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Dysphagia Rehabilitation Using Digital Technology: A Scoping Review
Na-Kyoung Hwang1, Tae-Hyung Yoon2, Moon-Young Chang3
1Department of Occupational Therapy, Seoul Metropolitan Bukbu Hospital, Seoul, South Korea.
Journal of Evidence-Based Medicine
|February 27, 2025
Summary
Digital health technologies show promise for dysphagia rehabilitation, offering personalized exercises and remote monitoring. Key barriers include digital unfamiliarity and access issues, necessitating further research and improved implementation strategies.
Area of Science:
- Digital Health
- Rehabilitation Science
- Speech-Language Pathology
Background:
- Digital health technology enhances swallowing rehabilitation through personalized exercises, remote monitoring, and real-time feedback.
- These technologies improve therapy accessibility and effectiveness for patients with dysphagia.
Purpose of the Study:
- To conduct a scoping review summarizing digital technology-based dysphagia rehabilitation interventions.
- To identify intervention types, features, application in patients, effectiveness, and barriers/facilitators.
Main Methods:
- Searched Medline Complete, Embase, CINAHL, Scopus, and gray literature (Jan 2000-June 2023).
- Used keywords related to digital health, dysphagia, and rehabilitation.
- Mapped 25 included studies on intervention types, effectiveness, enablers, barriers, and improvements.
Main Results:
- Identified three intervention types: mHealth app-based home rehabilitation, synchronous telepractice/monitoring, and game-based biofeedback/tracking.
- Studies reported positive outcomes in physiological swallowing function, performance, and quality of life.
- Barriers included digital unfamiliarity, access to resources, and technical issues.
Conclusions:
- Digital technology holds significant potential for dysphagia rehabilitation.
- Further research is needed to validate effectiveness and develop diverse interventions.
- Improvements in digital literacy, accessibility, technology, and management are crucial.
