Dysphagia Rehabilitation Using Digital Technology: A Scoping Review

IF 3.6 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of Evidence‐Based Medicine Pub Date : 2025-02-26 DOI:10.1111/jebm.70009

Na-Kyoung Hwang, Tae-Hyung Yoon, Moon-Young Chang, Ji-Su Park

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引用次数: 0

Abstract

Aim

Digital health technology in swallowing rehabilitation offers personalized exercises, remote monitoring, and real-time feedback, enhancing accessibility and effectiveness of therapy. This scoping review was conducted to summarize what types and features of digital technology-based dysphagia rehabilitation interventions exist, how they are applied in patients with dysphagia, and what the effectiveness and facilitators and barriers to intervention application are.

Methods

We searched Medline Complete, Embase, CINAHL, Scopus, and gray literature for articles published between January 2000 and June 2023. We used subheadings and terms related to digital health, dysphagia, and rehabilitation to search for articles. The included studies were mapped according to the types and features, effectiveness, enablers, barriers, and future improvements of swallowing rehabilitation using digital technologies.

Results

Twenty-five studies met the inclusion criteria. Three types of digital swallowing rehabilitation interventions were identified: home-based rehabilitation using the mHealth app, synchronous telepractice and monitoring, as well as game-based biofeedback and tracking. The included studies reported positive results regarding physiological changes in swallowing function, swallowing performance, and quality of life. Digital unfamiliarity, resources for digital access, and technical issues related to the failure of the mobile device operating system were identified as barriers to the use of digital swallowing rehabilitation technology and future improvements.

Conclusions

Digital technology has potential value in dysphagia rehabilitation. In the future, developing various interventions utilizing the advantages of digital technology and conducting additional research to validate their effectiveness is necessary. Additionally, improved digital familiarity, better accessibility, better technology, and management practices will be needed.

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目的数字健康技术在吞咽康复中提供个性化练习、远程监控和实时反馈，提高了治疗的可及性和有效性。本范围综述旨在总结基于数字技术的吞咽困难康复干预有哪些类型和特点，如何应用于吞咽困难患者，以及干预应用的有效性、促进因素和障碍是什么。方法我们检索了 Medline Complete、Embase、CINAHL、Scopus 和灰色文献中 2000 年 1 月至 2023 年 6 月间发表的文章。我们使用了与数字健康、吞咽困难和康复相关的副标题和术语来搜索文章。我们根据使用数字技术进行吞咽康复的类型和特点、有效性、促进因素、障碍和未来改进对纳入的研究进行了分类。结果 25 项研究符合纳入标准。确定了三种类型的数字吞咽康复干预措施：使用移动医疗应用程序的家庭康复、同步远程练习和监测以及基于游戏的生物反馈和跟踪。纳入的研究报告在吞咽功能的生理变化、吞咽表现和生活质量方面取得了积极成果。不熟悉数字技术、数字访问资源以及与移动设备操作系统故障有关的技术问题被认为是使用数字吞咽康复技术和未来改进的障碍。结论数字技术在吞咽困难康复中具有潜在价值。未来，有必要利用数字技术的优势开发各种干预措施，并开展更多研究以验证其有效性。此外，还需要提高对数字技术的熟悉程度、改善可访问性、改进技术和管理方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Evidence‐Based Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

11.20

自引率

1.40%

发文量

期刊介绍： The Journal of Evidence-Based Medicine (EMB) is an esteemed international healthcare and medical decision-making journal, dedicated to publishing groundbreaking research outcomes in evidence-based decision-making, research, practice, and education. Serving as the official English-language journal of the Cochrane China Centre and West China Hospital of Sichuan University, we eagerly welcome editorials, commentaries, and systematic reviews encompassing various topics such as clinical trials, policy, drug and patient safety, education, and knowledge translation.