The National Center for Evidence-Based Practice
in Communication Disorders
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Pediatric Dysphagia Evidence Map
Treatment

Maneuvers

 


 

External Scientific Evidence

  

Evidence-Based Practice Guidelines

Royal College of Speech & Language Therapists; Department of Health (UK); National Institute for Clinical Excellence (NICE)
 
Royal College of Speech and Language Therapists Clinical Guidelines: 5.8 Disorders of Feeding, Eating, Drinking & Swallowing (Dysphagia)
Taylor-Goh, S., ed. (2005).
RCSLT Clinical Guidelines. Bicester, Speechmark Publishing Ltd
.
Added: July 2011
 
Description
This guideline provides recommendations for the assessment and management of swallowing disorders in children and adults. This guideline is intended for speech-language pathologists. Populations included, but were not limited to, stroke, traumatic brain injury, autism spectrum disorder, cerebral palsy, Parkinson’s disease and head and neck cancer. Each recommendation is graded A (requires at least one randomized controlled trial), B (requires at least one well-conducted clinical study), or C (requires evidence from expert committee reports). 
 
Recommendations
The effectiveness of compensatory strategies such as postural changes and manoeuvres should be evaluated prior to implementation (Level C Evidence) and optimal body positioning should be identified (Level C Evidence) (p. 69). 
 
  
 
 
 

Evidence-Based Systematic Reviews

Treatment for Swallowing Difficulties (Dysphagia) in Chronic Muscle Disease
Hill, M., Hughes, T., et al. (2004).
Cochrane Database of Systematic Reviews (2)
.
 
This review meets the criteria for a high-quality evidence-based systematic review.
Added: July 2011
 
Description
This is a systematic review of randomized trials addressing dysphagia management in people with chronic muscle disease. 
 
Conclusions
This review examined a number of treatment options including dietary modification, swallowing maneuvers, surgical intervention, and enteral feeding. The authors concluded that "no trials have adequately evaluated treatments in the management of dysphagia for chronic muscle disease. It is therefore not possible to decide the most appropriate treatment for a given individual based on current evidence" (p. 1). 
 
 
 
 
 

Clinical Expertise/Expert Opinion

 
Consensus Guidelines  
No consensus guidelines were found. 
 
 
 

Client/Patient/Caregiver Perspectives

 
No information was found pertaining to client/patient/caregiver perspectives.
 
 
 




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