ArticleLaryngoscope investigative otolaryngology2020
Effect of respiratory muscle training on dysphagia in stroke patients-A retrospective pilot study.
Article in Laryngoscope investigative otolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 5 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Neuromuscular-related interventions for post-stroke dysphagia: a comprehensive narrative review.Frontiers in neuroscience · 2026Pooled it
- The effect of breathing training on swallowing function in patients with neurogenic dysphagia: a systematic review and meta-analysis.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 · 2025Pooled it
- Effects of resistance exercise on patients with post-stroke dysphagia based on ACSM recommendations: a systematic review of randomized controlled trials.Frontiers in physiology · 2025Pooled it
- Effect of respiratory training on swallowing function in swallowing disorders: a systematic review and meta-analysis.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 · 2024Pooled it
- 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 · 2023Pooled it
- Aerodigestoscopy (ADS): The Feasibility, Safety, and Comfort of a Comprehensive Procedure for the Evaluation of Physiological Disorders of the Aerodigestive Tract.Journal of clinical medicine · 2024Article
- Stress Resilience Program for Health Care Professionals During a Pandemic: A Pilot Program.Workplace health & safety · 2023Article
- Changes in Cough Airflow and Acoustics After Injection Laryngoplasty.The Laryngoscope · 2023Article
- Obstructive Sleep Apnea and Role of the Diaphragm.Cureus · 2022Review
- Using Ultrasound to Document the Effects of Expiratory Muscle Strength Training (EMST) on the Geniohyoid Muscle.Dysphagia · 2022Article
- Correlation between Forced Vital Capacity and the Severity of Frailty-Induced Dysphagia.Journal of clinical medicine · 2022Article
- Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic.Turkish journal of physical medicine and rehabilitation · 2020Article
- Effect of respiratory muscle training on dysphagia in stroke patients-A retrospective pilot study.Laryngoscope investigative otolaryngology · 2020Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDysphagia is prevalent with cerebrovascular accidents and contributes to the burden of disease and mortality. Strengthening dysfunctional swallow muscles through respiratory muscle training (RMT) has proven effective in improving swallow effectiveness and safety. However, approaches to strengthen only the expiratory muscle groups (EMST) dominate the clinical study literature, with variable outcomes. This study investigated the effect of simultaneous inspiratory-expiratory muscle strengthening to improve swallowing function in stroke patients.
methodsRecorded data of 20 patients receiving pro bono medical care for dysphagia following stroke were allocated to intervention (IG) or control group (CG) based upon whether they chose combined RMT (cRMT) or not while awaiting swallow therapy services. The intervention group was treated with three 5-minute sessions of resistive respiratory muscle training for 28 days, while the control group received no RMT or other exercise intervention. Respiratory and swallow outcomes were assessed pre- and post-intervention and included Mann Assessment of Swallowing Ability (MASA), fiberoptic endoscopic evaluation of swallowing (FEES) with penetration-aspiration scale (PAS), functional oral intake scale (FOIS), patient visual analogue scale (VAS), and peak expiratory flow (PEF).
resultsAfter 28 days, the intervention group demonstrated greater improvements (
conclusioncRMT is a feasible and effective method to improve signs and symptoms of dysphagia while improving airway protection. LEVEL OF EVIDENCE: 3.
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