Disability and rehabilitation · 2025
Investigating dysphagia therapy in adults with a tracheostomy: a scoping review.
Scoping ReviewСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kadri Waiza, Mulkerrin Siofra, Halfpenny Rhiannon, Whiten Breege, Smith Christina
Аннотация
PURPOSE: There is limited information about dysphagia therapy for adults with dysphagia and tracheostomy tube (TT). We describe current empirical evidence to guide clinical practice and facilitate future discussions.
METHODS AND MATERIALS: We conducted a scoping review to identify methodological features of dysphagia therapy in adults with a TT.
RESULTS: Ten electronic databases from inception to November 2024 were searched. Based on inclusion criteria, 24 studies were analysed. The papers were divided into therapy approaches: (i) oral phase (ii) oropharyngeal phase (iii) oropharyngeal and respiratory phase iv) pharyngeal phase and v) respiratory phase and were reported against the adapted version of the Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide [1]. Seven papers reported on pharyngeal electrical stimulation (PES) which showed statistically significant results for decannulation, whilst nine studies used multiple dysphagia therapy interventions without clear distinctions in methodological approach. Outcome measures are varied and limited in use.
CONCLUSION: Various dysphagia therapies have been described for use in patients with TT but outside of PES, it is challenging to draw conclusions on the effect of specific dysphagia therapies on swallowing outcomes. More research is required to establish standardised protocols and outcome measures.
METHODS AND MATERIALS: We conducted a scoping review to identify methodological features of dysphagia therapy in adults with a TT.
RESULTS: Ten electronic databases from inception to November 2024 were searched. Based on inclusion criteria, 24 studies were analysed. The papers were divided into therapy approaches: (i) oral phase (ii) oropharyngeal phase (iii) oropharyngeal and respiratory phase iv) pharyngeal phase and v) respiratory phase and were reported against the adapted version of the Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide [1]. Seven papers reported on pharyngeal electrical stimulation (PES) which showed statistically significant results for decannulation, whilst nine studies used multiple dysphagia therapy interventions without clear distinctions in methodological approach. Outcome measures are varied and limited in use.
CONCLUSION: Various dysphagia therapies have been described for use in patients with TT but outside of PES, it is challenging to draw conclusions on the effect of specific dysphagia therapies on swallowing outcomes. More research is required to establish standardised protocols and outcome measures.