Impact of Dysphagia Rehabilitation in Adults on Swallowing Physiology Measured With Videofluoroscopy: A Mapping Review.
Impact of Dysphagia Rehabilitation in Adults on Swallowing Physiology Measured With Videofluoroscopy: A Mapping Review.
复制标题
成人吞咽困难康复对通过电视透视测量的吞咽生理学的影响：绘图回顾。
DOI：
10.1044/2022_ajslp-21-00342
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发表时间：
2022
影响因子：
2.6
通讯作者：
Rogus-Pulia,Nicole
中科院分区：
文献类型：
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作者：
Namasivayam-MacDonald,Ashwini;Rapley,Megan;Stewart,Josephine;Webster,Eryn;Quon,Christina;Rogus-Pulia,Nicole
目的本次综述的研究目的是（a）使用改良的吞咽损伤概况（MBSImP）将吞咽康复方法映射到特定的吞咽障碍，以制定证据图，（b）将所需的康复治疗目标与治疗方法相匹配，以及（c）确定文献中的差距并强调哪些康复方法需要进一步研究以支持准确映射干预措施与生理变化。方法根据系统评价的首选报告项目和元分析——范围界定审查扩展框架。检索的数据库为 CINAHL、Ovid Medline 和 Ovid Embase。提取的数据包括通过康复治疗规范系统框架的吞咽康复方法细节、研究特征以及吞咽生理学的变化。在适用的情况下，将吞咽生理学的最终变化映射到 MBSImP 组件上，并在有数据的情况下报告效应大小。提取的数据以证据图的形式进行总结。结果 43 篇独特的文章符合本次综述的纳入标准，并分为单方法和多方法练习研究。在单一方法研究中，研究了 13 种不同的运动方法，并且 117 项结果测量可以映射到 MBSImP 组成部分。在多方法研究中，研究了 13 种不同的运动方法组合，并且 60 个结果测量可以映射到 MBSImP 组成部分。结论本综述支持言语病理学家将当前最佳证据纳入他们的实践中，因为它发现通过使用康复练习有可能改善许多 MBSImP 组成部分。未来需要更多的干预研究来确保推荐的康复方法有利于改善目标吞咽生理机能。
PurposeThe research aims of this review were to (a) map swallowing rehabilitation approaches to specific swallowing impairments using the Modified Barium Swallow Impairment Profile (MBSImP) to develop evidence maps, (b) match desired rehabilitation treatment targets to treatment approaches, and (c) identify gaps in the literature and highlight which rehabilitation approaches require further investigation to support accurate mapping of interventions to physiologic change.MethodA mapping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses–Scoping Review extension framework. The databases searched were CINAHL, Ovid Medline, and Ovid Embase. Data extracted included swallowing rehabilitation approach details via the Rehabilitation Treatment Specification System framework, study characteristics, and resulting change in swallowing physiology. The resulting change in swallowing physiology was mapped onto MBSImP components, where applicable, and effect sizes were reported where data were available. Extracted data were summarized in the form of evidence maps.ResultsForty-three unique articles met the inclusion criteria for this review and were divided into single-approach and multi-approach exercise studies. Within single-approach studies, 13 different exercise approaches were investigated, and 117 outcome measures could be mapped to MBSImP components. Within multi-approach studies, 13 different combinations of exercise approaches were investigated and 60 outcome measures could be mapped to MBSImP components.ConclusionsThis review supports speech-language pathologists in incorporating current best evidence into their practice, as it found there is potential for improvement in many MBSImP components by using rehabilitative exercises. In the future, more intervention studies are needed to ensure that recommended rehabilitation approaches are beneficial for improving the targeted swallowing physiology.