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Related Experiment Video

Updated: Jun 5, 2025

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Effect of Oral Screen Training After Stroke-A Randomised Controlled Trial.

Jesper Dalum1,2, Pia Skott1,2,3, Elisabet Åkesson4,5

  • 1Academic Center for Geriatric Dentistry, Stockholm, Sweden.

Gerodontology
|December 5, 2024
PubMed
Summary

Oral screen training after stroke rehabilitation improved lip force but did not enhance swallowing capacity in this randomized trial. Further research is needed to explore transfer effects on dysphagia management.

Keywords:
RCTdysphagiamultidisciplinary approachoral screenorofacial trainingrehabilitationstroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Speech-Language Pathology

Background:

  • Oral screen training is recognized for enhancing orofacial and oropharyngeal motor functions.
  • Evidence for its transfer effect on swallowing capacity post-stroke rehabilitation remains unclear.
  • This study investigated the impact of a 12-week oral screen program on swallowing post-stroke.

Purpose of the Study:

  • To evaluate the efficacy of oral screen training in improving swallowing capacity in stroke survivors.
  • To assess the effects of oral screen training on orofacial motor functions, specifically lip force.
  • To determine if oral screen training leads to a transfer effect on swallowing post-stroke rehabilitation.

Main Methods:

  • A randomized controlled trial involving 24 stroke survivors with residual dysphagia.
  • Intervention group (n=12) received 12 weeks of oral screen training.
  • Primary outcome: swallowing capacity; Secondary outcomes: lip force, masticatory performance, and quality of life measures.

Main Results:

  • The oral screen training group demonstrated a significant increase in lip force compared to the control group (10.2 N vs. 3.1 N, p=0.02).
  • No significant improvements were observed in swallowing capacity (0.7 mL/min vs. 0.8 mL/min, p=0.43) or other secondary outcomes.
  • Lip force served as a sensitive indicator of training effects.

Conclusions:

  • Oral screen training post-stroke rehabilitation can effectively improve lip force.
  • The study found no evidence of a transfer effect on swallowing capacity.
  • Further investigation is warranted to optimize oral screen training protocols for dysphagia management.