Motor imagery and swallowing: a systematic literature review
Imagética motora e deglutição: uma revisão sistemática da literatura
Ada Salvetti Cavalcanti Caldas; Weldma Karlla Coelho; Roberta Gomes Ferreira Ribeiro; Daniele Andrade da Cunha; Hilton Justino da Silva
Abstract
Methods: a systematic review in SCOPUS databases, Science Direct and Medline, with descriptors and free terms “Motor Imagery”; “Swallow”; “Feeding”; “Stomatognathic System”; “mastication”, “Chew”; “Deglutition”; “Deglutition Disorders”; and “Mental Practice”. Original articles using the motor imagery of swallowing were included, while reviews were excluded. For data analysis, at the first and second steps, the reading of titles and abstracts of the studies was carried out. In the third step, all studies that were not excluded were read in full.
Results: Four manuscripts were selected. The use of motor imagery in the rehabilitation of swallowing shows to be a recent proposal (2014-2015). The sample was reduced and comprised mainly healthy individuals. The EMG of the supra-hyoid muscles was used in two manuscripts. The most used neuroimaging technique was the Near-Infrared Spectroscopy, demonstrating the occurrence of hemodynamic changes during motor imagery and motor execution of swallowing.
Conclusion: the motor imagery produces brain response in the motor area of the brain, suggesting that mentalization of actions related to swallowing is effective. However, further studies are needed for the application of this approach in the swallowing rehabilitation.
Keywords
Resumo
Objetivo: identificar na literatura os estudos que abordem o uso da imagética motora da deglutição.
Métodos: uma revisão sistemática nas bases de dados SCOPUS, Science Direct e MedLine, com os descritores e termos livres: “Motor Imagery”; “Swallow”; “Feeding”; “Stomatognathic System”; “Mastication”, “Chew”; “Deglutition”; “Deglutition Disorders”; e “Mental Practice”. Incluídos artigos originais, com o uso da imagética motora da deglutição. Excluídas as revisões. Para análise dos dados, na primeira e segunda etapas foram realizadas a leitura dos títulos e dos resumos dos estudos. Na terceira etapa, todos os estudos que não foram excluídos foram lidos na íntegra.
Resultados: foram selecionados 4 manuscritos. O uso da imagética motora na reabilitação da deglutição suscita ser uma proposta recente (2014 - 2015). A amostra foi reduzida e composta majoritariamente por indivíduos saudáveis. A Eletromiografia dos músculos supra-hioides foi utilizada em dois manuscritos. A técnica de neuroimagem mais utilizada foi o Near-Infrared Spectroscopy, demonstrando a ocorrência de mudanças hemodinâmicas durante a imagética motora e execução motora da deglutição.
Conclusão: identificou-se que a imagética motora produz resposta cerebral na área motora do cérebro, sugerindo que a mentalização das ações relacionadas à deglutição é eficaz. No entanto, são necessários novos estudos para aplicação desta abordagem na reabilitação da deglutição.
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Referencias
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Submitted date:
17/09/2017
Accepted date:
21/03/2018
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