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European Journal of Physical and Rehabilitation Medicine 2021 Oct 04

DOI: 10.23736/S1973-9087.21.06921-5

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

The neurogenic dysphagia management via telemedicine: a systematic review

Cristina REVERBERI 1, Giorgia GOTTARDO 2, Irene BATTEL 3 , Elena CASTAGNETTI 4

1 Department of Health Professions, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy; 2 Freelance speech-language therapist, Modena, Italy; 3 Department of Physical and Medical Rehabilitation, Ospedale Civile San Giovanni e Paolo di Venezia, Azienda ULSS3 Serenissima, Venice, Italy; 4 IRCCS San Camillo Hospital, Venice, Italy



INTRODUCTION: Telerehabilitation is the provision of rehabilitation remotely through Information and Communication Technologies (ICT). Recently, there has been an increase of interest in its application thanks to increasing a new technology. The aim of this systematic review was to examine the evidence of the literature regarding the management of neurogenic dysphagia via telerehabilitation, compared to face-to-face rehabilitation treatment. The secondary aim was to create recommendations on telerehabilitation sessions for patients diagnosed with neurogenic dysphagia.
EVIDENCE ACQUISITION: The databases were: Medline, Embase, Cinahl, Scopus. A total of 235 records emerged from bibliographic research, manual search of full text and from gray literature, published until January 2021. Two blinded authors carried out titles and abstract screening and followed by full-text analysis. 16 articles were included in the systematic review and assessed through critical appraisal tools.
EVIDENCE SYNTHESIS: The research shows that the majority of the studies on neurogenic dysphagia involved the Clinical Swallow Examination via telerehabilitation, compared with the inperson modality. Significant levels of agreement and high satisfaction from clinicians and patients are reported to support the use of telerehabilitation. Based on the results of this systematic review and qualitative analysis, the authors developed practical recommendations for the management of telerehabilitation sessions for patients with neurogenic dysphagia.
CONCLUSIONS: Despite the presence of barriers, telerehabilitation allowed healthcare provision and increasing access to care and services with specialized professionals, remote rehabilitation can be a valid resource during the health emergency due to COVID-19.


KEY WORDS: Dysphagia; Swallowing disorders; Telepractice; Telerehabilitation; Telehealth; Telemedicine

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