Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review

Diéguez-Pérez, Isabel; Leirós‐Rodríguez, Raquel

doi:10.3390/jcm9082618

Cited by 18 publications

(16 citation statements)

References 64 publications

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“…This is the first systematic review to investigate the use of NMES for children with dysphagia. Several systematic reviews and meta-analysis have been conducted in different populations of adults with dysphagia (eg, stroke, head and neck cancer), with some reported benefits on swallowing dysfunction, 20–22 however, these results need to be interpreted with caution in children. Two recent reviews examined the management and interventions for children with dysphagia, 1 24 but no studies on NMES were included.…”

Section: Discussionmentioning

confidence: 99%

“…One of the most cited meta-analyses in adults with dysphagia demonstrated improvement with NMES and concluded that further research is needed. 19 Several more recent adult studies have also concluded that NMES improves swallowing dysfunction, 20–22 however, high-quality studies are still needed. 23 Findings from adult studies should not be extrapolated to children, given that the aetiology of dysphagia in adults is very different (ie, oropharyngeal malignancies, stroke, dementia) and that the goal of rehabilitation is different in adults (ie, adults are undergoing rehabilitation for lost skills and children are undergoing habilitation to develop skills).…”

Section: Introductionmentioning

confidence: 99%

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Neuromuscular electrical stimulation for children with dysphagia: a systematic review

et al. 2022

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ObjectivesDysphagia in childhood has important health impacts for the child and their family as well as the healthcare system. This systematic review aims to determine the effectiveness of neuromuscular electrical stimulation (NMES) for treatment of oropharyngeal dysphagia in children.MethodsA search was performed on November 2020 in MEDLINE (from 1946), EMBASE (from 1947), PsycINFO (from 1806), CINAHL (from 1937), CENTRAL (from 1996) and Scopus (from 1970) databases. Studies of children (≤18 years) diagnosed with oropharyngeal dysphagia using NMES in the throat/neck region were included. Screening, data extraction, and risk of bias assessment followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Risk of bias was assessed using the Cochrane Collaboration’s tool for randomised controlled trials (RCTs) and a modified Newcastle-Ottawa assessment for observational studies. A meta-analysis was not conducted due to clinical heterogeneity in studies.ResultsTen studies were included (5 RCTs, 4 case series, 1 cohort study; including 393 children, mean or median age below 7 years, including children with neurologic impairments). In all studies, swallowing function improved after NMES treatment. The standardised mean difference (SMD) for improvement of swallowing dysfunction in treatment compared with control groups in the RCTs ranged from 0.18 (95% CI −0.7 to 1.06) to 1.49 (95% CI 0.57 to 2.41). Eight of 10 studies reported on the child’s feeding ability, and, with one exception, there was improvement in feeding ability. Few studies reported on health status (N=2), impact on caregiver (N=1), adverse events and harms (N=2), and child’s quality of life (N=1). In most studies, outcome follow-up was less than 6 months. The studies demonstrated moderate to high risk of bias.ConclusionsNMES treatment may be beneficial in improving swallowing function for children with dysphagia, however, given the quality of the studies, inadequate outcome reporting, and short follow-up duration, uncertainty remains. Well-designed RCTs are needed to establish its effectiveness before its adoption in clinical practice.PROSPERO registration numberCRD42019147353.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Neuromuscular electrical stimulation for children with dysphagia: a systematic review

et al. 2022

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“…Esant RS, pacientai patiria psichologinių iššūkių, neretai jaudinasi ir jaučiasi nepatogiai, valgydami matant kitiems žmonėms, gėdijasi, jaučia menkavertiškumą ir nerimą, kad maistas valgant gali iškristi iš burnos [25]. Tai sukelia kompleksinį paciento gyvenimo kokybės blogėjimą, kuris apima tiek fizinę, tiek psichologinę, tiek emocinę sveikatą [9,15]. Pacientų, sergančių OD, gyvenimo kokybės vertinimui dažniausiai pasirenkami šie metodologinius reikalavimus atitinkantys klausimynai: rijimo sutrikimo sukeliamos negalios indeksas (angl.…”

