The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis
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 effectiv...
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| Veröffentlicht in: | Western Journal of Nursing Research 2024-05, Vol.46 (5), p.389-399 |
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| creator | Hao, Xiaonan Yang, Yuhang Qin, Yuan Lv, Miaohua Zhao, Xuetong Wu, Shuang Li, Kun |
| description | 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. |
| doi_str_mv | 10.1177/01939459241242533 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3014008253</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_01939459241242533</sage_id><sourcerecordid>3014008253</sourcerecordid><originalsourceid>FETCH-LOGICAL-c320t-f9b5c4fb7f1bc4fe90923a754304070dfc022a0db34de4c2266902a643f125ca3</originalsourceid><addsrcrecordid>eNp1kU1PGzEQhi1UBCHlB3CpLPXSy1J_Zne5RQhoJRBVk6rHldc7BsPGTm0vUU789XoV2kqgnkYz88w7o3kROqHklNKy_ExozWshayYoE0xyvocmVEpWVELO3qHJ2C9G4BAdxfhACBnJA3TIK5mrnE7Q8_Ie8IUxoBP2Bn-HuLZBJR-2-GaIuge8DMo66-6wd3ixUX3vN2N2OTidbK5Zh7-pZMGliH_adI8XKfhHOMNzvNjGBKvc1Fn4ycIGK9fhG0iqmDvVb6ON79G-UX2E45c4RT8uL5bnX4rr26uv5_PrQnNGUmHqVmph2tLQNkeoSc24KqXgRJCSdEYTxhTpWi46EJqx2awmTM0EN5RJrfgUfdrproP_NUBMzcpGDX2vHPghNpxQQUg1PnGKPr5CH_wQ8r0jxcuyqrmoMkV3lA4-xgCmWQe7UmHbUNKM7jRv3MkzH16Uh3YF3d-JP3Zk4HQHRHUH_9b-X_E3-SCWwQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3037789348</pqid></control><display><type>article</type><title>The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE Complete A-Z List</source><source>MEDLINE</source><creator>Hao, Xiaonan ; Yang, Yuhang ; Qin, Yuan ; Lv, Miaohua ; Zhao, Xuetong ; Wu, Shuang ; Li, Kun</creator><creatorcontrib>Hao, Xiaonan ; Yang, Yuhang ; Qin, Yuan ; Lv, Miaohua ; Zhao, Xuetong ; Wu, Shuang ; Li, Kun</creatorcontrib><description>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.</description><identifier>ISSN: 0193-9459</identifier><identifier>ISSN: 1552-8456</identifier><identifier>EISSN: 1552-8456</identifier><identifier>DOI: 10.1177/01939459241242533</identifier><identifier>PMID: 38545931</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Breathing Exercises - methods ; Clinical outcomes ; Deglutition - physiology ; Deglutition Disorders - etiology ; Deglutition Disorders - therapy ; Health care ; Humans ; Intervention ; Medical personnel ; Meta-analysis ; Patients ; Recovery ; Respiratory Muscles - physiopathology ; Stroke ; Stroke - complications ; Stroke - physiopathology ; Stroke Rehabilitation - methods ; Systematic review</subject><ispartof>Western Journal of Nursing Research, 2024-05, Vol.46 (5), p.389-399</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c320t-f9b5c4fb7f1bc4fe90923a754304070dfc022a0db34de4c2266902a643f125ca3</cites><orcidid>0000-0002-0522-4439 ; 0000-0003-0976-2186</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/01939459241242533$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/01939459241242533$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>313,314,776,780,788,21798,27899,27901,27902,30976,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38545931$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hao, Xiaonan</creatorcontrib><creatorcontrib>Yang, Yuhang</creatorcontrib><creatorcontrib>Qin, Yuan</creatorcontrib><creatorcontrib>Lv, Miaohua</creatorcontrib><creatorcontrib>Zhao, Xuetong</creatorcontrib><creatorcontrib>Wu, Shuang</creatorcontrib><creatorcontrib>Li, Kun</creatorcontrib><title>The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis</title><title>Western Journal of Nursing Research</title><addtitle>West J Nurs Res</addtitle><description>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.