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Advances in the Treatment of Dysphagia in Neurological Disorders: A Review of Current Evidence and Future Considerations
Dysphagia, which refers to difficult and/or disordered swallowing, is a common problem associated with various neurological diseases such as stroke, motor neuron diseases and neurodegenerative diseases. Traditionally, dysphagia treatments are either compensatory, which includes modifications of bolu...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9578488/ https://www.ncbi.nlm.nih.gov/pubmed/36268265 http://dx.doi.org/10.2147/NDT.S371624 |
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author | Cheng, Ivy Hamad, Adeel Sasegbon, Ayodele Hamdy, Shaheen |
author_facet | Cheng, Ivy Hamad, Adeel Sasegbon, Ayodele Hamdy, Shaheen |
author_sort | Cheng, Ivy |
collection | PubMed |
description | Dysphagia, which refers to difficult and/or disordered swallowing, is a common problem associated with various neurological diseases such as stroke, motor neuron diseases and neurodegenerative diseases. Traditionally, dysphagia treatments are either compensatory, which includes modifications of bolus texture or feeding posture, or rehabilitative, which includes behavioral exercises and sensory stimulation. Despite being widely adopted in clinical practice, recent views have challenged the clinical efficacy of these treatments due to the low level of evidence supported by mainly non-controlled studies. As such, with advancements in technology and scientific research methods, recent times have seen a surge in the development of novel dysphagia treatments and an increasing number of robust randomized controlled clinical trials. In this review, we will review the clinical evidence of several newly introduced treatments for dysphagia in the last two decades, including rehabilitative exercises, biofeedback, pharmacological treatments, neuromodulation treatments and soft robotics. Despite the recent improvements in the quality of evidence for the efficacy of dysphagia treatments, several critical issues, including heterogeneity in treatment regimens, long-term treatment effects, underlying mechanisms of some neuromodulation treatments, and the effects of these techniques in non-stroke dysphagia, remain to be addressed in future clinical trials. |
format | Online Article Text |
id | pubmed-9578488 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-95784882022-10-19 Advances in the Treatment of Dysphagia in Neurological Disorders: A Review of Current Evidence and Future Considerations Cheng, Ivy Hamad, Adeel Sasegbon, Ayodele Hamdy, Shaheen Neuropsychiatr Dis Treat Review Dysphagia, which refers to difficult and/or disordered swallowing, is a common problem associated with various neurological diseases such as stroke, motor neuron diseases and neurodegenerative diseases. Traditionally, dysphagia treatments are either compensatory, which includes modifications of bolus texture or feeding posture, or rehabilitative, which includes behavioral exercises and sensory stimulation. Despite being widely adopted in clinical practice, recent views have challenged the clinical efficacy of these treatments due to the low level of evidence supported by mainly non-controlled studies. As such, with advancements in technology and scientific research methods, recent times have seen a surge in the development of novel dysphagia treatments and an increasing number of robust randomized controlled clinical trials. In this review, we will review the clinical evidence of several newly introduced treatments for dysphagia in the last two decades, including rehabilitative exercises, biofeedback, pharmacological treatments, neuromodulation treatments and soft robotics. Despite the recent improvements in the quality of evidence for the efficacy of dysphagia treatments, several critical issues, including heterogeneity in treatment regimens, long-term treatment effects, underlying mechanisms of some neuromodulation treatments, and the effects of these techniques in non-stroke dysphagia, remain to be addressed in future clinical trials. Dove 2022-10-14 /pmc/articles/PMC9578488/ /pubmed/36268265 http://dx.doi.org/10.2147/NDT.S371624 Text en © 2022 Cheng et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Review Cheng, Ivy Hamad, Adeel Sasegbon, Ayodele Hamdy, Shaheen Advances in the Treatment of Dysphagia in Neurological Disorders: A Review of Current Evidence and Future Considerations |
title | Advances in the Treatment of Dysphagia in Neurological Disorders: A Review of Current Evidence and Future Considerations |
title_full | Advances in the Treatment of Dysphagia in Neurological Disorders: A Review of Current Evidence and Future Considerations |
title_fullStr | Advances in the Treatment of Dysphagia in Neurological Disorders: A Review of Current Evidence and Future Considerations |
title_full_unstemmed | Advances in the Treatment of Dysphagia in Neurological Disorders: A Review of Current Evidence and Future Considerations |
title_short | Advances in the Treatment of Dysphagia in Neurological Disorders: A Review of Current Evidence and Future Considerations |
title_sort | advances in the treatment of dysphagia in neurological disorders: a review of current evidence and future considerations |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9578488/ https://www.ncbi.nlm.nih.gov/pubmed/36268265 http://dx.doi.org/10.2147/NDT.S371624 |
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