Transcutaneous Electrical Nerve Stimulation in Speech Therapy Rehabilitation of Voice and Swallowing Function in Adults—A Systematic Review

Clinical and Experimental Dental Research

da Silva, M. A., & Mangilli, L. D. (2021).

Clinical and Experimental Dental Research, 7(6), 1131-1143.

This systematic review investigates the impact of transcutaneous nerve stimulation in isolation and in combination with either traditional voice or swallowing treatment. Swallowing and voice outcomes are reported for healthy adults and for adults with age-related dysphagia or dysphonia without any additional pathologies.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil



Not stated

Randomized controlled trials and quasi-randomized controlled trials

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<div>Findings demonstrated limited evidence for improved swallowing function and pressure with transcutaneous electrical nerve stimulation (TENS) used in combination with swallowing treatment. Given heterogeneity in therapy provision (i.e. TENS parameters, placement of electrodes, therapeutic techniques and intensity/duration) and the limited scope of this systematic review (i.e. healthy adults and adults with dysphagia without other pathology), further research is warranted.</div>

<div>Transcutaneous electrical nerve stimulation (TENS) alone or in combination with voice therapy did not significantly improve auditory-perceptual outcomes in individuals with dysphonia or vocal nodules. Given heterogeneity in therapy provision (i.e. TENS parameters, placement of electrodes, therapeutic techniques and intensity/duration) and the limited scope of this systematic review (i.e. healthy adults and adults with dysphonia without other pathology), further research is warranted.</div>