</description><subject>Breathing Exercises - methods</subject><subject>Clinical outcomes</subject><subject>Deglutition - physiology</subject><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - therapy</subject><subject>Health care</subject><subject>Humans</subject><subject>Intervention</subject><subject>Medical personnel</subject><subject>Meta-analysis</subject><subject>Patients</subject><subject>Recovery</subject><subject>Respiratory Muscles - physiopathology</subject><subject>Stroke</subject><subject>Stroke - complications</subject><subject>Stroke - physiopathology</subject><subject>Stroke Rehabilitation - methods</subject><subject>Systematic review</subject><issn>0193-9459</issn><issn>1552-8456</issn><issn>1552-8456</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kU1PGzEQhi1UBCHlB3CpLPXSy1J_Zne5RQhoJRBVk6rHldc7BsPGTm0vUU789XoV2kqgnkYz88w7o3kROqHklNKy_ExozWshayYoE0xyvocmVEpWVELO3qHJ2C9G4BAdxfhACBnJA3TIK5mrnE7Q8_Ie8IUxoBP2Bn-HuLZBJR-2-GaIuge8DMo66-6wd3ixUX3vN2N2OTidbK5Zh7-pZMGliH_adI8XKfhHOMNzvNjGBKvc1Fn4ycIGK9fhG0iqmDvVb6ON79G-UX2E45c4RT8uL5bnX4rr26uv5_PrQnNGUmHqVmph2tLQNkeoSc24KqXgRJCSdEYTxhTpWi46EJqx2awmTM0EN5RJrfgUfdrproP_NUBMzcpGDX2vHPghNpxQQUg1PnGKPr5CH_wQ8r0jxcuyqrmoMkV3lA4-xgCmWQe7UmHbUNKM7jRv3MkzH16Uh3YF3d-JP3Zk4HQHRHUH_9b-X_E3-SCWwQ</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Hao, Xiaonan</creator><creator>Yang, Yuhang</creator><creator>Qin, Yuan</creator><creator>Lv, Miaohua</creator><creator>Zhao, Xuetong</creator><creator>Wu, Shuang</creator><creator>Li, Kun</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0522-4439</orcidid><orcidid>https://orcid.org/0000-0003-0976-2186</orcidid></search><sort><creationdate>202405</creationdate><title>The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis</title><author>Hao, Xiaonan ; Yang, Yuhang ; Qin, Yuan ; Lv, Miaohua ; Zhao, Xuetong ; Wu, Shuang ; Li, Kun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-f9b5c4fb7f1bc4fe90923a754304070dfc022a0db34de4c2266902a643f125ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Breathing Exercises - methods</topic><topic>Clinical outcomes</topic><topic>Deglutition - physiology</topic><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - therapy</topic><topic>Health care</topic><topic>Humans</topic><topic>Intervention</topic><topic>Medical personnel</topic><topic>Meta-analysis</topic><topic>Patients</topic><topic>Recovery</topic><topic>Respiratory Muscles - physiopathology</topic><topic>Stroke</topic><topic>Stroke - complications</topic><topic>Stroke - physiopathology</topic><topic>Stroke Rehabilitation - methods</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hao, Xiaonan</creatorcontrib><creatorcontrib>Yang, Yuhang</creatorcontrib><creatorcontrib>Qin, Yuan</creatorcontrib><creatorcontrib>Lv, Miaohua</creatorcontrib><creatorcontrib>Zhao, Xuetong</creatorcontrib><creatorcontrib>Wu, Shuang</creatorcontrib><creatorcontrib>Li, Kun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Western Journal of Nursing Research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hao, Xiaonan</au><au>Yang, Yuhang</au><au>Qin, Yuan</au><au>Lv, Miaohua</au><au>Zhao, Xuetong</au><au>Wu, Shuang</au><au>Li, Kun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis</atitle><jtitle>Western Journal of Nursing Research</jtitle><addtitle>West J Nurs Res</addtitle><date>2024-05</date><risdate>2024</risdate><volume>46</volume><issue>5</issue><spage>389</spage><epage>399</epage><pages>389-399</pages><issn>0193-9459</issn><issn>1552-8456</issn><eissn>1552-8456</eissn><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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>38545931</pmid><doi>10.1177/01939459241242533</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-0522-4439</orcidid><orcidid>https://orcid.org/0000-0003-0976-2186</orcidid></addata></record> |
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| ispartof | Western Journal of Nursing Research, 2024-05, Vol.46 (5), p.389-399 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; MEDLINE |
| subjects | Breathing Exercises - methods Clinical outcomes Deglutition - physiology Deglutition Disorders - etiology Deglutition Disorders - therapy Health care Humans Intervention Medical personnel Meta-analysis Patients Recovery Respiratory Muscles - physiopathology Stroke Stroke - complications Stroke - physiopathology Stroke Rehabilitation - methods Systematic review |
| title | The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis |
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