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Effects of Non-Pharmacological Interventions on the Swallowing Function of Patients With Post-Stroke Dysphagia: A Systematic Review and Network Meta-Analysis.

Journal of oral rehabilitation
January 1, 2025
Bohan Zhang et al. (8 authors)
Journal ArticleSystematic ReviewMeta-AnalysisReviewHuman Study
Study Details

Study Goal

The researchers aimed to compare the effectiveness and ranking of different interventions, including acupuncture, for improving swallowing function and daily activities in post-stroke dysphagia patients.

Results Summary

Acupuncture was ranked as the most effective intervention for enhancing swallowing function (SUCRCV: 99.0%, SMD: -2.40) and improving feeding and daily function (SUCRCV: 88.4%, SMD: -1.62), outperforming other methods like CTAR.

Population

Patients with post-stroke dysphagia (1,341 participants across 33 studies).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
acupuncture
increase
swallowing function
patients with post-stroke dysphagia
SUCRCV: 99.0%, SMD: -2.40, 95% CI: -3.38 to -1.43
was rated as the most effective
#1
chin tuck against resistance exercise (CTAR)
increase
swallowing function
patients with post-stroke dysphagia
SUCRA: 89.9%, SMD: -1.83, 95% CI: -2.69 to -0.97
followed by
#2
acupuncture
increase
feeding and daily function
patients with post-stroke dysphagia
SUCRCV: 88.4%, SMD: -1.62, 95% CI: -2.94 to -0.30
was the most effective
#3
acupuncture
increase
rehabilitation
patients with post-stroke dysphagia
-
was the most effective
#4
chin tuck against resistance exercise (CTAR)
increase
rehabilitation
patients with post-stroke dysphagia
-
followed by
#5
Abstract

BACKGROUND: Post-stroke dysphagia can lead to serious complications and appropriate rehabilitation can significantly improve swallowing function. However, the best rehabilitation method for post-stroke dysphagia patients is not clear at the present stage, so it is necessary to conduct a comprehensive network meta-analysis and systematic review of different interventions for dysphagia. OBJECTIVE: To compare the effectiveness and ranking of different interventions for improving swallowing function, and feeding and daily function in patients with post-stroke dysphagia. METHODS: Seven databases were searched from the date of inception to September 1, 2022. Two investigators independently conducted literature searches, selected randomized controlled trials on dysphagia interventions, and assessed study quality. Network meta-analysis was conducted by using Stata software. RESULTS: A total of 33 studies involving 1,341 patients were included. According to the ranking probabilities, acupuncture was rated as the most effective of all interventions to enhance patients' swallowing function (surface under cumulative ranking curve values [SUCRCV]: 99.0%, standardized mean difference [SMD]: -2.40, 95% confidence interval [CI]: -3.38 to -1.43), followed by the chin tuck against resistance exercise (CTAR, SUCRA: 89.9%, SMD: -1.83, 95% CI: -2.69 to -0.97). Among all the interventions, acupuncture was the most effective for feeding and daily function (SUCRCV: 88.4%, SMD: -1.62, 95% CI: -2.94 to -0.30). CONCLUSIONS: The results showed that acupuncture was the most effective in the rehabilitation of patients with post-stroke dysphagia, followed by CTAR. Considering that CTAR is a low-cost and highly feasible intervention, we suggest that CTAR should be selected as a rehabilitation measure for patients with post-stroke dysphagia to improve their swallowing function.

Medical Subject Headings (MeSH)
Deglutition DisordersHumansStroke RehabilitationStrokeNetwork Meta-AnalysisDeglutitionTreatment OutcomeRandomized Controlled Trials as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy95/10
Quality85/10
Research Impact Scores
APT Score0.05
Weight Score2.70
Normalized Score0.75
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