Network meta-analysis of effect of different swallowing training programmes on swallowing function in patients undergoing radiotherapy for head and neck cancer
Objective To evaluate the effects of nine swallowing training protocols on swallowing function in pa-tients undergoing radiotherapy for head and neck tumors using reticulated meta-analysis.Methods Randomized con-trolled trials on the effects of swallowing function training on swallowing function in patients undergoing radiothera-py for head and neck tumors in the CNKI,Wanfang,VIP,sinomed,Pubmed,Embase,EBSCO,Web of Science and Cochrane Library databases from the year of establishment to March 31,2023 were searched by computer,and the included literature in the published systematic evaluations and meta-analyses were traced.The literature was in-dependently screened,data extracted and quality evaluated by 2 researchers,and a net meta-analysis was performed using Stata 16.0 software.Results A total of 1,160 subjects from 19 publications were included in the study,using a combination of 9 swallowing training modalities including labial,lingual,jaw,neck,and mandibular range of motion exercises,articulation training,Masako maneuver,Mendelsohn maneuver,effortful swallow,tongue strengthening exercises,supraglottic swallow/super supraglottic swallow,Shaker exercise,and CT AR exercise into different swallowing training programmes.The results of network meta-analysis showed that the use of different swallowing training protocols improved the patients'swallowing function compared to conventional care,with the best results being achieved with the labial,lingual,jaw,neck,and mandibular range of motion+Shaker exercise and labial,lingual,jaw,neck,and mandibular range of motion+Mendelsohn maneuver+effortful swallow+supraglottic swallow/super supraglottic swallow.Conclusion lingual,jaw,neck,and mandibular range of motion+Shaker exer-cise and labial,lingual,jaw,neck,and mandibular range of motion+Mendelsohn maneuver+effortful swallow+supraglottic swallow/super supraglottic swallow are recommended as the optimal swallowing training regimen for improving dysphagia in patients.
head and neck neoplasmradiotherapydysphagiafunctional trainingevidence-based nursing
万方数据
维普
