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Trends in Research Literature Describing Dysphagia in Motor Neuron Diseases (MND): A Scoping Review

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An Erratum to this article was published on 03 August 2017

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Abstract

Dysphagia in motor neuron diseases (MNDs) is highly complex, affecting all stages of swallowing and leading to impaired swallowing safety and efficiency. In order to explore the degree to which research is capturing the symptom of dysphagia in MND, we conducted a scoping review of the existing literature. The primary aims of this review were to identify common themes within the literature on dysphagia in MND, explore patterns and trends in research focus, and identify if any imbalances exist between the research themes related to dysphagia description and management. A comprehensive search strategy yielded 1690 unique articles for review. Following relevance screening, a total of 157 articles were included in the synthesis. Relevant data and keywords were extracted from each article and grouped into themes. Frequency estimates were calculated for each theme to identify trends across research literature. Swallowing impairment in MNDs is described in a variety of ways across current research. The most commonly reported theme was Aspiration/Penetration, mentioned in 73.2% of all included articles; a significant imbalance was identified between reports of swallowing safety and efficiency (p = 0.008). The most frequently reported theme related to dysphagia management was Enteral Nutrition, and very few studies have reported on the efficacy of Rehabilitation/Compensatory recommendations. It is suggested that researchers and clinicians remain mindful of imbalances and gaps in research, and aim to characterize dysphagia in MNDs in a comprehensive manner. Further research investigating discrete, measureable changes in swallowing pathophysiology would be beneficial to delineate the key factors contributing to impaired swallowing safety and efficiency.

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  • 03 August 2017

    An erratum to this article has been published.

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Acknowledgements

The authors wish to thank Jessica Babineau, MLIS from the Toronto Rehabilitation Institute—University Health Network, for her work in defining and translating the initial search strategy. We also extend appreciation to Professor Heather Colquhoun from the University of Toronto, Rehabilitation Sciences Institute for her guidance with scoping review methodology. This work was supported in part by doctoral research funding provided by the University of Toronto, Rehabilitation Sciences Institute.

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  1. Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, 12th floor, Toronto, ON, M5G 2A2, Canada

    Ashley A. Waito, Teresa J. Valenzano, Melanie Peladeau-Pigeon & Catriona M. Steele

  2. Rehabilitation Sciences Institute, University of Toronto, 500 University Avenue, Suite 160, Toronto, ON, M5G 1V7, Canada

    Ashley A. Waito, Teresa J. Valenzano & Catriona M. Steele

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  1. Ashley A. Waito
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Correspondence to Ashley A. Waito.

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The original version of this article was revised: The term “Dysphagia” under the ‘Discussion’ section was incorrectly published as “Fysphagia”. This has been corrected in this version.

An erratum to this article is available at https://doi.org/10.1007/s00455-017-9829-8.

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Waito, A.A., Valenzano, T.J., Peladeau-Pigeon, M. et al. Trends in Research Literature Describing Dysphagia in Motor Neuron Diseases (MND): A Scoping Review. Dysphagia 32, 734–747 (2017). https://doi.org/10.1007/s00455-017-9819-x

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