Effects of Expiratory Muscle Strength Training on Videofluoroscopic Measures of Swallowing: A Systematic Review
| Autor: | Sana Smaoui, Catriona M. Steele, Renata Mancopes |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Linguistics and Language
medicine.medical_specialty medicine.medical_treatment Population MEDLINE Expiratory Muscle Strength Training 03 medical and health sciences Speech and Hearing 0302 clinical medicine Swallowing Developmental and Educational Psychology medicine Humans Muscle Strength Medical diagnosis 030223 otorhinolaryngology education Aged Aged 80 and over Protocol (science) education.field_of_study Rehabilitation business.industry Resistance Training Middle Aged Dysphagia Respiratory Muscles Deglutition Otorhinolaryngology Fluoroscopy Physical therapy medicine.symptom Deglutition Disorders business 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Speech-Language Pathology. 29:335-356 |
| ISSN: | 1558-9110 1058-0360 |
| DOI: | 10.1044/2019_ajslp-19-00107 |
| Popis: | Purpose Expiratory muscle strength training (EMST) is increasingly utilized in dysphagia rehabilitation; however, little is known about the effects of this approach on swallowing function or physiology. We conducted a systematic review to appraise and synthesize evidence regarding the effects of EMST on videofluoroscopic measures of swallowing in individuals with medical diagnoses, in which dysphagia is a concern. Method A literature search was conducted according to Cochrane guidelines. Of 292 nonduplicate articles, 11 were judged to be relevant for review. These underwent detailed review for study quality, risk of bias evaluation, and synthesis of swallowing outcomes. Results The selected articles described EMST in a variety of patient populations using either the EMST150 or the Phillips Threshold positive expiratory pressure device. The typical protocol involved five sets of five breaths through the device (25 breaths/day), 5 days per week for 4 weeks. Exercise loads were set between 50% and 75% depending on the population, and treatment was typically supervised by a clinician weekly. The Penetration–Aspiration Scale was the most commonly reported videofluoroscopic outcome measure. Conclusions differed as to whether or not swallowing improved following a course of EMST. Differences in videofluoroscopy protocols, methods of summarizing participant performance, and statistical approaches across studies meant that meta-analysis of swallowing outcomes could not be completed. Conclusion This review failed to find clear evidence regarding the effects of EMST on videofluoroscopic measures of swallowing. Heterogeneity in the etiologies and baseline severity of dysphagia across studies and in the methods used to measure swallowing outcomes was a particular barrier to data synthesis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|