Article

The aim of this unregistered evidence-based systematic review was to
determine the state and quality of evidence on the effects of oral motor
exercises (OME) on swallowing physiology, pulmonary health, functional swallowing
outcomes, and drooling management in children with swallowing disorders.
METHOD: A systematic search of 20 electronic databases was completed to identify relevant
peer-reviewed literature published in English between 1960 and 2007. Experimental
or quasi-experimental design studies examining OME as a treatment for children
with swallowing disorders were appraised for methodological quality by two
assessors and reviewed by a third. RESULTS: Sixteen studies of varying
methodological quality were included. No study examining the effects of OME on
pulmonary health in children was identified. The included studies incorporated a
wide variety of OME, and mixed findings were noted across all of the outcomes
targeted in this review. INTERPRETATION: Based on the results of this
evidence-based systematic review, there is insufficient evidence to determine the
effects of OME on children with oral sensorimotor deficits and swallowing
problems. Well-designed studies are needed to provide clinicians with evidence
that can be incorporated into the preferences of the client and the clinicians'
knowledge of anatomy, physiology, and neurodevelopment in the management of this
group of children.
CI - (c) The Authors. Journal compilation (c) Mac Keith Press 2010.

Langue : ANGLAIS