Evidence map›Paper›PMID 39636679›Full record

Trial reportGerodontology2025

Effect of Oral Screen Training After Stroke-A Randomised Controlled Trial.

Jesper Dalum, Pia Skott, Elisabet Åkesson, Emmelie Persson, Åsa Karlsson, Henrike Häbel, Åke Seiger, Anita McAllister, Kerstin Johansson, Gunilla Sandborgh-Englund

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gerodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03167892 (Oral Screens in Post Stroke Training), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT03167892 naterminatednot on this map

Oral Screens in Post Stroke Training

TypeinterventionalSponsorKarolinska InstitutetRan2017 to 2021Enrolled25ConditionsDysphagia, OropharyngealArmsOral screen
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Jesper DalumAcademic Center for Geriatric Dentistry, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-2555-0135
Pia SkottAcademic Center for Geriatric Dentistry, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-8108-9865
Elisabet ÅkessonDivision of Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Emmelie PerssonR&D Unit, Stockholms Sjukhem, Stockholm, Sweden.
Åsa KarlssonR&D Unit, Stockholms Sjukhem, Stockholm, Sweden.
Henrike HäbelMedical Statistics Unit, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
Åke SeigerAcademic Center for Geriatric Dentistry, Stockholm, Sweden.
Anita McAllisterDivision of Speech Language Pathology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Kerstin JohanssonDivision of Speech Language Pathology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Gunilla Sandborgh-EnglundAcademic Center for Geriatric Dentistry, Stockholm, Sweden.

Funding

Region Stockholm (SOF project OF11204433).
6 · The paper itself

Abstract

objectiveTo assess the effects of oral screen training in patients with dysphagia post-stroke.

backgroundOral screen training has been identified as an effective method for improving orofacial and oropharyngeal motor functions. However, the evidence supporting a positive transfer effect on swallowing capacity post-primary stroke rehabilitation is still unclear. The aim of this randomised controlled trial was to investigate the effect of a 12-week oral screen training programme using a prefabricated oral screen, with swallowing capacity as the primary outcome. MATERIALS AND

methodsIn a randomised trial, stroke survivors with residual dysphagia post-rehabilitation were randomised into intervention group (n = 12) and control group (n = 12). The intervention group underwent 12 weeks of oral screen training. The main outcome was swallowing capacity, with lip force as a training indicator. Secondary outcomes were assessed by the Eating Assessment Tool, Masticatory performance, Nordic Orofacial Test-Screening, Life Satisfaction Questionnaire and the Edmonton Symptom Assessment System.

resultsAt the 3-month follow-up, the group that trained with an oral screen showed a significantly greater increase in lip force than the control group (mean lip force increase 10.2 N vs. 3.1 N; p = 0.02). There was no significant improvement in swallowing capacity (mean increase 0.7 mL/min vs. 0.8 mL/min; p = 0.43), or in any of the secondary variables in the intervention group relative to the control group.

conclusionThe findings from this study showed that oral screen training initiated after completion of regular rehabilitation post-stroke can increase lip force. However, there was no indication of any transfer effect on swallowing capacity.

trial registrationClinicaltrial.gov identifier: NCT03167892.

Indexed as

Deglutition DisordersStrokeStroke RehabilitationAgedDeglutitionFemaleHumansLipMaleMiddle AgedTreatment Outcomedysphagiamultidisciplinary approachoral screenorofacial trainingRCTrehabilitationstroke

Identifiers

PMID39636679
PMCPMC12344617

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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.