The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: a systemic review and meta-analysis
The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: a systemic review and meta-analysis
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DOI：
10.1177/0269215515571681
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发表时间：
2016-01-01
影响因子：
3
通讯作者：
Lin, Yen-Nung
中科院分区：
文献类型：
--
作者：
Chen, Yi-Wen;Chang, Kwang-Hwa;Lin, Yen-Nung
目的：在这项研究中，我们打算评估吞咽治疗与神经肌肉电刺激是否上级没有神经肌肉电刺激，以及是否单独神经肌肉电刺激上级吞咽治疗。方法：我们检索了PubMed和Scopus数据库，从最早的记录到2014年12月31日，使用神经肌肉电刺激治疗卒中后吞咽困难的随机对照试验。Jadad量表用于评估纳入研究的质量。我们提取的平均差异和标准差（SD）之间的基线和治疗后或治疗后的平均值和SD为选定的结果测量在实验组和对照组随后的荟萃analysis.Results：8项研究被确定。对于使用神经肌肉电刺激的吞咽治疗与不使用神经肌肉电刺激的吞咽治疗的比较，我们发现显著的标准化平均差异（SMD）为1.27（95%置信区间（CI）=0.51-2.02，P=0.001），具有显著的异质性（I-2=85%）。比较单独神经肌肉电刺激和吞咽治疗的荟萃分析显示，SMD为0.25，无显著性（95%CI =-0.16-0.65，P=0.23），无显著异质性（I-2=16%）。吞咽治疗结合神经肌肉电刺激似乎比不使用神经肌肉电刺激更有效，考虑到现有研究的数量有限，证据不足以表明单独的神经肌肉电刺激上级吞咽疗法。
Objective: In this study, we intended to evaluate whether swallow treatment with neuromuscular electrical stimulation is superior to that without neuromuscular electrical stimulation, and whether neuromuscular electrical stimulation alone is superior to swallow therapy.Methods: We searched the PubMed and Scopus databases from their earliest record to 31 December 2014 for randomized and quasi-randomized controlled trials that used neuromuscular electrical stimulation to treat post-stroke dysphagia. The Jadad scale was used to assess the quality of the included studies. We extracted the mean differences and standard deviation (SD) between baseline and posttreatment or posttreatment mean and SD for selected outcomes measured in the experimental and control groups for subsequent meta-analyses.Results: Eight studies were identified. For the comparison swallow treatment with neuromuscular electrical stimulation vs. swallow treatment without neuromuscular electrical stimulation, we found a significant standardized mean difference (SMD) of 1.27 (95% confidence interval (CI)=0.51-2.02, P=0.001) with significant heterogeneity (I-2=85%). The meta-analysis for the comparison of neuromuscular electrical stimulation alone and swallow therapy demonstrated a non-significant SMD of 0.25 (95% CI=-0.16-0.65, P=0.23) without significant heterogeneity (I-2=16%).Conclusion: Swallow treatment with neuromuscular electrical stimulation seems to be more effective than that without neuromuscular electrical stimulation for post-stroke dysphagia in the short term considering the limited number of studies available. Evidence was insufficient to indicate that neuromuscular electrical stimulation alone was superior to swallow therapy.