Abstract：
The improvement of swallowing function after stroke is a significant challenge faced by patients and health care professionals. However, the current evidence synthesis of the effects of respiratory muscle training (RMT) on swallowing function is limited.
To assess the effectiveness of RMT on swallowing recovery in patients undergoing stroke.
The CKNI, WanFang Data, PubMed, CINAHL, Web of Science, Embase, MEDLINE, and Cochrane Library databases were searched for studies evaluating RMT interventions\' effect on swallowing outcomes. Risks of bias were evaluated using the approach recommended by the Cochrane Collaboration tool and a summary of findings table was generated using the GRADE approach. Outcomes were synthesized using a random-effects meta-analysis model.
RMT interventions reduced the risk of aspiration (SMD = 1.19; 95% CI, 0.53-1.84), the recovery process of water swallowing function (RR = 1.22; 95% CI, 1.05-1.42), and the activity of the swallowing muscles (SMD = 2.91; 95% CI, 2.22-3.61). However, there was no significant effect of RMT on the functional level of oral intake (SMD = 0.70; 95% CI, -0.03 to 1.42).
RMT can be regarded as an innovative, auxiliary means in the near future to better manage and improve swallowing function, given its improving effect on work outcomes in this review.
To assess the effectiveness of RMT on swallowing recovery in patients undergoing stroke.
The CKNI, WanFang Data, PubMed, CINAHL, Web of Science, Embase, MEDLINE, and Cochrane Library databases were searched for studies evaluating RMT interventions\' effect on swallowing outcomes. Risks of bias were evaluated using the approach recommended by the Cochrane Collaboration tool and a summary of findings table was generated using the GRADE approach. Outcomes were synthesized using a random-effects meta-analysis model.
RMT interventions reduced the risk of aspiration (SMD = 1.19; 95% CI, 0.53-1.84), the recovery process of water swallowing function (RR = 1.22; 95% CI, 1.05-1.42), and the activity of the swallowing muscles (SMD = 2.91; 95% CI, 2.22-3.61). However, there was no significant effect of RMT on the functional level of oral intake (SMD = 0.70; 95% CI, -0.03 to 1.42).
RMT can be regarded as an innovative, auxiliary means in the near future to better manage and improve swallowing function, given its improving effect on work outcomes in this review.
摘要：
■中风后吞咽功能的改善是患者和医疗保健专业人员面临的重大挑战。然而,目前关于呼吸肌训练(RMT)对吞咽功能影响的综合证据是有限的.
■评估RMT对中风患者吞咽恢复的有效性。
■CKNI，万方数据,PubMed,CINAHL,WebofScience,Embase,MEDLINE,我们在Cochrane图书馆数据库中搜索了评价RMT干预对吞咽结局影响的研究。使用Cochrane协作工具推荐的方法评估偏倚风险，并使用GRADE方法生成结果总结表。使用随机效应荟萃分析模型综合结果。
■RMT干预降低了误吸的风险（SMD=1.19；95％CI，0.53-1.84），吞咽功能的恢复过程(RR=1.22；95%CI，1.05-1.42)，和吞咽肌肉的活动（SMD=2.91；95％CI，2.22-3.61）。然而,RMT对口服摄入的功能水平没有显着影响（SMD=0.70；95％CI，-0.03至1.42）。
■RMT可以被视为一种创新，辅助手段在不久的将来更好地管理和改善吞咽功能，鉴于其对工作成果的改善作用，在本次审查中。
■评估RMT对中风患者吞咽恢复的有效性。
■CKNI，万方数据,PubMed,CINAHL,WebofScience,Embase,MEDLINE,我们在Cochrane图书馆数据库中搜索了评价RMT干预对吞咽结局影响的研究。使用Cochrane协作工具推荐的方法评估偏倚风险，并使用GRADE方法生成结果总结表。使用随机效应荟萃分析模型综合结果。
■RMT干预降低了误吸的风险（SMD=1.19；95％CI，0.53-1.84），吞咽功能的恢复过程(RR=1.22；95%CI，1.05-1.42)，和吞咽肌肉的活动（SMD=2.91；95％CI，2.22-3.61）。然而,RMT对口服摄入的功能水平没有显着影响（SMD=0.70；95％CI，-0.03至1.42）。
■RMT可以被视为一种创新，辅助手段在不久的将来更好地管理和改善吞咽功能，鉴于其对工作成果的改善作用，在本次审查中。
