State of the Evidence About Rehabilitation Interventions in Patients With Dysphagia
European Journal of Physical and Rehabilitation Medicine
Bai, A. V., Agostini, F., et al. (2021).
European Journal of Physical and Rehabilitation Medicine, 57(6), 900-911.
This umbrella systematic review of guidelines investigates recommendations for the rehabilitation and management of dysphagia in adults. Specific details about the included articles are available elsewhere in the Evidence Maps. See the Associated Article(s) section below for the citations.
No funding received
This umbrella systematic review contains a number of guidelines, only some of which are included in the Evidence Maps. Of particular relevance to the article’s conclusions are the following:<br />
<ul>
<li>Scottish Intercollegiate Guidelines Network. (2010). Management of Patients With Stroke: Identification and Management of Dysphagia. A National Clinical Guideline. Edinburgh (Scotland): Scottish Intercollegiate Guidelines Network, (119), 1-42.</li>
<li>Powers, W. J., Rabinstein, A. A., et al. (2018). 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. <em>Stroke, 49</em>(3), e46-e99. doi: 10.1161/STR.0000000000000158 </li>
<li>National Collaborating Centre for Chronic Conditions. (2008). Stroke: Diagnosis and Initial Management of Acute Stroke and Transient Ischaemic Attack (TIA). London (United Kingdom): Royal College of Physicians, (Clinical Guideline 68), iii-122.</li>
<li>Clarke, P., Radford, K., et al. (2016). Speech and Swallow Rehabilitation in Head and Neck Cancer: United Kingdom National Multidisciplinary Guidelines. <em>Journal of Laryngology & Otology, 130</em>(S2), S176-S180. doi:10.1017%2FS0022215116000608</li>
<li>Cocks, H., Ah-See, K., et al. (2016). Palliative and Supportive Care in Head and Neck Cancer: United Kingdom National Multidisciplinary Guidelines. <em>Journal of Laryngology and Otology, 130</em>(S2), S198-S207. doi:10.1017/s0022215116000633</li>
<li>Hebert, D., Lindsay, M. P., et al. (2016). Canadian Stroke Best Practice Recommendations: Stroke Rehabilitation Practice Guidelines, Update 2015. <em>International Journal of Stroke, 11</em>(4), 459-484. doi:10.1177/1747493016643553 </li>
</ul>
<p>The guidelines that are found elsewhere in the Evidence Maps are linked below in the Associated Article(s) section.</p>
2008 to October 2019
Guidelines
12 guidelines and 1 systematic review
<div>Most of the guidelines identify speech-language pathologists as healthcare professionals with the needed skills for conducting bedside screening and clinical assessments of adults with dysphagia (Strong Recommendation, Moderate-Quality Evidence).</div>
<div>Guidelines recommend dysphagia rehabilitation techniques that include strengthening exercises for suprahyoid muscles (Strong Recommendation, Moderate-Quality Evidence) and preventive exercises for stroke patients (Weak Recommendation, Moderate-Quality Evidence).</div>
<div>Guidelines present conflicting recommendations on the use of electrostimulation for stroke patients with dysphagia (Weak Recommendation, Low-Quality Evidence).</div>
<div>Guidelines present inconsistent evidence and recommendations regarding the use of Lee Silverman Voice Treatment for patients with Parkinson's disease (Ungraded Evidence).</div>
<div>While guidelines do not provide consistent definitions, assessment of weaning timing from enteral nutrition should be performed for dysphagia patients with favorable prognostic characteristics (Weak Recommendation, Moderate-Quality Evidence).</div>
<div>Due to a lack of quality tests, guidelines provide no recommendations on the use of biofeedback in adults with dysphagia (Weak Recommendation, Low-Quality Evidence).</div>
