Evidence map›Paper›PMID 32140905›Full record

ArticleDysphagia2021

Dose in Exercise-Based Dysphagia Therapies: A Scoping Review.

Brittany N Krekeler, Linda M Rowe, Nadine P Connor

2 registry-linked trialsOpen access · greenAbstract readScoping Review
In one paragraph

Article in Dysphagia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 41 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 5 pooled it
16.7field-weighted citation impact, top 1% 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.

NCT05523973 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Lingual Endurance Exercise on Rehabilitation of Swallowing Impairment After Ischemic Stroke

TypeinterventionalSponsorUniversity of CincinnatiRan2022 to 2023Enrolled19ConditionsDysphagia, Oral Phase, Stroke, IschemicArmsLingual Endurance Training
NCT05970406 naenrolling by invitationnot on this mapstarted 2023, after this paper: background citation

Effects of High Intensity Dysphagia Rehabilitation on Adults With Dysphagia s/p Acute Ischemic Stroke in an Acute Rehab Facility

TypeinterventionalSponsorJohns Hopkins UniversityRan2023 to 2027Enrolled60ConditionsDysphagia Following Cerebrovascular AccidentArmshigh intensity dysphagia therapy
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 105 citations in OpenAlex.

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  4. Dosages of swallowing exercises in stroke rehabilitation: a systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
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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

3 authors at 2 institutions in 1 country.

Brittany N KrekelerDepartment of Communication Sciences and Disorders, University of Wisconsin-Madison, Goodnight Hall, 1300 University Ave, Madison, WI, 53706, USA. brittany.krekeler@northwestern.edu.ORCID 0000-0003-0469-9181
Linda M RoweDepartment of Communication Sciences and Disorders, University of Wisconsin-Madison, Goodnight Hall, 1300 University Ave, Madison, WI, 53706, USA.
Nadine P ConnorDepartment of Communication Sciences and Disorders, University of Wisconsin-Madison, Goodnight Hall, 1300 University Ave, Madison, WI, 53706, USA.
University of Wisconsin–Madison · USNorthwestern University · US

Funding

University of Wisconsin Voice Research Training Program (T32)T32DC009401 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI Susan Lynn Thibeault · 2009 to 2026
$6.3M
Lingual and Laryngeal Muscle PlasticityR01DC008149 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI CONNOR, NADINE P · 2007 to 2017
$4.5M
Influence of neuromuscular pathology on parkinsonian communication deficitsR01DC014358 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI CIUCCI, MICHELLE RENEE, CONNOR, NADINE P · 2015 to 2019
$2.7M
Bioenergetic Mechanisms of Tongue Muscle FatigueR01DC018071 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI CONNOR, NADINE P · 2019 to 2023
$2.5M
Treatment of Functional Deficits IN tongue muscles induced by radiation and chemoradiation treatmentR37CA225608 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI RUSSELL, JOHN A · 2018 to 2024
$2.4M
Effects of Tongue exercise dose on mitigating age-related changes in Tongue muscles and swallowing functionF31AG059351 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI KREKELER, BRITTANY NICOLE · 2018 to 2019
$50k
NCI NIH HHS R37 CA225608NIA NIH HHS F31 AG059351NIDCD NIH HHS R01 DC008149NIDCD NIH HHS R01 DC014358NIDCD NIH HHS R01 DC018071NIDCD NIH HHS T32 DC009401
6 · The paper itself

Abstract

backgroundOptimal exercise doses for exercise-based approaches to dysphagia treatment are unclear. To address this gap in knowledge, we performed a scoping review to provide a record of doses reported in the literature. A larger goal of this work was to promote detailed consideration of dosing parameters in dysphagia exercise treatments in intervention planning and outcome reporting.

methodsWe searched PubMed, Scopus[Embase], CINAHL, and Cochrane databases from inception to July 2019, with search terms relating to dysphagia and exercises to treat swallowing impairments. Of the eligible 1906 peer-reviewed articles, 72 met inclusionary criteria by reporting, at minimum, both the frequency and duration of their exercise-based treatments.

resultsStudy interventions included tongue exercise (n = 16), Shaker/head lift (n = 13), respiratory muscle strength training (n = 6), combination exercise programs (n = 20), mandibular movement exercises (n = 7), lip muscle training (n = 5), and other programs that did not fit into the categories described above (n = 5). Frequency recommendations varied greatly by exercise type. Duration recommendations ranged from 4 weeks to 1 year. In articles reporting repetitions (n = 66), the range was 1 to 120 reps/day. In articles reporting intensity (n = 59), descriptions included values for force, movement duration, or descriptive verbal cues, such as "as hard as possible." Outcome measures were highly varied across and within specific exercise types.

conclusionsWe recommend inclusion of at least the frequency, duration, repetition, and intensity components of exercise dose to improve reproducibility, interpretation, and comparison across studies. Further research is required to determine optimal dose ranges for the wide variety of exercise-based dysphagia interventions.

Indexed as

Deglutition DisordersExerciseExercise TherapyHumansReproducibility of ResultsDoseDysphagia treatmentEvidence-based practiceScoping review

Identifiers

PMID32140905
PMCPMC7483259
OpenAlexW3009778360

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.