American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review


Easy to Chew Means Easy to Swallow - or Does It? The Place of Diet Modification in the Management of Dysphagia

Hyland, P. (2003).
Asia Pacific Journal of Speech, Language & Hearing, 8(2), 131-145.

Indicators of Review Quality:

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

Description: This review of the current literature examines the efficacy of the use of diet modification for dysphagia in stroke patients. 

Question(s) Addressed:

Question not specifically stated.

Population: Individuals with swallowing disorders after suffering a stroke or cerebral vascular incident.

Intervention/Assessment: Diet modification

Number of Studies Included: 12

Years Included: Not stated.

Findings:

Conclusions:

  • Treatment
    • Swallowing
      • Diet Modification
        • Currently, little evidence exists examining the efficacy of diet modification treatments. "The majority of the research reports mid level (moderate-to-limited/moderate) evidence on various aspects of dysphagia therapy that commonly incorporates diet modification in the overall treatment protocol" (p. 139).
        • The authors indicate "that more viscous material (e.g. puree consistency) may assist oral control in patients with tongue and bolus preparation difficulties, if the pharyngeal phase of their swallow is intact" (p. 135).
        • Further research is warranted.

Keywords: Stroke, Swallowing Disorders, Diet Modification

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Added to Compendium: March 2012

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