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KMID : 0603920180260020113
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Journal of Korean Academy of Occupational Therapy
2018 Volume.26 No. 2 p.113 ~ p.128
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The Treatment of Swallowing Disorders in Stroke Patients : A Systematic Review
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Song Won-Il
Jung Min-Ye
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Abstract
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Objective: This study is a systematic analysis of swallowing rehabilitation treatment applied to stroke patients. The method of swallowing rehabilitation treatment according to the symptom of swallowing disorder and the effect of treatment was presented. The purpose of this study is to provide the data for selecting the effective treatment method according to the characteristics of the patients.
Methods: A systematic review was conducted using the PRISMA checklist and flow charts. The database used PubMed, Medline Complete (EBSCOhost), and National Assembly Library of Korea. A total of 18 articles were used in the study and the PEDro scale (Physiotherapy Evidence Database scale) was used to evaluate the quality of the literature. In the literature, swallowing rehabilitation treatments were classified according to treatment effect and swallowing disorder symptoms.
Results: In the analyzed study, 10 lesions were mixed with brain hemispheres and brainstem, 6 lesions were examined in cerebral cortex lesion, 1 brain lesion was examined, and 1 lesion was not recorded. There were 13 episodes of acute and chronic mixed episodes, 3 episodes of acute episodes of less than 3 months, and 1 episode of chronic episodes of 3 months or more. . Of the 14 treatments, 14 were effective on the irritation, and 1 was effective on the oral cavity and one on the diet. Methods of treatment were classified according to clinical symptoms of dysphagia. The most common treatment modalities were oral pharyngeal dysfunction and total 7 treatments. There are six different types of frontal and laryngeal movements of the hyoid and larynx, four types of aspiration and invasion, three delays in swallowing reflexes, weakness of the tongue, epiglottis residues, food pockets and temporal lag, Each treatment method was presented.
Conclusion: This study may help occupational therapists to provide effective swallowing rehabilitation by applying various treatment modalities according to swallowing disorder symptoms of stroke patients.
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KEYWORD
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Dysphagia, Stroke, Swallowing Disorder, Swallowing Rehabilitation
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