Section: Rijimo Sutrikimų įVertinimas Paciento Palatojeunclassified

“…Vertinant orofaringinę disfagiją yra svarbu nustatyti tiesiogiai su rijimu susijusių organų anatominę struktūrą, funkcijos lygį ir sensorinį jautrumą [9,25]. RS nustatomi tiems asmenims, kurių tiek biomechaninės funkcijos ir struktūros yra pažeistos, tiek pasireiškia springimas, ryjant skysčius ir (arba) maistą [31], tačiau kiti autoriai teigia kiek kitaip: asmeniui nustatomas rijimo sutrikimas priklausomai nuo to, kokio laipsnio (sunkumo) yra fiziologiniai rijimo procese dalyvaujančių raumenų pokyčiai [10].…”

Section: Rijimo Sutrikimų įVertinimas Paciento Palatojeunclassified

Dysphagia bedside evaluatation in adults with nasogastric tube

Grigaliūnaitė

Kantanavičiūtė-Petružė

2021

SMP

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The theoretical analysis of scientific literature sources and practice show that standardized adult assessment tools for the evaluation of adult swallowing disorders and readiness for withdrawal of the nasogastric tube (NGZ) are not uniformly used in Lithuanian health care institutions. The theoretical analysis of the assessment of swallowing disorders in adults fed by NGZ in the article showed that in the early stage of the disorder, examinations that are performed in the patient's ward and do not require radiological evaluation are sufficiently accurate. The aim of the study is to reveal the tools and methodologies for the evaluation of swallowing disorders in adults fed by NGZ in the patient's ward during the acute period of the disease. After the theoretical analysis of scientific literature sources, it can be stated that: enteral feeding improves feeding quality, but it restricts patient's movements, complicates communication, induces isolation; accurate assessment of dysphagia can be made by performing a swallowing sample in the patient’s ward; assessment of swallowing function takes into account masticatory muscle function, movements of lips, tongue and soft palate, swallowing, cough and gag reflex, oral control, oral residue, voice quality after swallowing and aspiration risk.

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“…Electroestimulación neuromuscular aplicada en disfagia 39 tipos de electrodos los cuales excitan a las terminaciones nerviosas o al propio tejido muscular facilitando la contracción del mismo durante actividades funcionales, esta tiende a ser influenciada por las características aplicadas de la corriente eléctrica. Es una de las técnicas actuales más utilizadas en disfagia orofaríngea (34)(35)(36).…”

Section: Artículos Revisionesunclassified

Electroestimulacion neuromuscular aplicada en disfagia.

2020

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Introducción: La Electroestimulación neuromuscular es utilizada de manera terapéutica complementaria en diferentes afecciones. Entre ellos, la rehabilitación de disfagia neurogénica. El objetivo es desarrollar una revisión integradora de la literatura sobre la aplicabilidad y eficacia en la práctica clínica sobre del uso de la electroestimulación neuromuscular en disfagia orofaríngea. Metodología: Para la elaboración del presente artículo la metodología utilizada es una revisión sistemática efectuada en la gestión 2020, el diseño de investigación corresponde a descriptivo, transversal, prospectivo. Desarrollo: La búsqueda en las bases de datos electrónicas arrojó 352 títulos, de los cuales 47 estudios cumplían con nuestros criterios de selección. Este método tiene como objetivo promover efectos benéficos significativos en la capacidad funcional, siendo una alternativa de tratamiento a ser utilizada lo más precozmente posible, con la premisa de prevenir la disfunción muscular. Discusión y conclusiones: Existe una disputa en diferentes factores que interfieren en el método de uso de este método, como también la complementación con técnicas convencionales. En su mayoría se ha demostrado que la electroestimulación neuromuscular acelera la mejoría de la función deglutoria en combinación con técnicas compensatorias o convencionales. Conflictos de Intereses Los autores declaramos no tener conflictos de interés para el presente estudio.

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Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review

Cited by 18 publications

References 64 publications

Neuromuscular electrical stimulation for children with dysphagia: a systematic review

Neuromuscular electrical stimulation for children with dysphagia: a systematic review

Dysphagia bedside evaluatation in adults with nasogastric tube

Electroestimulacion neuromuscular aplicada en disfagia.

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