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Effects of electromyographic biofeedback as an adjunctive therapy in the treatment of swallowing disorders: a systematic review of the literature

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Abstract

Purpose

To describe the primary effects of electromyographic biofeedback therapy on swallowing via a systematic review.

Methods

A blind search was carried out by two researchers in the PubMed and Bireme platforms and in the Medline, Lilacs, SciELO, PsycINFO, CINAHL, and Web of Science databases, and the journal articles identified therein were evaluated for inclusion in the study. Original articles associated with the theme were selected with no population-, region-, or language-associated limits. A protocol was created for this study with the following points: author, year, place, number and characteristics of participants, activities evaluated, instruments used, and main results. The PEDro scale was used to analyze the quality of the studies.

Results

Among the 686 articles identified in the combined searches, 566 were duplicates. A total of 65 articles were discarded after the title and abstract were read, and a further 29 articles were discarded after the full text was read, yielding a total of six articles for inclusion. In summary, the results lead us to believe that positive effects on the laryngeal lifting capacity, improved swallowing functions, and increased excursion and maximal elevation of the hyoid bone, may be directly related to this method of therapy.

Conclusions

Adjunctive therapeutic protocols with biofeedback electromyography exert positive effects on swallowing function.

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Data availability

Data sharing is not applicable to this article as no new data were created or analyzed in this study.

References

  1. World Health Organization (2004) Changing history. World Health Organization. http://apps.who.int/iris/bitstream/handle/10665/40492/9241540052_eng_v2_p1.pdf?sequence=3-2560k. Accessed 07 Apr 2018

  2. Smithard DG, O’Neill PA, Park C et al (1996) Complications and outcome after acute stroke: does dysphagia matter. Stroke 27:1200–1204

    Article  CAS  PubMed  Google Scholar 

  3. Mann G, Hankey GJ, Cameron D (2000) Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis 10:380–386

    Article  CAS  PubMed  Google Scholar 

  4. Chai J, Chu FCS, Chow TW et al (2008) Prevalence of malnutrition and its risk factors in stroke patients residing in an infirmary. Singapore Med J 49:290–296

    CAS  PubMed  Google Scholar 

  5. Altman KW, Yu G, Schaefer SD (2010) Consequence of dysphagia in the hospitalized patient: impact on prognosis and hospital resources. Arch Otolaryngol Head Neck Surg 136:784–789

    Article  PubMed  Google Scholar 

  6. Logemann JA (1991) Approaches to management of disordered swallowing. Baillieres Clin Gastroenterol 5:269–280

    Article  CAS  PubMed  Google Scholar 

  7. Shaw GY, Sechtem PR, Searl J et al (2007) Transcutaneous neuromuscular electrical stimulation (VitalStim) curative therapy for severe dysphagia: myth or reality. Ann Otol Rhinol Laryngol 116:36–44

    Article  PubMed  Google Scholar 

  8. Crary MA (1995) A direct intervention program for chronic neurogenic dysphagia secondary to brainstem stroke. Dysphagia 10:6–18

    Article  CAS  PubMed  Google Scholar 

  9. Huckabee M, Cannito M (1999) Outcomes of swallowing rehabilitation in chronic brainstem dysphagia: a retrospective evaluation. Dysphagia 14:93–109

    Article  CAS  PubMed  Google Scholar 

  10. Foley N, Teasell R, Salter K et al (2008) Dysphagia treatment post stroke: a systematic review of randomised controlled trials. Age Ageing 37:258–264

    Article  PubMed  Google Scholar 

  11. Martino R, Mcculloch T (2016) Therapeutic intervention in oropharyngeal dysphagia. Nat Publ Gr 13(11):665–679

    Google Scholar 

  12. Van Borsel J, Sierens S, Pereira MMB (2007) Using delayed auditory feedback in the treatment of stuttering: evidence to consider. PróFono 19(3):323–332

    Google Scholar 

  13. Crary M, Carnaby MG, Groher M et al (2004) Functional benefits of dysphagia therapy using adjunctive sEMG biofeedback. Dysphagia 19(3):160–164

    Article  PubMed  Google Scholar 

  14. Robson B (2016) Studies in using a universal exchange and inference language for evidence-based medicine. Semiautomated learning and reasoning for PICO methodology, systematic review, and environmental epidemiology. Comput Biol Med 1:299–323

    Article  Google Scholar 

  15. Maher CG, Sherrington C, Herbert RD et al (2003) Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther 83:713–721

    Google Scholar 

  16. Tang Y, Lin X, Lin XJ et al (2017) Therapeutic efficacy of neuromuscular electrical stimulation and electromyographic biofeedback on Alzheimerʼs disease patients with dysphagia. Medicine (Baltimore) 96(36):e8008

    Article  Google Scholar 

  17. Azola AM, Sunday KL, Humbert IA (2017) Kinematic visual biofeedback improves accuracy of learning a swallowing maneuver and accuracy of clinician cues during training. Dysphagia 32(1):115–122

    Article  PubMed  Google Scholar 

  18. Bogaardt HCA, Grolman W, Fokkens WJ (2009) The use of biofeedback in the treatment of chronic dysphagia in stroke patients. Folia Phoniatr Logop 61(4):200–205

    Article  CAS  PubMed  Google Scholar 

  19. Athukorala RP, Jones RD, Sella O et al (2014) Skill training for swallowing rehabilitation in patients with Parkinson’s disease. Arch Phys Med Rehabil 95(7):1374–1382

    Article  PubMed  Google Scholar 

  20. McCullough GH, Kamarunas E, Mann GC et al (2012) Effects of mendelsohn maneuver on measures of swallowing duration post stroke. Top Stroke Rehabil 19(3):234–243

    Article  PubMed  PubMed Central  Google Scholar 

  21. Ding R, Larson CR, Logemann JA et al (2002) Surface electromyographic and electroglottographic studies in normal subjects under two swallow conditions: normal and during the Mendelsohn maneuver. Dysphagia 17(1):1–12

    Article  PubMed  Google Scholar 

  22. Boyle R, Hay-Smith EJ, Cody JD et al (2012) Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev 17(10):CD007471

    Google Scholar 

  23. Dumoulin C, Hay-Smith EJ, Mac Habée-Séguin G (2014) Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 14(5):CD005654

    Google Scholar 

  24. Robbins J, Butler SG, Daniels SK, Lazarus CL, Mccabe D (2008) Rehabilitation: translating principles. Hear Res 51:276–300

    Google Scholar 

  25. Manor Y, Mootanah R, Freud D, Giladi N, Cohen JT (2013) Video-assisted swallowing therapy for patients with Parkinson’s disease. Park Relat Disord 19(2):207–211

    Article  Google Scholar 

  26. Huckabee M, Macrae P (2014) Rethinking rehab: skill-based training for swallowing impairment. SIG 13:46–53

    Google Scholar 

  27. Burdea GC (2003) Virtual rehabilitation—benefits and challenges. Methods Inf Med 42:519–523

    Article  CAS  PubMed  Google Scholar 

  28. Barzilay O, Wolf A (2013) Adaptive rehabilitation games. J Electromyogr Kinesiol 23(1):182–189

    Article  PubMed  Google Scholar 

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Correspondence to Lucas C. Aragão Albuquerque.

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Albuquerque, L.C.A., Pernambuco, L., da Silva, C.M. et al. Effects of electromyographic biofeedback as an adjunctive therapy in the treatment of swallowing disorders: a systematic review of the literature. Eur Arch Otorhinolaryngol 276, 927–938 (2019). https://doi.org/10.1007/s00405-019-05336-5

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