Transcutaneous electrical nerve stimulation in speech therapy rehabilitation of voice and swallowing function in adults—a systematic review

Abstract Introduction In recent years, a number of clinical trials have been published comparing transcutaneous electrical nerve stimulation (TENS) and traditional speech therapy treatment of voice and swallowing functions, but results have been conflicting. Objective Assess the methodological quali...

Full description

Bibliographic Details
Main Authors: Milena Assis daSilva, Laura Davison Mangilli
Format: Article
Language:English
Published: Wiley 2021-12-01
Series:Clinical and Experimental Dental Research
Subjects:
Online Access:https://doi.org/10.1002/cre2.470
_version_ 1818421410443296768
author Milena Assis daSilva
Laura Davison Mangilli
author_facet Milena Assis daSilva
Laura Davison Mangilli
author_sort Milena Assis daSilva
collection DOAJ
description Abstract Introduction In recent years, a number of clinical trials have been published comparing transcutaneous electrical nerve stimulation (TENS) and traditional speech therapy treatment of voice and swallowing functions, but results have been conflicting. Objective Assess the methodological quality of studies and determine whether TENS is an efficient therapeutic strategy for speech therapy treatment of healthy adults or those with dysphonia and/or dysphagia. Methods The databases used were Medical Literature Analysis and Retrieval System Online (MedLine), Biblioteca Virtual em Saúde (BVS), Cochrane Library and Web of Science (ISI Web of Knowledge). The study was conducted between May 2018 and January 2019, in line with Cochrane Handbook guidelines, and included studies on the use of TENS in healthy adults or those with compromised voice and/or swallowing function. Results After the search and extraction of studies, the following were identified: TENS + VOICE: 7 articles; TENS + SWALLOWING: 5 articles. The studies exhibited medium quality and are heterogeneous, making it difficult to determine their effectiveness and the parameters to be used in future research. There were no statistically significant differences between the use of TENS alone or associated with another therapeutic technique for voice. For swallowing function, one study proved better results in cases of associated techniques – TENS + traditional therapy. Discussion Speech therapy should increase the number of studies published and improve their methodological quality, reassessing methodological criteria. Current clinical practice is not grounded in evidence‐based science. Clinical Message the studies analyzed exhibited medium methodological quality; there are variations in the time, number and periodicity of the therapeutic sessions for TENS; there were no statistically significant differences between the use of TENS alone or associated with another therapeutic technique in voice; there were statistically significant differences between the use of TENS associated with traditional therapeutic in swallowing function.
first_indexed 2024-12-14T13:09:55Z
format Article
id doaj.art-ac183b5f68e2457c8f7077167c9ae5b1
institution Directory Open Access Journal
issn 2057-4347
language English
last_indexed 2024-12-14T13:09:55Z
publishDate 2021-12-01
publisher Wiley
record_format Article
series Clinical and Experimental Dental Research
spelling doaj.art-ac183b5f68e2457c8f7077167c9ae5b12022-12-21T23:00:13ZengWileyClinical and Experimental Dental Research2057-43472021-12-01761131114310.1002/cre2.470Transcutaneous electrical nerve stimulation in speech therapy rehabilitation of voice and swallowing function in adults—a systematic reviewMilena Assis daSilva0Laura Davison Mangilli1Rehabilitation Sciences Program Faculdade de Ceilândia, University of Brasília Brasília BrazilRehabilitation Sciences Program Faculdade de Ceilândia, University of Brasília Brasília BrazilAbstract Introduction In recent years, a number of clinical trials have been published comparing transcutaneous electrical nerve stimulation (TENS) and traditional speech therapy treatment of voice and swallowing functions, but results have been conflicting. Objective Assess the methodological quality of studies and determine whether TENS is an efficient therapeutic strategy for speech therapy treatment of healthy adults or those with dysphonia and/or dysphagia. Methods The databases used were Medical Literature Analysis and Retrieval System Online (MedLine), Biblioteca Virtual em Saúde (BVS), Cochrane Library and Web of Science (ISI Web of Knowledge). The study was conducted between May 2018 and January 2019, in line with Cochrane Handbook guidelines, and included studies on the use of TENS in healthy adults or those with compromised voice and/or swallowing function. Results After the search and extraction of studies, the following were identified: TENS + VOICE: 7 articles; TENS + SWALLOWING: 5 articles. The studies exhibited medium quality and are heterogeneous, making it difficult to determine their effectiveness and the parameters to be used in future research. There were no statistically significant differences between the use of TENS alone or associated with another therapeutic technique for voice. For swallowing function, one study proved better results in cases of associated techniques – TENS + traditional therapy. Discussion Speech therapy should increase the number of studies published and improve their methodological quality, reassessing methodological criteria. Current clinical practice is not grounded in evidence‐based science. Clinical Message the studies analyzed exhibited medium methodological quality; there are variations in the time, number and periodicity of the therapeutic sessions for TENS; there were no statistically significant differences between the use of TENS alone or associated with another therapeutic technique in voice; there were statistically significant differences between the use of TENS associated with traditional therapeutic in swallowing function.https://doi.org/10.1002/cre2.470speech therapyswallowing functionTENSvoice
spellingShingle Milena Assis daSilva
Laura Davison Mangilli
Transcutaneous electrical nerve stimulation in speech therapy rehabilitation of voice and swallowing function in adults—a systematic review
Clinical and Experimental Dental Research
speech therapy
swallowing function
TENS
voice
title Transcutaneous electrical nerve stimulation in speech therapy rehabilitation of voice and swallowing function in adults—a systematic review
title_full Transcutaneous electrical nerve stimulation in speech therapy rehabilitation of voice and swallowing function in adults—a systematic review
title_fullStr Transcutaneous electrical nerve stimulation in speech therapy rehabilitation of voice and swallowing function in adults—a systematic review
title_full_unstemmed Transcutaneous electrical nerve stimulation in speech therapy rehabilitation of voice and swallowing function in adults—a systematic review
title_short Transcutaneous electrical nerve stimulation in speech therapy rehabilitation of voice and swallowing function in adults—a systematic review
title_sort transcutaneous electrical nerve stimulation in speech therapy rehabilitation of voice and swallowing function in adults a systematic review
topic speech therapy
swallowing function
TENS
voice
url https://doi.org/10.1002/cre2.470
work_keys_str_mv AT milenaassisdasilva transcutaneouselectricalnervestimulationinspeechtherapyrehabilitationofvoiceandswallowingfunctioninadultsasystematicreview
AT lauradavisonmangilli transcutaneouselectricalnervestimulationinspeechtherapyrehabilitationofvoiceandswallowingfunctioninadultsasystematicreview