Exercise-Based Dysphagia Treatment: A Proposed Checklist

Overview

Journal Am J Speech Lang Pathol

Specialty Otorhinolaryngology

Date 2024 Aug 16

PMID 39151063

Authors

Joanne Yee

Sana Smaoui

Nicole Rogus-Pulia

Affiliations

Soon will be listed here.

Abstract

Purpose: Oropharyngeal swallowing exercise-based interventions are frequently utilized to target physiologic mechanisms with the goal of improving swallowing function. However, study replicability and evidence synthesis regarding effects of interventions are limited due to inconsistent reporting on factors known to influence treatment delivery. In order to promote consistency of reporting factors associated with replicability, the authors constructed a set of preferred parameters focused on dysphagia as part of the initial version of the larger tool (Framework for RigOr aNd Transparency In REseaRch on Swallowing or FRONTIERS).

Method: Thirty-eight initial questions were assembled by the authors as part of the treatment subsection. Questions were then reviewed by individuals in the FRONTIERS collaborative who have expertise in research, clinical practice, or both.

Result: Twenty-four questions were removed following review, reducing the final set of treatment-focused questions to 14 questions.

Conclusions: The revised set of questions provides users of the exercise-based treatment section of the FRONTIERS checklist with an initial checklist to promote transparency and rigor to improve study replicability and evidence synthesis. We intend for this treatment section of FRONTIERS to undergo further refinement following commentary and feedback.

References

Crary M, Carnaby Mann G, Groher M . Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005; 86(8):1516-20. DOI: 10.1016/j.apmr.2004.11.049. View

Krekeler B, Broadfoot C, Johnson S, Connor N, Rogus-Pulia N . Patient Adherence to Dysphagia Recommendations: A Systematic Review. Dysphagia. 2017; 33(2):173-184. PMC: 5866734. DOI: 10.1007/s00455-017-9852-9. View

Athukorala R, Jones R, Sella O, Huckabee M . Skill training for swallowing rehabilitation in patients with Parkinson's disease. Arch Phys Med Rehabil. 2014; 95(7):1374-82. DOI: 10.1016/j.apmr.2014.03.001. View

Downs S, Black N . The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998; 52(6):377-84. PMC: 1756728. DOI: 10.1136/jech.52.6.377. View

Logemann J, Rademaker A, Pauloski B, Kelly A, Stangl-McBreen C, Antinoja J . A randomized study comparing the Shaker exercise with traditional therapy: a preliminary study. Dysphagia. 2009; 24(4):403-11. PMC: 2895999. DOI: 10.1007/s00455-009-9217-0. View

Plowman E, Watts S, Tabor L, Robison R, Gaziano J, Domer A . Impact of expiratory strength training in amyotrophic lateral sclerosis. Muscle Nerve. 2015; 54(1):48-53. PMC: 4879103. DOI: 10.1002/mus.24990. View

Malandraki G, Rajappa A, Kantarcigil C, Wagner E, Ivey C, Youse K . The Intensive Dysphagia Rehabilitation Approach Applied to Patients With Neurogenic Dysphagia: A Case Series Design Study. Arch Phys Med Rehabil. 2015; 97(4):567-574. DOI: 10.1016/j.apmr.2015.11.019. View

Moher D, Schulz K, Simera I, Altman D . Guidance for developers of health research reporting guidelines. PLoS Med. 2010; 7(2):e1000217. PMC: 2821895. DOI: 10.1371/journal.pmed.1000217. View

Sevitz J, Bryan J, Mitchell S, Craig B, Huber J, Troche M . Telehealth Management of Dysphagia in Adults: A Survey of Speech Language Pathologists' Experiences and Perceptions. Dysphagia. 2022; 38(4):1184-1199. PMC: 9749630. DOI: 10.1007/s00455-022-10544-z. View

10.

Carnaby-Mann G, Crary M . Adjunctive neuromuscular electrical stimulation for treatment-refractory dysphagia. Ann Otol Rhinol Laryngol. 2008; 117(4):279-87. DOI: 10.1177/000348940811700407. View

11.

Carnaby G, LaGorio L, Silliman S, Crary M . Exercise-based swallowing intervention (McNeill Dysphagia Therapy) with adjunctive NMES to treat dysphagia post-stroke: A double-blind placebo-controlled trial. J Oral Rehabil. 2019; 47(4):501-510. PMC: 7067660. DOI: 10.1111/joor.12928. View

12.

Krekeler B, Yee J, Daggett S, Leverson G, Rogus-Pulia N . Lingual Exercise in Older Veterans With Dysphagia: A Pilot Investigation of Patient Adherence. J Speech Lang Hear Res. 2021; 64(5):1526-1538. PMC: 8608159. DOI: 10.1044/2021_JSLHR-20-00461. View

13.

Messing B, Ward E, Lazarus C, Kim M, Zhou X, Silinonte J . Prophylactic Swallow Therapy for Patients with Head and Neck Cancer Undergoing Chemoradiotherapy: A Randomized Trial. Dysphagia. 2017; 32(4):487-500. PMC: 5515964. DOI: 10.1007/s00455-017-9790-6. View

14.

Van Stan J, Dijkers M, Whyte J, Hart T, Turkstra L, Zanca J . The Rehabilitation Treatment Specification System: Implications for Improvements in Research Design, Reporting, Replication, and Synthesis. Arch Phys Med Rehabil. 2018; 100(1):146-155. PMC: 6452635. DOI: 10.1016/j.apmr.2018.09.112. View

15.

von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med. 2007; 4(10):e296. PMC: 2020495. DOI: 10.1371/journal.pmed.0040296. View

16.

Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J . Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003; 73(9):712-6. DOI: 10.1046/j.1445-2197.2003.02748.x. View

17.

Abell B, Glasziou P, Hoffmann T . Reporting and replicating trials of exercise-based cardiac rehabilitation: do we know what the researchers actually did?. Circ Cardiovasc Qual Outcomes. 2015; 8(2):187-94. DOI: 10.1161/CIRCOUTCOMES.114.001381. View

18.

Martino R, Beaton D, Diamant N . Using different perspectives to generate items for a new scale measuring medical outcomes of dysphagia (MOD). J Clin Epidemiol. 2008; 62(5):518-26. DOI: 10.1016/j.jclinepi.2008.05.007. View

19.

Krekeler B, Rowe L, Connor N . Dose in Exercise-Based Dysphagia Therapies: A Scoping Review. Dysphagia. 2020; 36(1):1-32. PMC: 7483259. DOI: 10.1007/s00455-020-10104-3. View

20.

Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M . Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008; 337:a1655. PMC: 2769032. DOI: 10.1136/bmj.a1655. View