Adrián Castillo-Allendes, Jeff Searl, José Vergara, Natalie Ballentine, Soud Ebdah, Anaïs Rameau, Eric J Hunter
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引用次数: 0
摘要
目的:本综述旨在探讨意志语音任务在评估吞咽相关结果中的应用,并评估其对吞咽障碍的治疗效果,包括对吞咽生物力学的影响。方法:本范围评价遵循范围评价指南的系统评价和元分析扩展的首选报告项目进行。在多个数据库(PubMed、Web of Science和Scopus)中执行文献搜索,并通过手动搜索确定其他记录。经过筛选和合格性评估,纳入36项研究进行数据提取和分析。采用定量研究的有效公共卫生实践项目质量评估工具评价纳入研究的质量。结果:该综述确定了各种意志发声任务,如最大发声时间和音高滑动,作为预测吞咽相关结果的潜在评估工具。此外,针对音调调节、提高声音音量和压缩声音质量的语音任务对不同人群的吞咽障碍,特别是患有神经系统疾病和头颈癌的个体,显示出有希望的治疗效果。结论:虽然目前的文献中存在方法学上的局限性,但意志语音任务显示出作为评估和治疗吞咽障碍的补充工具的潜力,利用了它们相互关联的神经和生物力学机制的潜在功能。需要采用更可靠的方法进行进一步研究,以确定这些综合干预措施的有效性,促进其转化为临床实践,并测试新的可能性。
Voice Meets Swallowing: A Scoping Review of Therapeutic Connections.
Purpose: This scoping review aimed to explore the use of volitional voice tasks in assessing swallowing-related outcomes and to evaluate their therapeutic impact on swallowing disorders, including their effects on swallowing biomechanics.
Method: This scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. A literature search was performed across multiple databases (PubMed, Web of Science, and Scopus), and additional records were identified through manual searches. After screening and eligibility assessment, 36 studies were included for data extraction and analysis. The Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies was employed to evaluate the quality of the included studies.
Results: The review identified various volitional voice tasks, such as maximum phonation time and pitch glides, as potential assessment tools for predicting swallowing-related outcomes. Additionally, voice tasks targeting pitch modulation, increased vocal loudness, and squeezed voice quality showed promising therapeutic benefits for swallowing disorders across different populations, especially individuals with neurological conditions and head and neck cancer.
Conclusions: While methodological limitations were found in current literature, volitional voice tasks demonstrate potential as complementary tools for assessing and treating swallowing disorders, leveraging their interconnected neurological and biomechanical mechanisms underlying functions. Further research with more robust methodologies is needed to establish the efficacy of these integrated interventions, facilitate their translation into clinical practice, and test new possibilities.
期刊介绍:
Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.