Tien-Wei Hsu, Ming-Chu Feng, Chi Lin, Chih-Hsing Hung, Chih-Hung Ko
{"title":"口咽运动干预老年人吞咽功能:系统回顾和荟萃分析。","authors":"Tien-Wei Hsu, Ming-Chu Feng, Chi Lin, Chih-Hsing Hung, Chih-Hung Ko","doi":"10.1111/ger.70013","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Although swallowing function is crucial for older adults, the effects of oropharyngeal exercise interventions on older adults without stroke or cancer remain uncertain.</p><p><strong>Methods: </strong>A systematic search of five major databases was conducted to identify randomised controlled trials involving oropharyngeal exercise interventions conducted on older adults. The primary outcomes investigated were the changes in maximum tongue pressure (MTP) and the results from the repetitive saliva swallowing test (RSST). The secondary outcomes examined were swallowing pressure and oral motor coordination (oral diadochokinesis, DDK). A subgroup analysis was conducted to compare outcomes between dementia and non-dementia populations. Data synthesis was performed by conducting a random-effects meta-analysis.</p><p><strong>Results: </strong>Eleven randomised controlled trials were included (n = 622). The oropharyngeal exercise intervention groups exhibited greater improvements in MTP (k = 11, standard mean difference [SMD] = 0.74, 95% confidence interval [CI] = 0.31-1.17) and RSST results (k = 4, SMD = 0.63, 95% CI = 0.28-0.98) than the control group. Positive outcomes were reported in both dementia and non-dementia subgroups. Oropharyngeal exercise interventions also led to increased efficacy for swallowing pressure (k = 4, SMD = 0.71, 95% CI = 0.20-1.22) and oral DDK (k = 3, syllable/pa/, SMD = 1.00, 95% CI = 0.34-1.67; syllable/ta/, SMD = 0.72, 95% CI = 0.02-1.43; syllable/ka/, SMD = 0.83, 95% CI = 0.16-1.42).</p><p><strong>Conclusion: </strong>Our findings suggested that oropharyngeal exercise intervention is beneficial as a rehabilitative measure for patients with dysphagia and as a preventive measure for healthy older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Oropharyngeal Exercise Intervention for Swallowing Function in Older Adults: A Systematic Review and Meta-Analysis.\",\"authors\":\"Tien-Wei Hsu, Ming-Chu Feng, Chi Lin, Chih-Hsing Hung, Chih-Hung Ko\",\"doi\":\"10.1111/ger.70013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Although swallowing function is crucial for older adults, the effects of oropharyngeal exercise interventions on older adults without stroke or cancer remain uncertain.</p><p><strong>Methods: </strong>A systematic search of five major databases was conducted to identify randomised controlled trials involving oropharyngeal exercise interventions conducted on older adults. The primary outcomes investigated were the changes in maximum tongue pressure (MTP) and the results from the repetitive saliva swallowing test (RSST). The secondary outcomes examined were swallowing pressure and oral motor coordination (oral diadochokinesis, DDK). A subgroup analysis was conducted to compare outcomes between dementia and non-dementia populations. Data synthesis was performed by conducting a random-effects meta-analysis.</p><p><strong>Results: </strong>Eleven randomised controlled trials were included (n = 622). The oropharyngeal exercise intervention groups exhibited greater improvements in MTP (k = 11, standard mean difference [SMD] = 0.74, 95% confidence interval [CI] = 0.31-1.17) and RSST results (k = 4, SMD = 0.63, 95% CI = 0.28-0.98) than the control group. Positive outcomes were reported in both dementia and non-dementia subgroups. Oropharyngeal exercise interventions also led to increased efficacy for swallowing pressure (k = 4, SMD = 0.71, 95% CI = 0.20-1.22) and oral DDK (k = 3, syllable/pa/, SMD = 1.00, 95% CI = 0.34-1.67; syllable/ta/, SMD = 0.72, 95% CI = 0.02-1.43; syllable/ka/, SMD = 0.83, 95% CI = 0.16-1.42).</p><p><strong>Conclusion: </strong>Our findings suggested that oropharyngeal exercise intervention is beneficial as a rehabilitative measure for patients with dysphagia and as a preventive measure for healthy older adults.</p>\",\"PeriodicalId\":12583,\"journal\":{\"name\":\"Gerodontology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-08-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gerodontology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/ger.70013\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gerodontology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ger.70013","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Oropharyngeal Exercise Intervention for Swallowing Function in Older Adults: A Systematic Review and Meta-Analysis.
Background: Although swallowing function is crucial for older adults, the effects of oropharyngeal exercise interventions on older adults without stroke or cancer remain uncertain.
Methods: A systematic search of five major databases was conducted to identify randomised controlled trials involving oropharyngeal exercise interventions conducted on older adults. The primary outcomes investigated were the changes in maximum tongue pressure (MTP) and the results from the repetitive saliva swallowing test (RSST). The secondary outcomes examined were swallowing pressure and oral motor coordination (oral diadochokinesis, DDK). A subgroup analysis was conducted to compare outcomes between dementia and non-dementia populations. Data synthesis was performed by conducting a random-effects meta-analysis.
Results: Eleven randomised controlled trials were included (n = 622). The oropharyngeal exercise intervention groups exhibited greater improvements in MTP (k = 11, standard mean difference [SMD] = 0.74, 95% confidence interval [CI] = 0.31-1.17) and RSST results (k = 4, SMD = 0.63, 95% CI = 0.28-0.98) than the control group. Positive outcomes were reported in both dementia and non-dementia subgroups. Oropharyngeal exercise interventions also led to increased efficacy for swallowing pressure (k = 4, SMD = 0.71, 95% CI = 0.20-1.22) and oral DDK (k = 3, syllable/pa/, SMD = 1.00, 95% CI = 0.34-1.67; syllable/ta/, SMD = 0.72, 95% CI = 0.02-1.43; syllable/ka/, SMD = 0.83, 95% CI = 0.16-1.42).
Conclusion: Our findings suggested that oropharyngeal exercise intervention is beneficial as a rehabilitative measure for patients with dysphagia and as a preventive measure for healthy older adults.
期刊介绍:
The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.