The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis.

IF 2 4区医学 Q2 NURSING Western Journal of Nursing Research Pub Date : 2024-05-01 Epub Date: 2024-03-28 DOI:10.1177/01939459241242533

Xiaonan Hao, Yuhang Yang, Yuan Qin, Miaohua Lv, Xuetong Zhao, Shuang Wu, Kun Li

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Abstract

Background: The improvement of swallowing function after stroke is a significant challenge faced by patients and health care professionals. However, the current evidence synthesis of the effects of respiratory muscle training (RMT) on swallowing function is limited.

Objective: To assess the effectiveness of RMT on swallowing recovery in patients undergoing stroke.

Methods: The CKNI, WanFang Data, PubMed, CINAHL, Web of Science, Embase, MEDLINE, and Cochrane Library databases were searched for studies evaluating RMT interventions' effect on swallowing outcomes. Risks of bias were evaluated using the approach recommended by the Cochrane Collaboration tool and a summary of findings table was generated using the GRADE approach. Outcomes were synthesized using a random-effects meta-analysis model.

Results: RMT interventions reduced the risk of aspiration (SMD = 1.19; 95% CI, 0.53-1.84), the recovery process of water swallowing function (RR = 1.22; 95% CI, 1.05-1.42), and the activity of the swallowing muscles (SMD = 2.91; 95% CI, 2.22-3.61). However, there was no significant effect of RMT on the functional level of oral intake (SMD = 0.70; 95% CI, -0.03 to 1.42).

Conclusions: RMT can be regarded as an innovative, auxiliary means in the near future to better manage and improve swallowing function, given its improving effect on work outcomes in this review.

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呼吸肌训练对脑卒中患者吞咽功能的影响：系统回顾与元分析》。

背景：中风后吞咽功能的改善是患者和医护人员面临的一项重大挑战。然而，目前有关呼吸肌训练（RMT）对吞咽功能影响的证据综述十分有限：评估呼吸肌训练对中风患者吞咽功能恢复的效果：方法：在 CKNI、万方数据、PubMed、CINAHL、Web of Science、Embase、MEDLINE 和 Cochrane Library 数据库中检索评估 RMT 干预对吞咽效果影响的研究。采用 Cochrane 协作工具推荐的方法评估了偏倚风险，并采用 GRADE 方法生成了研究结果汇总表。结果采用随机效应荟萃分析模型进行综合分析：RMT干预降低了吸入风险（SMD = 1.19；95% CI，0.53-1.84）、吞水功能恢复过程（RR = 1.22；95% CI，1.05-1.42）和吞咽肌肉活动（SMD = 2.91；95% CI，2.22-3.61）。然而，RMT 对口腔摄入功能水平没有明显影响（SMD = 0.70；95% CI，-0.03 至 1.42）：鉴于 RMT 对工作结果的改善作用，RMT 在不久的将来可被视为更好地管理和改善吞咽功能的创新辅助手段。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Western Journal of Nursing Research 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).