Document Type : Literature Reviews
Authors
Department of Speech Pathology, Paramedical Sciences Faculty, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract
Background: Multiple sclerosis (MS) is a disease of the central nervous system (CNS) which leads to various clinical signs and symptoms such as dysphagia. Given the prevalence and consequences of the disease, it is vital for patients with MS (PWMS) to be under medical supervision and receive specific care and services immediately. The present study aimed to comprehensively and inherently describe various SRSs and clarify the probable effects of each on the swallowing mechanism in PWMS suffering from dysphagia and to eventually answer the question: Which SRS(s) are effective on dysphagia in PWMS?
Study design: This study is a literature review.
Method: A search of the Web of Science, PubMed, and Science Direct databases was carried out for relevant studies published from 1990 to 2020 and written in English. The search resulted in 772 articles. Ultimately, 103 articles in total were selected for inclusion in the present study.
Results: The clinical results show that using different SRSs in dysphagia management can help reducing dysphagia and the risk for aspiration. These approaches are classified in four categories: compensatory methods, stimulation techniques, exercises, and maneuvers.
Conclusion: The current review reports the positive impact of SRSs such as electrical and sensory stimulation methods, maneuvers, and compensatory methods on dysphagia in PWMS. They can reduce the risk of aspiration for PWMS and, consequently, provide a better quality of life.
Keywords
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knowledge and future outlook. Eur Neurol. 2014;72(3-4):132-41.
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Prevalence and Incidence of Multiple Sclerosis in Tehran, Iran.
Iran J Public Health. 2017;46(5):699-704.
6. Kesselring J, Beer S. Symptomatic therapy and neurorehabilitation
in multiple sclerosis. Lancet Neurol. 2005;4(10):643-52.
7. Bergamaschi R, Crivelli P, Rezzani C, Patti F, Solaro C, Rossi P,
et al. The DYMUS questionnaire for the assessment of dysphagia
in multiple sclerosis. J Neurol Sci. 2008;269(1-2):49-53.
8. Freeman JA, Langdon DW, Hobart JC, Thompson AJ. The impact
of inpatient rehabilitation on progressive multiple sclerosis. Ann
Neurol. 1997;42(2):236-44.
9. Helland CB, Holmoy T, Gulbrandsen P. Barriers and Facilitators
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Study. Int J MS Care. 2015;17(3):122-9.
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11. Tacchino A, Brichetto G, Zaratin P, Battaglia MA, Ponzio M.
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rehabilitation settings. Ital J Neurol Sci. 2017;38(12):2131-8.
12. Thompson AJ. Symptomatic management and rehabilitation in
multiple sclerosis. J Neurol Neurosurg Psychiatry. 2001;71(Suppl
2):ii22-7.
13. Vanbellingen T, Kamm CP. Neurorehabilitation Topics in
Patients with Multiple Sclerosis: From Outcome Measurements
to Rehabilitation Interventions. Semin Neurol. 2016;36(2):196-202.
14. Abraham S, Scheinberg LC, Smith CR, LaRocca NG. Neurologic
impairment and disability status in outpatients with multiple
sclerosis reporting dysphagia symptomatology. J Neurol Rehabil.
1997;11(1):7-13.
15. Printza A, Triaridis S, Kalaitzi M, Nikolaidis I, Bakirtzis C,
Constantinidis J, et al. Dysphagia Prevalence, Attitudes, and
Related Quality of Life in Patients with Multiple Sclerosis.
Dysphagia. 2020;35(4):677-84.
16. Alali D, Ballard K, Bogaardt H. Treatment Effects for Dysphagia in
Adults with Multiple Sclerosis: A Systematic Review. Dysphagia.
2016;31(5):610-8.
17. Beckmann Y, Cakir A, Gurgor N, Secil Y, Arici S, Incesu TK, et al.
Dysphagia limit in multiple sclerosis. J Neurol Sci. 2015;357:E299.
18. Calcagno P, Ruoppolo G, Grasso MG, De Vincentiis M, Paolucci
S. Dysphagia in multiple sclerosis - prevalence and prognostic
factors. Acta Neurol Scand. 2002;105(1):40-3.
19. Giusti A, Giambuzzi M. Management of dysphagia in patients
affected by multiple sclerosis: state of the art. Ital J Neurol Sci.
2008;29(Suppl 4):S364-6.
20. Poorjavad M, Derakhshandeh F, Etemadifar M, Soleymani B,
Minagar A, Maghzi AH. Oropharyngeal dysphagia in multiple
sclerosis. Mult Scler. 2010;16(3):362-5.
21. Solaro C, Rezzani C, Bergamaschi R, Dymus G. Prevalence of
Dysphagia in Multiple Sclerosis: An Italian Multicenter Study.
Neurology. 2009;72(11):A375-A.
22. Solaro C, Rezzani C, Trabucco E, Amato MP, Zipoli V, Portaccio
E, et al. Prevalence of patient-reported dysphagia in multiple
sclerosis patients: An Italian multicenter study (using the DYMUS
questionnaire). J Neurol Sci. 2013;331(1-2):94-7.
23. Tassorelli C, Bergamaschi R, Buscone S, Bartolo M, Furnari A,
Crivelli P, et al. Dysphagia in multiple sclerosis: from pathogenesis
to diagnosis. Neurol Sci. 2008;29(4):S360-S3.
24. Thomas FJ, Wiles CM. Dysphagia and nutritional status in
multiple sclerosis. J Neurol. 1999;246(8):677-82.
25. Guan XL, Wang H, Huang HS, Meng L. Prevalence of dysphagia
in multiple sclerosis: a systematic review and meta-analysis.
Neurol Sci. 2015;36(5):671-81.
26. Tarameshlu M, Azimi AR, Ghelichi L, Ansari NN. Prevalence
and predictors of dysphagia in Iranian patients with multiple
sclerosis. Med J Islam Repub Iran. 2017;31(1):133.
27. Furlong PL, Hobson A, Aziz Q, Barnes G, Singh KD, Hillebrand
A, et al. Dissociating the spatio-temporal characteristics of cortical
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