Effect of a Video-Guided Swallowing Exercise Program on Adherence in Stroke Patients with Dysphagia: A Randomized Controlled Trial.
Jumpon Puangdech, Poungkaew Thitisakulchai, Vilai Kuptniratsaikul and 1 others
PMID 41326764WHAT IT FOUND
Stroke patients given a video-guided swallowing exercise program showed significantly better adherence than those using a printed handbook, but swallowing function improved similarly in both groups.
The video helped people stick with the exercises without producing greater functional gains.
Key findings
01Video-guided home exercise programs achieved significantly higher adherence rates than printed handbooks in stroke patients with dysphagia.
02No significant difference in swallowing function improvement was observed between the video and handbook groups at one month.
03Both groups reported high satisfaction with their assigned instructional media, with no difference between formats.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study was underpowered to detect differences in swallowing function, with only 43 participants analysed. Adherence was measured via self-reported logbooks, which are subject to recall bias. The exercise protocol lacked progression and individualization, which may have limited functional gains. The short one-month follow-up period did not allow assessment of long-term effects. Participants were required to have access to a mobile device and the cognitive capacity to use it, limiting generalizability to those with severe deficits or no technology access.
Declared interests
The authors declared no conflicts of interest. The study was funded by the Faculty of Medicine Siriraj Hospital, Mahidol University.
The easy way to misread this
Do not assume that improved adherence to swallowing exercises via video will lead to better swallowing function. The study found a significant increase in adherence but no significant difference in functional outcomes compared to handbooks.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →