Behavioral Rehabilitation of Swallowing Disorders in Patients with Neurocognitive Disorders
摘要
This manuscript reviews recent research on behavioral rehabilitation to address oropharyngeal dysphagia for persons living with neurocognitive disorders (NCDs).
Recent FindingsThe efficacy of individual swallowing exercises (e.g., effortful swallow) and non-swallowing exercises (e.g., expiratory muscle strength training) in this population is still unknown. Research has recently been conducted on lingual strengthening and regimens comprising multiple exercises. Spaced retrieval training has also been researched to promote sequencing of mealtime behaviors and compensatory strategy use.
SummaryDysphagia occurs frequently in persons living with NCDs, however, research on behavioral rehabilitation is limited. While the number of studies in this area has increased, findings should be interpreted with caution due to lack of instrumental swallowing evaluations to objectively characterize post-treatment change, wide range of swallowing-related outcomes reported, and lack of longitudinal studies. Further research is needed to guide best practice and support clinical decision-making.