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Behavioural interventions in people with oropharyngeal dysphagia : A systematic review and meta-analysis of randomised clinical trials
Speyer, Renée Cordier, Reinie Sutt, Anna-Liisa Remijn, Lianne Heijnen, Bas Joris Balaguer, Mathieu Pommée, Timothy McInerney, Michelle Bergström, Liza
Speyer, Renée
Cordier, Reinie
Sutt, Anna-Liisa
Remijn, Lianne
Heijnen, Bas Joris
Balaguer, Mathieu
Pommée, Timothy
McInerney, Michelle
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.
Keywords
deglutition, swallowing disorders, RCT, intervention, compensation, rehabilitation
Date
2022
Type
Journal article
Journal
Book
Volume
11
Issue
3
Page Range
1-32
Article Number
Article 685
ACU Department
School of Allied Health
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open