American Speech-Language-Hearing Association

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. (2008).
Age Ageing, 3(3), 258-264.

Indicators of Review Quality:

The review addresses a clearly focused question No
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes

Description: This is a review of randomized controlled trials addressing the effectiveness of dysphagia treatments for adults with dysphagia following stroke.

Question(s) Addressed:

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

Findings:

Conclusions:

  • Treatment
    • Swallowing
      • 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

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Added to Compendium: December 2011

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