Evidence map›Paper›PMID 40596755›Full record

Trial reportJournal of oral rehabilitation2025

Does Proprioceptive Neuromuscular Facilitation Approach Have an Effect on Swallowing Function, Muscle Morphology and Quality of Life in Dysphagic Stroke Patients? A Randomised Controlled Trial.

Esra Nur Özcan, Nezehat Özgül Ünlüer, Mehmet Öztürk, Ömer Erdur

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05678686 (Investigation of The Effects of Different Exercise Methods on Swallowing Function in Stroke Patients), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

NCT05678686 nacompletednot on this map

Investigation of The Effects of Different Exercise Methods on Swallowing Function in Stroke Patients

TypeinterventionalSponsorKaramanoğlu Mehmetbey UniversityRan2022 to 2023Enrolled42ConditionsStroke, Dysphagia, Swallowing DisorderArmsActive Comparator: Routine Exercise Group, Experimental: PNF Exercise, Experimental: CTAR Exercise
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. 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

4 authors.

Esra Nur ÖzcanDepartment of Therapy and Rehabilitation, Vocational School of Health Services, Karamanoğlu Mehmetbey University, Karaman, Turkey.ORCID https://orcid.org/0000-0002-0339-3669
Nezehat Özgül ÜnlüerDepartment of Neurological Rehabilitation, Gulhane Faculty of Physiotherapy and Rehabilitation, Health Sciences University, Ankara, Turkey.ORCID https://orcid.org/0000-0003-2314-0738
Mehmet ÖztürkDepartment of Radiology Faculty of Medicine, Selçuk University, Konya, Turkey.ORCID https://orcid.org/0000-0002-4316-5038
Ömer ErdurDepartment of Otolaryngology, Faculty of Medicine, Selçuk University, Konya, Turkey.ORCID https://orcid.org/0000-0002-5596-0100

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the effects of different exercise methods on swallowing function in dysphagic stroke patients.

methodsForty-two patients with dysphagia were divided into three groups: conventional swallowing exercises group; the proprioceptive neuromuscular facilitation (PNF) exercises + conventional swallowing exercises group and the Chin-tuck Against Resistance (CTAR) exercises + conventional swallowing exercises. Patients received swallowing rehabilitation twice a week for 8 weeks. Patients were evaluated for swallowing using Fiberoptic Endoscopic Evaluation of Swallowing (FEES) with the Penetration-Aspiration Scale. Suprahyoid muscle thickness, tongue root area and hyolaryngeal elevation were measured by ultrasound before and after treatment. Furthermore, scales such as the National Institutes of Health (NIH) swallowing safety scale, Functional Oral Intake Scale (FOIS), Eating Assessment Tool-10 (EAT-10) and Swallowing Quality of Life Scale (SWAL-QOL) were utilised.

resultsThe clinical and demographic characteristics of all three groups were similar at baseline (p > 0.05). Positive improvements were identified following treatment in terms of muscle thickness, as determined by FEES evaluation of swallowing functions and ultrasound evaluations, in all groups (p < 0.05). In the PAS liquid food evaluation, the highest effect was found in the PNF group (η

conclusionIn this study, all three groups contributed to swallowing rehabilitation, but the PNF group improved the most. PNF exercises, delivered by physical therapists without the need for specialised equipment, will make swallowing rehabilitation more effective.

trial registrationClinicalTrials.gov identifier: NCT05678686.

Indexed as

DeglutitionDeglutition DisordersExercise TherapyProprioceptionQuality of LifeStrokeStroke RehabilitationAgedFemaleHumansMaleMiddle AgedTongueTreatment OutcomeUltrasonographydysphagiaproprioceptive neuromuscular facilitationquality of lifestroke rehabilitationultrasonography

Identifiers

PMID40596755
PMCPMC12515988

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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.