风后吞咽困难患者康复的最有效治疗技术之一。
