Biofeedback as an Adjunctive Treatment for Post-stroke Dysphagia: A Pilot-Randomized Controlled Trial

Nordio, S; Arcara, Giorgio; Berta, Giulia; Dellai, Angela; Brisotto, Camilla; Koch, Isabella; Cazzador, Diego; Aspidistria, Marta; Ventura, Laura; Turolla, Andrea; D’Imperio, Daniela; Battel, Irene

doi:10.1007/s00455-021-10385-2

Cited by 14 publications

(12 citation statements)

References 32 publications

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“…A total of twenty-six 31 – 57 randomized controlled trials reporting oral and pharyngeal motor exercise interventions during post-stroke recovery were identified (see Table 2 ). Two articles which analyzed data from the same sample (McCullough et al, 2012, 2013) 54 , 55 were considered as one study in this review.…”

Section: Resultsmentioning

confidence: 99%

“…Head-lift exercise). 32 , 34 , 38 , 39 , 47 , 48 , 57 Sample sizes ranged from 10 to 99 patients and included both sexes. Across studies, the average age of stroke survivors ranged from 53 to 72.5 years.…”

Section: Resultsmentioning

confidence: 99%

“…Penetration-Aspiration Scale). 32 , 36 , 39 , 41 , 47 , 57 In these cases, it was difficult to infer the specific physiological changes that led to the improvement in function. Changes that were seen in functional outcomes could be attributed to other factors such as compensatory maneuvers.…”

Section: Discussionmentioning

confidence: 99%

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The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review

et al. 2022

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Objective To analyze intervention goals, protocols, and outcome measures used for oral and pharyngeal motor exercises in post-stroke recovery. Data sources MEDLINE, EMBASE, CINAHL, PsychINFO, and Cochrane databases were searched in September 2022. Methods Studies were included if they (1) recruited post-stroke adult patients, (2) administered exercises for the oral and/ or pharyngeal muscles, and (3) reported results at baseline and post-exercise. The extracted data included intervention goals, protocols, and outcomes. All outcomes were classified according to the International Classification of Functioning, Disability and Health (ICF). Results A total of 26 studies were identified. Their intervention goals aimed to rehabilitate a broad spectrum of muscle groups within the oral cavity and pharynx and to improve the functions of swallowing, speech, facial expressions, or sleep breathing. Protocol duration ranged from 1 to 13 weeks, with various exercise repetitions (times per day) and frequency (days per week). Half of the studies reported using feedback to support the training, and these studies varied in the feedback strategy and technology tool. A total of 37 unique outcome measures were identified. Most measures represented the body functions and body structure component of the ICF, and several of these measures showed large treatment effects. Conclusions This review demonstrated inconsistency across published studies in intervention goals and exercise protocols. It has also identified current limitations and provided recommendations for the selection of outcome measures while advancing a multidisciplinary view of oral and pharyngeal exercises in post-stroke recovery across relevant functions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review

et al. 2022

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“…11 Biofeedback from surface electromyography has been shown to improve swallowing outcomes in poststroke dysphagia. 14 Methods to remotely monitor swallowing function, including dysphagia, are in early development. A prototype of a flexible wearable skin-mounted sensor patch enabled continuous monitoring of submental muscle electromyography during swallowing in healthy individuals and has the potential to be utilized for telemonitoring to detect dysphagia, as well as for biofeedback for swallowing rehabilitation.…”

Section: Dysphagiamentioning

confidence: 99%

Advances in Remote Monitoring for Stroke Recovery

Eng

Pastva

2022

Stroke

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“…In the meta-analyses by Park and Hwang [70], the test was as effective as Shaker's exercise for the treatment of poststroke dysphagia but with significantly higher scores for compliance factors. Biofeedback performed by using surface electromyography recordings has been recently tested in dysphagic patients with stroke [71] and Parkinson's disease [72,73] as an adjunctive technique to dysphagia therapy, with preliminary but promising results. Telerehabilitation is a new frontier for neurorehabilitation, which is getting a huge expansion because of the coronavirus disease 2019 (COVID-19) pandemic.…”

Section: Treatment Strategiesmentioning

confidence: 99%

Assessment and treatment of neurogenic dysphagia in stroke and Parkinson's disease

Cosentino

Todisco

Giudice

et al. 2022

Current Opinion in Neurology

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Purpose of reviewNeurogenic dysphagia worsens quality of life and prognosis of patients with different neurological disorders. Management of neurogenic dysphagia can be challenging. This review provides a comprehensive overview of current evidence on screening, diagnosis, and treatment of neurogenic dysphagia in stroke and Parkinson's disease, suggesting clues for clinical practice.Recent findingsThe pros and cons of diagnostic techniques are discussed in the light of updated evidence. Findings from recent meta-analyses of different treatment approaches, including traditional dysphagia therapy, peripheral and central neurostimulation techniques, and treatment with botulinum toxin, are critically discussed, emphasizing inconsistencies and controversial issues.SummaryScreening tests and clinical swallow examination should be routinely performed in neurological patients at risk for dysphagia. In patients testing positive for dysphagia, first-line instrumental investigations, represented by fiberoptic endoscopic evaluation of swallowing or videofluoroscopic swallow study, should be performed to confirm the presence of dysphagia, to assess its severity, and to inform the treatment. Second-line and third-line instrumental methods can be used in selected patients to clarify specific pathophysiological aspects of oropharyngeal dysphagia. Treatment strategies should be personalized, and combination of traditional dysphagia therapy with innovative treatment approaches may increase the chance of restoring effective and safe swallowing.

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Biofeedback as an Adjunctive Treatment for Post-stroke Dysphagia: A Pilot-Randomized Controlled Trial

Cited by 14 publications

References 32 publications

The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review

The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review

Advances in Remote Monitoring for Stroke Recovery

Assessment and treatment of neurogenic dysphagia in stroke and Parkinson's disease

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