Evidence map›Paper›PMID 31868691›Full record

Trial reportNeuroRehabilitation2019

The effect of intensified nonverbal facilitation of swallowing on dysphagia after severe acquired brain injury: A randomised controlled pilot study.

D Jakobsen, I Poulsen, C Schultheiss, C G Riberholt, D J Curtis, T H Petersen, R O Seidl

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in NeuroRehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

D JakobsenDepartment of Neurorehabilitation, Rigshospitalet, TBI Unit, Copenhagen, Denmark.
I PoulsenDepartment of Neurorehabilitation, Rigshospitalet, TBI Unit, Copenhagen, Denmark.
C SchultheissDuden Institut für Lerntherapie, Potsdam, Germany.
C G RiberholtDepartment of Neurorehabilitation, Rigshospitalet, TBI Unit, Copenhagen, Denmark.
D J CurtisDepartment of Neurorehabilitation, Rigshospitalet, TBI Unit, Copenhagen, Denmark.
T H PetersenDepartment of Neurorehabilitation, Rigshospitalet, TBI Unit, Copenhagen, Denmark.
R O SeidlDepartment of Otolaryngology at UKB, Hospital of the University of Berlin, Charite Medical School, Berlin,  Germany.
Rigshospitalet · DKAarhus University · DKMSB Medical School Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is little high-level evidence for the effect of the nonverbal facilitation of swallowing on swallowing ability in the subacute stage of rehabilitation following severe acquired brain injury (ABI).

objectiveTo pilot test a randomised controlled trial to determine the effect of an intensification of the nonverbal facilitation of swallowing on dysphagia.

methodsTen patients with severe ABI and dysphagia were randomised into two groups at a highly specialised neurorehabilitation clinic.The intervention group received an intensification of the nonverbal facilitation of swallowing and the control group received basic care of the face and mouth in addition to treatment as usual for two sessions of 20 minutes per day for three weeks.Outcomes were Functional Oral Intake Scale (FOIS), Penetration Aspiration Scale (PAS), and electrophysiological swallowing specific parameters (EMBI).

resultsThe intensified intervention was feasible. PAS and FOIS scores improved in both groups, with no differences between groups. The swallowing specific parameters reflected clinically observed changes in swallowing.

conclusionsPAS and FOIS are feasible instruments to measure dysphagia. It is possible and valid to measure swallowing frequency and kinematics using electromyography and bioimpedance. The definitive study should have widened inclusion criteria and optimise intervention timing to maintain patient arousal.

Indexed as

DeglutitionAdultBrain InjuriesDeglutition DisordersElectromyographyFemaleHumansMaleMiddle AgedNeurological RehabilitationPilot Projectsacquired brain injuryBioimpedance Electromyography Measurement (EMBI)Deglutition disordersdysphagiaFacial Oral Tract Therapy (F.O.T.T.®)facilitation of swallowingneurorehabilitation

Identifiers

PMID31868691
PMCPMC7029366
OpenAlexW2996559862

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.