Trial reportAge and ageing2019
Effects of oral neuromuscular training on swallowing dysfunction among older people in intermediate care-a cluster randomised, controlled trial.
Trial report in Age and ageing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02825927 (Swallowing Function, Oral Health, and Food Intake in Old Age), which is not on this map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Swallowing Function, Oral Health, and Food Intake in Old Age
Who cites it
15 citing papers in PubMed.
- Trial
- Trial
- Effect of Oral Screen Training After Stroke-A Randomised Controlled Trial.Gerodontology · 2025Trial
- Oral neuromuscular training in patients with dysphagia after stroke: a prospective, randomized, open-label study with blinded evaluators.BMC neurology · 2020Trial
- Review
- Response to Effect of Oral Screen Training After Stroke-A Randomised Controlled Trial.Gerodontology · 2026Article
- Article
- Process evaluation of prevention in long-term care facilities - resident and therapist perspectives on the benefits and acceptance of preventive speech and swallowing sessions.BMC geriatrics · 2025Article
- Effect of a systemic intervention combined with a psychological intervention in stroke patients with oropharyngeal dysfunction.World journal of psychiatry · 2024Article
- Study protocol of the OrkA project: orofacial and communicative activation in old age- a cluster randomized prevention study in long-term care facilities in Lower Saxony, Germany.BMC geriatrics · 2024Article
- Models of community hospitals and state of research in high-income countries: a scoping review.Frontiers in public health · 2024Article
- Myofunctional device use in oral care and swallowing: a protocol for a feasibility study in an aged care population.Pilot and feasibility studies · 2022Article
- Effects of oral screen exercise on orofacial and pharyngeal activity: An exploratory study using videofluoroscopy and surface electromyography in healthy adults.Clinical and experimental dental research · 2022Article
- Behavioural Interventions in People with Oropharyngeal Dysphagia: A Systematic Review and Meta-Analysis of Randomised Clinical Trials.Journal of clinical medicine · 2022Review
- Interventions to prevent aspiration in older adults with dysphagia living in nursing homes: a scoping review.BMC geriatrics · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesthis prospective, cluster randomised, controlled trial investigated the effect of oral neuromuscular training among older people in intermediate care with impaired swallowing.
methodsolder people (≥65 years) with swallowing dysfunction were cluster randomised according to care units for 5 weeks of neuromuscular training of the orofacial and pharyngeal muscles or usual care. The primary endpoint was the change in swallowing rate (assessed with a timed water swallow test) from baseline to the end-of-treatment and 6 months post-treatment. The secondary endpoints were changes in signs of aspiration during the water swallow test, and swallowing-related quality of life (QOL). An intention-to-treat principle was followed, and mixed-effects models were used for data analysis with the clustered study design as a random factor.
resultsin total, 385 participants from 36 intermediate care units were screened, and 116 participants were randomly assigned to oral neuromuscular training (intervention; n = 49) or usual care (controls; n = 67). At the end of treatment, the geometric mean of the swallowing rate in the intervention group had significantly improved 60% more than that of controls (P = 0.007). At 6 months post-treatment, the swallowing rate of the intervention group remained significantly better (P = 0.031). Signs of aspiration also significantly reduced in the intervention group compared with controls (P = 0.01). No significant between-group differences were found for swallowing-related QOL.
conclusionsoral neuromuscular training is a new promising swallowing rehabilitation method among older people in intermediate care with impaired swallowing.
trial registrationClinicalTrials.gov: NCT02825927.
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