Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis

Introduction Dysphagia is a common functional disorder after stroke. Most patients post-stroke are incapable of oral feeding, which often leads to complications such as malnutrition, aspiration pneumonia and dehydration that seriously affect the quality of life of patients. Oropharyngeal muscle stre...

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Main Authors: Xin Wang, Ying Wang, Fenghua Zhou, Minxing Gao, Lingyuan Xu, Heying Wang, Jinan Song, Xiaoqiu Yang
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e061893.full
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author Xin Wang
Ying Wang
Fenghua Zhou
Minxing Gao
Lingyuan Xu
Heying Wang
Jinan Song
Xiaoqiu Yang
author_facet Xin Wang
Ying Wang
Fenghua Zhou
Minxing Gao
Lingyuan Xu
Heying Wang
Jinan Song
Xiaoqiu Yang
author_sort Xin Wang
collection DOAJ
description Introduction Dysphagia is a common functional disorder after stroke. Most patients post-stroke are incapable of oral feeding, which often leads to complications such as malnutrition, aspiration pneumonia and dehydration that seriously affect the quality of life of patients. Oropharyngeal muscle strength training is a major method of swallowing training, and recent studies have focused on healthy adults, elderly persons, and patients with head and neck cancer or neurodegenerative diseases; but there have been few studies on such training in patients with post-stroke dysphagia. Our study aims to systematically review the safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding.Methods and analysis The Cochrane Library, Web of Science, PubMed, Embase and ClinicalTrials.gov databases will be systematically searched, and all relevant articles in English from the establishment of the databases to January 2022 will be reviewed. The study will be conducted in accordance with the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and will be reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta Analyses guidelines. The primary outcome measures include the Penetration–Aspiration Scale and the Functional Oral Intake Scale. Two authors will independently screen the articles, extract the data and assess the study quality. Any disagreements during this process will be resolved by discussion or by consultation with a third author. Next, quantitative or qualitative, subgroup and sensitivity analyses of the included literature data will be performed as appropriate.Ethics and dissemination Ethical approval is not required for this systematic review as no primary data collection will be required. The results of the present study will be published in a peer-reviewed journal in the field of deglutition disorders.PROSPERO registration number CRD42022302471.
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spelling doaj-art-31ae2d8c73564a8f99046ed68101328d2025-02-01T11:25:14ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2022-061893Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysisXin Wang0Ying Wang1Fenghua Zhou2Minxing Gao3Lingyuan Xu4Heying Wang5Jinan Song6Xiaoqiu Yang7Department of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China1 Department of Nursing, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin, ChinaDepartment of Physical Medicine and Rehabilitation, The Second Clinical College, China Medical University, Shenyang, Liaoning, ChinaDepartment of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, ChinaIntroduction Dysphagia is a common functional disorder after stroke. Most patients post-stroke are incapable of oral feeding, which often leads to complications such as malnutrition, aspiration pneumonia and dehydration that seriously affect the quality of life of patients. Oropharyngeal muscle strength training is a major method of swallowing training, and recent studies have focused on healthy adults, elderly persons, and patients with head and neck cancer or neurodegenerative diseases; but there have been few studies on such training in patients with post-stroke dysphagia. Our study aims to systematically review the safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding.Methods and analysis The Cochrane Library, Web of Science, PubMed, Embase and ClinicalTrials.gov databases will be systematically searched, and all relevant articles in English from the establishment of the databases to January 2022 will be reviewed. The study will be conducted in accordance with the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and will be reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta Analyses guidelines. The primary outcome measures include the Penetration–Aspiration Scale and the Functional Oral Intake Scale. Two authors will independently screen the articles, extract the data and assess the study quality. Any disagreements during this process will be resolved by discussion or by consultation with a third author. Next, quantitative or qualitative, subgroup and sensitivity analyses of the included literature data will be performed as appropriate.Ethics and dissemination Ethical approval is not required for this systematic review as no primary data collection will be required. The results of the present study will be published in a peer-reviewed journal in the field of deglutition disorders.PROSPERO registration number CRD42022302471.https://bmjopen.bmj.com/content/12/6/e061893.full
spellingShingle Xin Wang
Ying Wang
Fenghua Zhou
Minxing Gao
Lingyuan Xu
Heying Wang
Jinan Song
Xiaoqiu Yang
Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis
BMJ Open
title Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis
title_full Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis
title_fullStr Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis
title_full_unstemmed Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis
title_short Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis
title_sort safety and performance of oropharyngeal muscle strength training in the treatment of post stroke dysphagia during oral feeding protocol for a systematic review and meta analysis
url https://bmjopen.bmj.com/content/12/6/e061893.full
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