Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis

Abstract

IntroductionDysphagia is a common functional disorder after stroke. Most patients post-stroke are incapable of oral feeding, which often leads to complications such as malnutrition, aspiration pneumonia and dehydration that seriously affect the quality of life of patients. Oropharyngeal muscle strength training is a major method of swallowing training, and recent studies have focused on healthy adults, elderly persons, and patients with head and neck cancer or neurodegenerative diseases; but there have been few studies on such training in patients with post-stroke dysphagia. Our study aims to systematically review the safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding.Methods and analysisThe Cochrane Library, Web of Science, PubMed, Embase and ClinicalTrials.gov databases will be systematically searched, and all relevant articles in English from the establishment of the databases to January 2022 will be reviewed. The study will be conducted in accordance with the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and will be reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta Analyses guidelines. The primary outcome measures include the Penetration–Aspiration Scale and the Functional Oral Intake Scale. Two authors will independently screen the articles, extract the data and assess the study quality. Any disagreements during this process will be resolved by discussion or by consultation with a third author. Next, quantitative or qualitative, subgroup and sensitivity analyses of the included literature data will be performed as appropriate.Ethics and disseminationEthical approval is not required for this systematic review as no primary data collection will be required. The results of the present study will be published in a peer-reviewed journal in the field of deglutition disorders.PROSPERO registration numberCRD42022302471.

Dysphagia in Ischaemic Stroke Patients: One Centre Retrospective Study

“…The primary objective of treating dysphagia is to reduce the frequency of aspiration and increase oral feeding [ 23 ]. In the examined population, the feeding methods of the stroke patients were analyzed.…”

Efficacy and safety of oropharyngeal muscle strength training on poststroke oropharyngeal dysphagia: a systematic review and meta-analysis

“…This meta-analysis was conducted under the guidance of the Cochrane Handbook for Systematic Reviews of Interventions25 and reported according to the update Preferred Reporting Items for Systematic Reviews and Meta-Analysis,26 26 as well as the research protocol we developed 27. The protocol for this study is available online.…”

“…Two researchers (HW and JS) independently screened the literature titles and abstracts according to the research protocol, 27 eliminated literature that did not meet the selection criteria and independently reviewed the full texts of the remaining literature before finally confirming inclusion. Any disagreement should be resolved in consultation with a third reviewer (FZ).…”

Impact of Modified Diet, Swallowing Exercises, and Electrostimulation on Quality of Life of Older Patients Suffering from Oropharyngeal Dysphagia

“…Approximately 13.7 million people worldwide experience stroke each year, and almost half of these people experience varying degrees of functional impairment that seriously affects their quality of life. OD is a prevalent disorder after stroke: it occurs in about 80% of cases [5]. OD can lead to dehydration, malnutrition, and aspiration, which can lead to respiratory infections and pneumonia.…”