Effects of Non‐Pharmacological Interventions on the Swallowing Function of Patients With Post‐Stroke Dysphagia: A Systematic Review and Network Meta‐Analysis

作者：Bohan Zhang, Ka Po Wong, Cai Guo, Shu‐Cheng Chen, Shuojin Fu, Ruifu Kang, Qian Xiao, Jing Qin · 发表于：Journal of Oral Rehabilitation · 年份：2024 · DOI：10.1111/joor.13901 · 被引用次数：12 · 研究领域：Dysphagia Assessment and Management、Cervical and Thoracic Myelopathy、Cerebral Palsy and Movement Disorders

BACKGROUND: Post-stroke dysphagia can lead to serious complications and appropriate rehabilitation can significantly improve swallowing function. However, the best rehabilitation method for post-stroke dysphagia patients is not clear at the present stage, so it is necessary to conduct a comprehensive network meta-analysis and systematic review of different interventions for dysphagia. OBJECTIVE: To compare the effectiveness and ranking of different interventions for improving swallowing function, and feeding and daily function in patients with post-stroke dysphagia. METHODS: Seven databases were searched from the date of inception to September 1, 2022. Two investigators independently conducted literature searches, selected randomized controlled trials on dysphagia interventions, and assessed study quality. Network meta-analysis was conducted by using Stata software. RESULTS: A total of 33 studies involving 1,341 patients were included. According to the ranking probabilities, acupuncture was rated as the most effective of all interventions to enhance patients' swallowing function (surface under cumulative ranking curve values [SUCRCV]: 99.0%, standardized mean difference [SMD]: -2.40, 95% confidence interval [CI]: -3.38 to -1.43), followed by the chin tuck against resistance exercise (CTAR, SUCRA: 89.9%, SMD: -1.83, 95% CI: -2.69 to -0.97). Among all the interventions, acupuncture was the most effective for feeding and daily function (SUCRCV: 88.4%, SMD: -1.62, 95% CI: -2.94 t...