뇌졸중 환자의 연하장애 치료 효과에 대한 체계적 고찰
Interventions for Dysphagia following Stroke: A Systematic Review of Randomized Controlled Trials
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Objective: Dysphagia is a major complication of stroke and causes serious problems, such as lung aspiration. Previous reviews of dysphagia treatments for stroke were limited due to a dearth of available studies. More trialshave been published recently warranting a re-examination of the evidence. The purpose of this systematic reviewwas to examine the effectiveness of interventions for dysphagia in adults following stroke. Methods: The PRISMA Statement with a 27-item checklist was used as a general guide to conduct and reporta quality systematic review. Five electronic databases were searched for randomized controlled trialspublished in English between 2008 and 2017 examining the effectiveness of dysphagia interventionsfollowing stroke. The search terms were entered by combining the keywords related to dysphagia, stroke,interventions, and randomized controlled trials. Results: Fifteen articles were included; the most commonly used interventions were Transcranial MagneticStimulation (4 articles), Neuromuscular Electrical Stimulation (4 articles), and Pharyngeal electrical stimulation(4 articles). Conclusion: This review provides evidence of the effectiveness of interventions for people with dysphagiafollowing stroke, but there were some mixed results. The heterogeneity of the outcome measures as wellas the mixed results highlight the need for further research.
Abstract
Objective: Dysphagia is a major complication of stroke and causes serious problems, such as lung aspiration. Previous reviews of dysphagia treatments for stroke were limited due to a dearth of available studies. More trialshave been published recently warranting a re-examination of the evidence. The purpose of this systematic reviewwas to examine the effectiveness of interventions for dysphagia in adults following stroke. Methods: The PRISMA Statement with a 27-item checklist was used as a general guide to conduct and reporta quality systematic review. Five electronic databases were searched for randomized controlled trialspublished in English between 2008 and 2017 examining the effectiveness of dysphagia interventionsfollowing stroke. The search terms were entered by combining the keywords related to dysphagia, stroke,interventions, and randomized controlled trials. Results: Fifteen articles were included; the most commonly used interventions were Transcranial MagneticStimulation (4 articles), Neuromuscular Electrical Stimulation (4 articles), and Pharyngeal electrical stimulation(4 articles). Conclusion: This review provides evidence of the effectiveness of interventions for people with dysphagiafollowing stroke, but there were some mixed results. The heterogeneity of the outcome measures as wellas the mixed results highlight the need for further research.
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