Behavioural interventions in people with oropharyngeal dysphagia : A systematic review and meta-analysis of randomised clinical trials

Journal article


Speyer, Renée, Cordier, Reinie, Sutt, Anna-Liisa, Remijn, Lianne, Heijnen, Bas Joris, Balaguer, Mathieu, Pommée, Timothy, McInerney, Michelle and Bergström, Liza. (2022). Behavioural interventions in people with oropharyngeal dysphagia : A systematic review and meta-analysis of randomised clinical trials. Journal of Clinical Medicine. 11(3), p. Article 685. https://doi.org/10.3390/jcm11030685
AuthorsSpeyer, Renée, Cordier, Reinie, Sutt, Anna-Liisa, Remijn, Lianne, Heijnen, Bas Joris, Balaguer, Mathieu, Pommée, Timothy, McInerney, Michelle and Bergström, Liza
Abstract

Objective: To determine the effects of behavioural interventions in people with oropharyngeal dysphagia. Methods: Systematic literature searches were conducted to retrieve randomized controlled trials in four different databases (CINAHL, Embase, PsycINFO, and PubMed). The methodological quality of eligible articles was assessed using the Revised Cochrane risk-of-bias tool for randomised trials (RoB 2), after which meta-analyses were performed using a random-effects model. Results: A total of 37 studies were included. Overall, a significant, large pre-post interventions effect size was found. To compare different types of interventions, all behavioural interventions and conventional dysphagia treatment comparison groups were categorised into compensatory, rehabilitative, and combined compensatory and rehabilitative interventions. Overall, significant treatment effects were identified favouring behavioural interventions. In particular, large effect sizes were found when comparing rehabilitative interventions with no dysphagia treatment, and combined interventions with compensatory conventional dysphagia treatment. When comparing selected interventions versus conventional dysphagia treatment, significant, large effect sizes were found in favour of Shaker exercise, chin tuck against resistance exercise, and expiratory muscle strength training. Conclusions: Behavioural interventions show promising effects in people with oropharyngeal dysphagia. However, due to high heterogeneity between studies, generalisations of meta-analyses need to be interpreted with care.

Keywordsdeglutition; swallowing disorders; RCT; intervention; compensation; rehabilitation
Year2022
JournalJournal of Clinical Medicine
Journal citation11 (3), p. Article 685
PublisherMultidisciplinary Digital Publishing Institute (MDPI AG)
ISSN2077-0383
Digital Object Identifier (DOI)https://doi.org/10.3390/jcm11030685
PubMed ID35160137
Scopus EID2-s2.0-85123544191
PubMed Central IDPMC8836405
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-32
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online28 Jan 2022
Publication process dates
Accepted23 Jan 2022
Deposited24 Mar 2022
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