EBP Compendium: Summary of Systematic Review
Canadian Stroke Network; Canadian Institutes of Health Research
Dysphagia Treatment Post Stroke: A Systematic Review of Randomised Controlled Trials
Foley, N., Teasell, R., et al.
Age Ageing, 3(3), 258-264.
Indicators of Review Quality:
The review addresses a clearly focused question
Criteria for inclusion of studies are provided
Search strategy is described in sufficient detail for replication
Included studies are assessed for study quality
Quality assessments are reproducible
Description: This is a review of randomized controlled trials addressing the effectiveness of dysphagia treatments for adults with dysphagia following stroke.
Question not specifically stated.
Population: Adults with dysphagia diagnosis or dysphagia symptoms following a stroke
Intervention/Assessment: Dysphagia treatments including texture-modified diets, general dysphagia therapy programs, non-oral feeding, medications, physical and olfactory stimulation.
Number of Studies Included: 15
Years Included: 1966 - Aug 2007
- General Findings - The heterogeneity and limited number of treatments (e.g. diet modification, swallowing therapy programs, non-oral feeding, medications and stimulation) and outcomes evaluated along with the small number of trials "precluded conclusions being drawn that have definitive implications for clinical practice" (p. 263). However, the authors conclude that general dysphagia therapy programs are associated with a reduced risk of pneumonia in the acute stroke stage.
- Diet Modification - No conclusions could be drawn regarding the effectiveness of dietary texture modifications.
Keywords: Stroke, Swallowing Disorders
Access the Review
Added to Compendium: December 2011