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The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review

OBJECTIVE: To analyze intervention goals, protocols, and outcome measures used for oral and pharyngeal motor exercises in post-stroke recovery. DATA SOURCES: MEDLINE, EMBASE, CINAHL, PsychINFO, and Cochrane databases were searched in September 2022. METHODS: Studies were included if they (1) recruit...

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Autores principales: Marzouqah, Reeman, Huynh, Anna, Chen, Joyce L, Boulos, Mark I, Yunusova, Yana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10041576/
https://www.ncbi.nlm.nih.gov/pubmed/36426582
http://dx.doi.org/10.1177/02692155221141395
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author Marzouqah, Reeman
Huynh, Anna
Chen, Joyce L
Boulos, Mark I
Yunusova, Yana
author_facet Marzouqah, Reeman
Huynh, Anna
Chen, Joyce L
Boulos, Mark I
Yunusova, Yana
author_sort Marzouqah, Reeman
collection PubMed
description OBJECTIVE: To analyze intervention goals, protocols, and outcome measures used for oral and pharyngeal motor exercises in post-stroke recovery. DATA SOURCES: MEDLINE, EMBASE, CINAHL, PsychINFO, and Cochrane databases were searched in September 2022. METHODS: Studies were included if they (1) recruited post-stroke adult patients, (2) administered exercises for the oral and/ or pharyngeal muscles, and (3) reported results at baseline and post-exercise. The extracted data included intervention goals, protocols, and outcomes. All outcomes were classified according to the International Classification of Functioning, Disability and Health (ICF). RESULTS: A total of 26 studies were identified. Their intervention goals aimed to rehabilitate a broad spectrum of muscle groups within the oral cavity and pharynx and to improve the functions of swallowing, speech, facial expressions, or sleep breathing. Protocol duration ranged from 1 to 13 weeks, with various exercise repetitions (times per day) and frequency (days per week). Half of the studies reported using feedback to support the training, and these studies varied in the feedback strategy and technology tool. A total of 37 unique outcome measures were identified. Most measures represented the body functions and body structure component of the ICF, and several of these measures showed large treatment effects. CONCLUSIONS: This review demonstrated inconsistency across published studies in intervention goals and exercise protocols. It has also identified current limitations and provided recommendations for the selection of outcome measures while advancing a multidisciplinary view of oral and pharyngeal exercises in post-stroke recovery across relevant functions.
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spelling pubmed-100415762023-03-28 The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review Marzouqah, Reeman Huynh, Anna Chen, Joyce L Boulos, Mark I Yunusova, Yana Clin Rehabil Evaluative Studies OBJECTIVE: To analyze intervention goals, protocols, and outcome measures used for oral and pharyngeal motor exercises in post-stroke recovery. DATA SOURCES: MEDLINE, EMBASE, CINAHL, PsychINFO, and Cochrane databases were searched in September 2022. METHODS: Studies were included if they (1) recruited post-stroke adult patients, (2) administered exercises for the oral and/ or pharyngeal muscles, and (3) reported results at baseline and post-exercise. The extracted data included intervention goals, protocols, and outcomes. All outcomes were classified according to the International Classification of Functioning, Disability and Health (ICF). RESULTS: A total of 26 studies were identified. Their intervention goals aimed to rehabilitate a broad spectrum of muscle groups within the oral cavity and pharynx and to improve the functions of swallowing, speech, facial expressions, or sleep breathing. Protocol duration ranged from 1 to 13 weeks, with various exercise repetitions (times per day) and frequency (days per week). Half of the studies reported using feedback to support the training, and these studies varied in the feedback strategy and technology tool. A total of 37 unique outcome measures were identified. Most measures represented the body functions and body structure component of the ICF, and several of these measures showed large treatment effects. CONCLUSIONS: This review demonstrated inconsistency across published studies in intervention goals and exercise protocols. It has also identified current limitations and provided recommendations for the selection of outcome measures while advancing a multidisciplinary view of oral and pharyngeal exercises in post-stroke recovery across relevant functions. SAGE Publications 2022-11-25 2023-05 /pmc/articles/PMC10041576/ /pubmed/36426582 http://dx.doi.org/10.1177/02692155221141395 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Evaluative Studies
Marzouqah, Reeman
Huynh, Anna
Chen, Joyce L
Boulos, Mark I
Yunusova, Yana
The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review
title The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review
title_full The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review
title_fullStr The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review
title_full_unstemmed The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review
title_short The role of oral and pharyngeal motor exercises in post-stroke recovery: A scoping review
title_sort role of oral and pharyngeal motor exercises in post-stroke recovery: a scoping review
topic Evaluative Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10041576/
https://www.ncbi.nlm.nih.gov/pubmed/36426582
http://dx.doi.org/10.1177/02692155221141395
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