Swallowing Rehabilitation for Post Stroke Dysphagia in a Past Decade: a Systematic Review
Keywords:
dysphagia, swallowing rehabilitation, stroke, stroke patientAbstract
This study is a systematic review regarding swallowing rehabilitation in stroke population. The purposes were to summarize the evidence on swallowing rehabilitation and to summarize effectiveness on swallowing function in post stroke dysphagia. A comprehensive search of studies regarding swallowing rehabilitation in post stroke dysphagia in past 10 years was conducted using PubMed and Scopus databases. PICO framework for searching was applied: Participant (P), stroke patients with dysphagia; Intervention (I), swallowing rehabilitation; Comparison (C), other rehabilitation; and Outcome (O), effectiveness of swallowing rehabilitation. Inclusion criteria of the selected studies consisted of (1) studies about swallowing rehabilitation in stroke patient with dysphagia which conducted in a randomized controlled trial (RCTs), (2) published in English, (3) published between 2010 – 2020. Studies not relevant to swallowing rehabilitation in post stroke dysphagia were excluded. Key searching terms consisted of dysphagia and synonyms, swallowing rehabilitation and synonyms, and stroke and synonyms. A total of 17 randomized controlled trials (RCTs) involving 929 stroke patients were met the inclusion criteria and included for evaluation. From the review, rehabilitation to improve swallowing function in stroke patients within the past decade can be classified into 6 main categories: (1) electrical stimulation (3 studies), (2) neurostimulation (4 studies), (3) special equipment (2 studies), (4) special exercise (3 studies), (5) combination rehabilitation (3 studies), and (6) others (2 studies). Heterogeneity in the baseline severity of dysphagia and different measurement methods used across studies were barriers to conduct meta-analysis. This review, however, provided useful evidence regarding numerous of the swallowing rehabilitation methods. These findings can be used as guidelines for selection and provision of the swallowing rehabilitation services for stroke patients with dysphagia.
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