Evidence-based systematic review: Effect of neuromuscular electrical stimulation on swallowing and neural activation
- ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
- Heather Clark Ph.D., Associate Professor (Creator)
- Institution
- Appalachian State University (ASU )
- Web Site: https://library.appstate.edu/
Abstract: Purpose: To systematically review the literature examining the effects of neuromuscular electrical stimulation (NMES) on swallowing and neural activation. The review was conducted as part of a series examining the effects of oral motor exercises (OMEs) on speech, swallowing, and neural activation.
Method: A systematic search was conducted to identify relevant studies published in peer-reviewed journals from 1960 to 2007. All studies meeting the exclusion/inclusion criteria were appraised for quality and categorized as efficacy or exploratory research based on predetermined criteria.
Results: Out of 899 citations initially identified for the broad review of OMEs, 14 articles relating to NMES qualified for inclusion. Most of the studies (10/14) were considered exploratory research, and many had significant methodological limitations.
Conclusions: This systematic review reveals that surface NMES to the neck has been most extensively studied with promising findings, yet high-quality controlled trials are needed to provide evidence of efficacy. Surface NMES to the palate, faucial pillars, and pharynx has been explored in Phase I research, but no evidence of efficacy is currently available. Intramuscular NMES has been investigated in a single Phase I exploratory study. Additional research is needed to document the effects of such protocols on swallowing performance.
Evidence-based systematic review: Effect of neuromuscular electrical stimulation on swallowing and neural activation
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Created on 5/1/2009
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Additional Information
- Publication
- Clark, H., Lazarus, C., Arvedson, J., Schooling, T., Frymark, T. (2009). Evidence-based systematic review: Effect of neuromuscular electrical stimulation on swallowing and neural activation. American Journal of Speech-Language Pathology, 18, 361-375 . Published by American Speech-Language-Hearing Association. (ISSN: 1058-0360) DOI: 10.1044/1058-0360(2009/08-0088) [May 2009]
- Language: English
- Date: 2009
- Keywords
- dysphagia, neuromuscular electrical stimulation, evidence-based systematic review, oral motor exercises