Transcranial non-invasive brain stimulation in swallowing rehabilitation following stroke — A review of the literature

Doeltgen, Sebastian; Bradnam, Lynley V.; Young, Jessica; Fong, Eric

doi:10.1016/j.physbeh.2015.02.025

Cited by 27 publications

(16 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Both rTMS (repetitive transcranial magnetic stimulation) and tDCS (transcranial direct current stimulation) have been used for direct, non-invasive stimulation of the swallowing network with the aim of influencing the functionally relevant level of excitability and activity [ 254 ]. In the meantime, a large number of smaller RCTs and cohort studies were summarized in several meta-analyses, which were able to show a moderate but persistent therapeutic effect on swallowing function for both neurostimulation methods [ 245 , 255 – 257 ]. In the largest single-center RCT on this topic to date, contralesional tDCS in acute dysphagic stroke patients was not only associated with an improvement in dysphagia, but also a neurophysiological detectable modulation of the swallowing network was found in spatial proximity to stimulation [ 258 ].…”

Section: Therapymentioning

confidence: 99%

Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology

Dziewas

Allescher

Aroyo

et al. 2021

Neurol. Res. Pract.

View full text Add to dashboard Cite

Introduction Neurogenic dysphagia defines swallowing disorders caused by diseases of the central and peripheral nervous system, neuromuscular transmission, or muscles. Neurogenic dysphagia is one of the most common and at the same time most dangerous symptoms of many neurological diseases. Its most important sequelae include aspiration pneumonia, malnutrition and dehydration, and affected patients more often require long-term care and are exposed to an increased mortality. Based on a systematic pubmed research of related original papers, review articles, international guidelines and surveys about the diagnostics and treatment of neurogenic dysphagia, a consensus process was initiated, which included dysphagia experts from 27 medical societies. Recommendations This guideline consists of 53 recommendations covering in its first part the whole diagnostic spectrum from the dysphagia specific medical history, initial dysphagia screening and clinical assessment, to more refined instrumental procedures, such as flexible endoscopic evaluation of swallowing, the videofluoroscopic swallowing study and high-resolution manometry. In addition, specific clinical scenarios are captured, among others the management of patients with nasogastric and tracheotomy tubes. The second part of this guideline is dedicated to the treatment of neurogenic dysphagia. Apart from dietary interventions and behavioral swallowing treatment, interventions to improve oral hygiene, pharmacological treatment options, different modalities of neurostimulation as well as minimally invasive and surgical therapies are dealt with. Conclusions The diagnosis and treatment of neurogenic dysphagia is challenging and requires a joined effort of different medical professions. While the evidence supporting the implementation of dysphagia screening is rather convincing, further trials are needed to improve the quality of evidence for more refined methods of dysphagia diagnostics and, in particular, the different treatment options of neurogenic dysphagia. The present article is an abridged and translated version of the guideline recently published online (https://www.awmf.org/uploads/tx_szleitlinien/030-111l_Neurogene-Dysphagie_2020-05.pdf).

show abstract

Section: Therapymentioning

confidence: 99%

Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology

Dziewas

Allescher

Aroyo

et al. 2021

Neurol. Res. Pract.

View full text Add to dashboard Cite

show abstract

“…32 It has been pointed out that rTMS targeting the M1 area representing the muscles involved in swallowing may contribute to the treatment of post-stroke dysphagia. 33…”

Section: Introductionmentioning

confidence: 99%

“…32 It has been pointed out that rTMS targeting the M1 area representing the muscles involved in swallowing may contribute to the treatment of post-stroke dysphagia. 33 Nonmotor deficit is also a relevant post-stroke disability that negatively impacts the QoL. Aphasia is a very common consequence of stroke, affecting approximately 30% of stroke survivors and significantly limiting rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Repetitive transcranial magnetic stimulation in stroke rehabilitation: review of the current evidence and pitfalls

Fisicaro

Lanza

Grasso

et al. 2019

Ther Adv Neurol Disord

146

101

View full text Add to dashboard Cite

Acute brain ischemia causes changes in several neural networks and related cortico-subcortical excitability, both in the affected area and in the apparently spared contralateral hemisphere. The modulation of these processes through modern techniques of noninvasive brain stimulation, namely repetitive transcranial magnetic stimulation (rTMS), has been proposed as a viable intervention that could promote post-stroke clinical recovery and functional independence. This review provides a comprehensive summary of the current evidence from the literature on the efficacy of rTMS applied to different clinical and rehabilitative aspects of stroke patients. A total of 32 meta-analyses published until July 2019 were selected, focusing on the effects on motor function, manual dexterity, walking and balance, spasticity, dysphagia, aphasia, unilateral neglect, depression, and cognitive function after a stroke. Only conventional rTMS protocols were considered in this review, and meta-analyses focusing on theta burst stimulation only were excluded. Overall, both HF-rTMS and LF-rTMS have been shown to be safe and well-tolerated. In addition, the current literature converges on the positive effect of rTMS in the rehabilitation of all clinical manifestations of stroke, except for spasticity and cognitive impairment, where definitive evidence of efficacy cannot be drawn. However, routine use of a specific paradigm of stimulation cannot be recommended yet due to a significant level of heterogeneity of the studies in terms of protocols to be set and outcome measures that have to be used. Future studies need to preliminarily evaluate the most promising protocols before going on to multicenter studies with large cohorts of patients in order to achieve a definitive translation into daily clinical practice.

show abstract

“…A swallowing disorder (i.e., dysphagia) may occur as a result of disruption at any one of these levels (Rangarathnam et al, 2014). Many diseases or disorders can lead to dysphagia (Doeltgen et al, 2015), which is a major risk factor for pneumonia after stroke and has also been associated with a prolonged hospital stay, high mortality, and other terrible outcomes (Langdon et al, 2007). How to effectively treating dysphagia is a challenge in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Intermittent Theta-Burst Stimulation Over the Suprahyoid Muscles Motor Cortex Facilitates Increased Degree Centrality in Healthy Subjects

Zhang

Gao

Ruan

et al. 2020

Front. Hum. Neurosci.

View full text Add to dashboard Cite

Transcranial non-invasive brain stimulation in swallowing rehabilitation following stroke — A review of the literature

Cited by 27 publications

References 44 publications

Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology

Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology

Repetitive transcranial magnetic stimulation in stroke rehabilitation: review of the current evidence and pitfalls

Intermittent Theta-Burst Stimulation Over the Suprahyoid Muscles Motor Cortex Facilitates Increased Degree Centrality in Healthy Subjects

Contact Info

Product

Resources

About