Molly
Lacy
Muscle-based swallowing intervention: A systematic review of protocol fidelity to muscle training theory and practice
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Authors:
Molly Lacy
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About Paper:
Treatment for swallowing impairment often includes exercises that are designed to improve muscle function for swallowing safety. The extent to which exercise prescription adheres to well-established muscle training principles is not currently well understood. The goals of this systematic review were to identify commonly used muscle training dysphagia interventions and analyze the adherence of the interventions to the muscle training principles of specificity, dose, length of treatment, and fatigue management. A systematic review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Systematic Reviews Checklist. The search was limited to studies using muscle-based dysphagia interventions in English and with human participants. Databases included were Ovid MEDLINE, APA PsycInfo, and Web of Science. Database search yielded a total of 1,002 titles and abstracts, with 282 being duplicates. Authors screened 720 titles and abstracts, and 101 studies were retrieved for full text review. Eleven additional sources from citation review were included in full text review. Data was extracted from seventy sources. Most studies did not include adequate consideration of muscle training principles for specificity, intensity, frequency, length of treatment, and fatigue management. Despite the widespread use of muscle exercise-based swallowing interventions, this systematic review identified poor adherence to exercise training principles. Further research addressing the efficacy of muscle exercises to improve swallowing function should adhere to muscle training theory and practice as a means to refine service delivery and better understand clinical pathways and outcomes.
Source:
Auburn University / College of Liberal Arts / 2025
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Co-authors:
Molly Lacy