Neuromuscular electrical stimulation improves feeding and aspiration status in medically complex children undergoing feeding therapy

Andreoli, Steven; Wilson, Brooke L.; Swanson, Catherine

doi:10.1016/j.ijporl.2019.109646

Cited by 8 publications

(6 citation statements)

References 19 publications

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“…30 In the Andreoli et al ’s 2019 study, improvement was noted in seven of eight patients with gastrostomy dependence; for patients without gastrostomy dependence, full oral feeds without restriction was achieved in six of seven patients ( online supplemental table 1 ). 36 The standardised mean difference for improvement in feeding behaviours compared with the control group in the study by Song et al 31 (RCT) was 0.39 (95% CI −0.49 to 1.28). The exception was the study by Christiaanse et al 37 (retrospective cohort study), which found that the intervention was not associated with an improvement in feeding ability compared with the control group ( online supplemental table 1 ).…”

Section: Resultsmentioning

confidence: 92%

“…Marcus et al 34 reported on adverse events and harms, which included mild skin irritation at the placement of electrode and resolved without treatment (N=6). Andreoli et al 36 reported that the NMES was well tolerated and there were no treatment complications. Adverse events were not reported in the other studies.…”

Section: Resultsmentioning

confidence: 98%

“… 31 32 34–37 The session duration ranged from 20 min 29–31 to 1 hour, 9 35 and treatment duration ranged from 4 weeks 9 33 to 6 months. 36 In most studies, the voltage applied was 80 Hz and current intensity was adjusted until a therapeutic level was reached. 9 31 33–37 A range of interventions were employed for the control groups, but they all included some form of muscle stimulation (eg, oral motor exercises) 9 29–32 36 37 and two studies included a placebo/sham-NMES treatment 31 32 ( table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…In the Christiaanse et al study, there was no significant difference observed between the treatment and control groups for change in swallowing function measured by FOIS ( online supplemental table 1 ). 36 …”

Section: Resultsmentioning

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: Resultsmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Neuromuscular electrical stimulation for children with dysphagia: a systematic review

et al. 2022

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“…Also, few studies determine the specific effects on swallowing physiology suggesting that the NMES improves laryngeal elevation and swallowing delay [10,23] and enhances sensory feedback [23]. Recently, improvement in the aspiration status was seen in 83.3% of medically-complex children who underwent NMES as a component of their feeding therapy [24].…”

Section: Effect Of Nmes In Opd Treatmentmentioning

confidence: 99%

Neuro-Muscular Dentistry: the “diamond” concept of electro-stimulation potential for stomato-gnathic and oro-dental conditions

Sandoval-Munoz

Haidar

2021

Head Face Med

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Oro-Pharyngeal Dysphagia - or simply dysphagia - is the difficulty (persistent) in swallowing/passing food and/or liquid from the mouth to the pharynx into the esophagus and finally the stomach; a deglutition disorder (a symptom, by definition, often due to neuro-degenerative/−muscular, drug-induced or localized structural pathologies such as head and neck tumors, lesions and associated surgical and/or radiation injuries) linked to severe consequences on Quality of Life (QoL), including malnutrition, dehydration, and even sudden death. Likewise, Temporo-Mandibular Jaw and Joint disorder(s) – or simply TMD – is a multifactorial etiological condition, regularly encountered in the dental office. Whether due to malocclusion, bruxism, stress and/or trauma, TMD destabilizes the whole cranio-mandibular system structurally and functionally, via affecting mastication, teeth, supporting structures, comfort and aesthetics, and thus, QoL, again. While several treatment regimens do exist for such conditions, some of which have been standardized for use over the years, most continue to lack proper evidence-based literature support. Hence, (1) caution is to be exercised; and (2) the need for alternative therapeutic strategies is amplified, subsequently, the door for innovation is wide open. Indeed, neuromuscular electrical stimulation or “NMES”, is perhaps a fine example. Herein, we present the interested oro-dental health care provider with an up-dated revision of this therapeutic modality, its potential benefits, risks and concerns, to best handle the dysphagic patient: an intra-disciplinary approach or strategy bridging contemporary dentistry with speech and language therapy; a rather obscure and un-discovered yet critical allied health profession. A pre-clinical and clinical prospectus on employing inventive NMES-based regimens and devices to manage TMD is also highlighted.

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Non-pharmaceutical management of respiratory morbidity in children with severe global developmental delay

Winfield

Barker

Turner

et al. 2014

Cochrane Database of Systematic Reviews

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Neuromuscular electrical stimulation improves feeding and aspiration status in medically complex children undergoing feeding therapy

Cited by 8 publications

References 19 publications

Neuromuscular electrical stimulation for children with dysphagia: a systematic review

Neuromuscular electrical stimulation for children with dysphagia: a systematic review

Neuro-Muscular Dentistry: the “diamond” concept of electro-stimulation potential for stomato-gnathic and oro-dental conditions

Non-pharmaceutical management of respiratory morbidity in children with severe global developmental delay

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