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01-12-2017 | Review Article

Trends in Research Literature Describing Dysphagia in Motor Neuron Diseases (MND): A Scoping Review

Authors: Ashley A. Waito, Teresa J. Valenzano, Melanie Peladeau-Pigeon, Catriona M. Steele

Published in: Dysphagia | Issue 6/2017

Abstract

Dysphagia in motor neuron diseases (MNDs) is highly complex, affecting all stages of swallowing and leading to impaired swallowing safety and efficiency. In order to explore the degree to which research is capturing the symptom of dysphagia in MND, we conducted a scoping review of the existing literature. The primary aims of this review were to identify common themes within the literature on dysphagia in MND, explore patterns and trends in research focus, and identify if any imbalances exist between the research themes related to dysphagia description and management. A comprehensive search strategy yielded 1690 unique articles for review. Following relevance screening, a total of 157 articles were included in the synthesis. Relevant data and keywords were extracted from each article and grouped into themes. Frequency estimates were calculated for each theme to identify trends across research literature. Swallowing impairment in MNDs is described in a variety of ways across current research. The most commonly reported theme was Aspiration/Penetration, mentioned in 73.2% of all included articles; a significant imbalance was identified between reports of swallowing safety and efficiency (p = 0.008). The most frequently reported theme related to dysphagia management was Enteral Nutrition, and very few studies have reported on the efficacy of Rehabilitation/Compensatory recommendations. It is suggested that researchers and clinicians remain mindful of imbalances and gaps in research, and aim to characterize dysphagia in MNDs in a comprehensive manner. Further research investigating discrete, measureable changes in swallowing pathophysiology would be beneficial to delineate the key factors contributing to impaired swallowing safety and efficiency.

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Title: Trends in Research Literature Describing Dysphagia in Motor Neuron Diseases (MND): A Scoping Review
Authors: Ashley A. Waito
Teresa J. Valenzano
Melanie Peladeau-Pigeon
Catriona M. Steele
Publication date: 01-12-2017
Publisher: Springer US
Published in: Dysphagia / Issue 6/2017
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-017-9819-x

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Trends in Research Literature Describing Dysphagia in Motor Neuron Diseases (MND): A Scoping Review

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

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European Society for Swallowing Disorders FEES Accreditation Program for Neurogenic and Geriatric Oropharyngeal Dysphagia

Dysphagia Research Society Annual Meeting March 2–4, 2017

Development of Pyriform Sinus Suctioning Programs for Aspiration Pneumonia Prevention During the Acute Stroke