The influence of physical therapy on oropharyngeal dysphagia in acute stroke patients

El-Tamawy, Mohamed S.; Darwish, M.; El-Azizi, Hatem; Abdelalim, Ahmed; Taha, Shereen I

doi:10.4103/1110-1083.162046

Cited by 7 publications

(1 citation statement)

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“…Protokol VitalStim terapie, umístění elektrod, zvolená intenzita stimulace a délka a celkový počet terapeutických jednotek jsou parametry, ve kterých se studie s menším či větším rozdílem liší a které mohou mít vliv na konečný efekt terapie. Celkem 5 z 10 studií provedených na dospělé populaci (Byeon, 2020;Carnaby, 2020;Darwish, 2015;Sproson, 2017;Xia, 2011) zvolilo výzkumný model s jednou skupinou pacientů podstupující kombinaci tradiční terapie a VitalStim terapie a s druhou skupinou absolvující pouze tradiční terapii. Oproti tomu dvě studie (Blumenfeld, 2016;Bülow 2008) srovnávaly skupinu s tradiční terapií se skupinou absolvující neuromuskulární stimulaci jako jedinou terapeutickou techniku.…”

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Effectiveness of VitalStim therapy in dysphagia treatment: a review article

Zatloukalová¹

2020

LKL

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Neuromuskulární elektrická stimulace je jako terapeutická metoda využívána již řadu let. Zařízením přímo vyvinutým pro elektrickou stimulaci svalů hlavy a krku je VitalStim. V České republice se jedná o poměrně novou terapeutickou techniku, v zahraničí je již známa přibližně od roku 2001. Od počátku je však její využití pro terapii u pacientů s dysfagií mezi odborníky velmi diskutováno. Ačkoliv již byla provedena řada studií, doposud nebyla efektivita tohoto terapeutického postupu jednoznačně prokázána. Předkládaný systematický přehled si klade za cíl analyzovat výsledky vybraných zahraničních studií zaměřených na tuto problematiku a poskytnout tak ucelený přehled o možném efektivním využití VitalStim terapie v klinické praxi.

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Section: Organizace Výzkumůunclassified

Effectiveness of VitalStim therapy in dysphagia treatment: a review article

Zatloukalová¹

2020

LKL

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Swallowing therapy for dysphagia in acute and subacute stroke

Bath

Lee

Everton

2018

Cochrane Database of Systematic Reviews

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156

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Background Dysphagia (swallowing problems), which is common a er stroke, is associated with increased risk of death or dependency, occurrence of pneumonia, poor quality of life, and longer hospital stay. Treatments provided to improve dysphagia are aimed at accelerating recovery of swallowing function and reducing these risks. This is an update of the review first published in 1999 and updated in 2012. Objectives To assess the e ects of swallowing therapy on death or dependency among stroke survivors with dysphagia within six months of stroke onset.

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Interventions for oropharyngeal dysphagia in acute and critical care: a systematic review and meta-analysis

et al. 2020

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Purpose: To determine the effectiveness of dysphagia interventions compared to standard care in improving oral intake and reducing aspiration for adults in acute and critical care. Methods: We searched electronic literature for randomised and quasi-randomised trials and bibliography lists of included studies to March 2020. Study screening, data extraction, risk of bias and quality assessments were conducted independently by two reviewers. Meta-analysis used fixed effects modelling. The systematic review protocol is registered and published. Results: We identified 22 studies (19 stroke, 2 intensive care stroke and 1 general intensive care) testing 9 interventions and representing 1700 patients. Swallowing treatment showed no evidence of a difference in the time to return to oral intake (n = 33, MD (days) − 4.5, 95% CI − 10.6 to 1.6, 1 study, P = 0.15) (very low certainty) or in aspiration following treatment (n = 113, RR 0.79, 95% CI 0.44 to 1.45, 4 studies, I 2 = 0%, P = 0.45) (low certainty). Swallowing treatment showed evidence of a reduced risk of pneumonia (n = 719, RR 0.71, 95% CI 0.56 to 0.89, 8 studies, I 2 = 15%, P = 0.004) (low certainty) but no evidence of a difference in swallowing quality of life scores (n = 239, MD − 11.38, 95% CI − 23.83 to 1.08, I 2 = 78%, P = 0.07) (very low certainty). Conclusion: There is limited evidence for the effectiveness of swallowing treatments in the acute and critical care setting. Clinical trials consistently measuring patient-centred outcomes are needed.

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The influence of physical therapy on oropharyngeal dysphagia in acute stroke patients

Cited by 7 publications

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Effectiveness of VitalStim therapy in dysphagia treatment: a review article

Effectiveness of VitalStim therapy in dysphagia treatment: a review article

Swallowing therapy for dysphagia in acute and subacute stroke

Interventions for oropharyngeal dysphagia in acute and critical care: a systematic review and meta-analysis

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The influence of physical therapy on oropharyngeal dysphagia in acute stroke patients

Cited by 7 publications

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Effectiveness of VitalStim therapy in dysphagia treatment: a review article

Effectiveness of VitalStim therapy in dysphagia treatment: a review article

Swallowing therapy for dysphagia in acute and subacute stroke

Interventions for oropharyngeal dysphagia in acute and critical care: a systematic review and meta-analysis

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Product

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Effectiveness of VitalStim therapy in dysphagia treatment: a review article

Effectiveness of VitalStim therapy in dysphagia treatment: a review article