Canadian Journal of Speech-Language Pathology and Audiology

Electrical stimulation of the pharyngeal swallow: Does the evidence support application in clinical practice? / La relation entre la communication et la qualité de vie chez des locuteurs alaryngés

 
Author(s) Catriona M. Steele
Volume 28
Number 2
Year 2004
Page(s) 77-85
Language English
Category
Keywords Swallowing
Dysphagia
Therapy
Electrical
Stimulation
Evidence-Based
Abstract Abstract
In recent years there has been a proliferation of interest in the use of electrical stimulation for the treatment of swallowing disorders. This review explores both the rationale and existing evidence for different therapeutic swallow stimulation techniques, including electrical stimulation methods.
For each technique, the method and presumed mechanism of therapeutic benefit will be described. Criteria from the University of Alberta Evidence Based Medicine Toolkit (U of A EBMT) will be considered in evaluating the current evidence for use of these techniques. A critical analysis of this literature will be presented to support the argument that implementation of electrical stimulation in clinical swallowing rehabilitation settings remains premature.

Abrégé
Au cours des dernières années, la stimulation électrique a suscité un intérêt grandissant comme moyen de traiter les troubles de la déglutition. Le présent article passe en revue les fondements et les preuves des différentes techniques de stimulation de la déglutition, y compris la stimulation électrique. Nous décrirons la méthode et les supposés mécanismes d’avantage thérapeutique pour chaque technique. Nous nous pencherons sur les critères de l’Evidence Based Medicine Toolkit (la boîte à outils de la médecine fondée des preuves) de l’Université de l’Alberta pour évaluer les preuves actuelles favorisant le recours à ces techniques. Nous présenterons une analyse critique de la documentation pour étayer l’argument selon lequel l’utilisation de la stimulation électrique en milieu clinique comme traitement des troubles de la déglutition est encore trop prématurée.
Record ID 851
Link http://cjslpa.ca/files/2004_JSLPA_Vol_28/No_02_73-106/Steele_JSLPA_2004.pdf
 
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