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
Permalink -

https://acuresearchbank.acu.edu.au/item/8x994/behavioural-interventions-in-people-with-oropharyngeal-dysphagia-a-systematic-review-and-meta-analysis-of-randomised-clinical-trials

Download files


Publisher's version
  • 89
    total views
  • 245
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Evaluation of an intensive voice treatment to reduce anterior drooling in children with cerebral palsy : Protocol for a concurrent multiple-baseline, single case experimental design study
McInerney, Michelle, Imms, Christine, Carding, Paul Nicholas and Reddihough, Dinah. (2021). Evaluation of an intensive voice treatment to reduce anterior drooling in children with cerebral palsy : Protocol for a concurrent multiple-baseline, single case experimental design study. Contemporary Clinical Trials Communications. 24, pp. 1-5. https://doi.org/10.1016/j.conctc.2021.100872
Cognitive strategy training for adults with neurological conditions : A systematic review and meta-analysis exploring effect on occupational performance
Swanton, Ruth, Gustafsson, Louise, Froude, Elspeth, Hodson, Tenelle, McInerney, Michelle, Cahill, Liana S. and Lannin, Natasha A.. (2020). Cognitive strategy training for adults with neurological conditions : A systematic review and meta-analysis exploring effect on occupational performance. British Journal of Occupational Therapy. 83(12), pp. 723-740. https://doi.org/10.1177/0308022620933095
Drooling in children with neurodisability : A survey of Australian speech-language pathologists' practice
McInerney, Michelle, Reddihough, Dinah S., Carding, Paul N. and Imms, Christine. (2020). Drooling in children with neurodisability : A survey of Australian speech-language pathologists' practice. International Journal of Speech-Language Pathology. 22(5), pp. 601-609. https://doi.org/10.1080/17549507.2020.1729860
Behavioural interventions in the treatment of drooling for children with cerebral palsy
Michelle McInerney. (2020). Behavioural interventions in the treatment of drooling for children with cerebral palsy [PhD Thesis]. Australian Catholic University Faculty of Health Sciences https://doi.org/10.26199/acu.8vywv
Behavioural interventions to treat drooling in children with neurodisability: A systematic review
McInerney, Michelle, Reddihough, Dinah, Carding, Paul, Swanton, Ruth, Walton, Chloe and Imms, Christine. (2018). Behavioural interventions to treat drooling in children with neurodisability: A systematic review. Developmental Medicine and Child Neurology. 61(1), pp. 39 - 48. https://doi.org/10.1111/dmcn.14048