{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T16:07:53Z","timestamp":1784218073505,"version":"3.55.0"},"reference-count":46,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Annals of Otorhinolaryngology, Head and Neck Diseases"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.anorl.2026.03.005","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T11:19:00Z","timestamp":1776683940000},"page":"297-305","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of swallowing muscle training for the treatment of patients with post-stroke dysphagia: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"143","author":[{"given":"B.","family":"Pastor-Benavente","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Hern\u00e1ndez-Lucas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Gonz\u00e1lez-Castro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Leir\u00f3s-Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.anorl.2026.03.005_bib0235","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1152\/physrev.2001.81.2.929","article-title":"Brain stem control of swallowing: neuronal network and cellular mechanisms","volume":"81","author":"Jean","year":"2001","journal-title":"Physiol Rev"},{"issue":"12","key":"10.1016\/j.anorl.2026.03.005_bib0240","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s11910-020-01081-z","article-title":"Post-stroke dysphagia: recent insights and unanswered questions","volume":"20","author":"Jones","year":"2020","journal-title":"Curr Neurol Neurosci Rep"},{"issue":"6","key":"10.1016\/j.anorl.2026.03.005_bib0245","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.gerinurse.2007.12.001","article-title":"Assessment and early diagnosis of dysphagia","volume":"29","author":"Wieseke","year":"2008","journal-title":"Geriatr Nurs"},{"issue":"12","key":"10.1016\/j.anorl.2026.03.005_bib0250","first-page":"444","article-title":"Oropharyngeal dysphagia in stroke: diagnostic and therapeutic aspects","volume":"70","author":"Terr\u00e9","year":"2020","journal-title":"Rev Neurol"},{"key":"10.1016\/j.anorl.2026.03.005_bib0255","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.clnesp.2019.05.019","article-title":"Lesion location and other predictive factors of dysphagia and its complications in acute stroke","volume":"33","author":"Fern\u00e1ndez-Pombo","year":"2019","journal-title":"Clin Nutr ESPEN"},{"issue":"9","key":"10.1016\/j.anorl.2026.03.005_bib0260","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1111\/j.1365-2036.2006.03118.x","article-title":"The effect of bolus viscosity on swallowing function in neurogenic dysphagia","volume":"24","author":"Clav\u00e9","year":"2006","journal-title":"Aliment Pharmacol Ther"},{"issue":"4","key":"10.1016\/j.anorl.2026.03.005_bib0265","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1111\/nmo.12112","article-title":"Post-stroke dysphagia: progress at last","volume":"25","author":"Rofes","year":"2013","journal-title":"Neurogastroenterol Motil"},{"issue":"6","key":"10.1016\/j.anorl.2026.03.005_bib0270","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1111\/ene.13307","article-title":"The impact of lesion location on dysphagia incidence, pattern and complications in acute stroke. Part 2: oropharyngeal residue, swallow and cough response, and pneumonia","volume":"24","author":"Suntrup-Krueger","year":"2017","journal-title":"Eur J Neurol"},{"issue":"2","key":"10.1016\/j.anorl.2026.03.005_bib0275","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1007\/s00455-014-9584-z","article-title":"Prevalence of oropharyngeal dysphagia in the Netherlands: a telephone survey","volume":"30","author":"Kertscher","year":"2015","journal-title":"Dysphagia"},{"issue":"3","key":"10.1016\/j.anorl.2026.03.005_bib0280","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s00455-006-9074-z","article-title":"Strength-training exercise in dysphagia rehabilitation: principles, procedures, and directions for future research","volume":"22","author":"Burkhead","year":"2007","journal-title":"Dysphagia"},{"issue":"1","key":"10.1016\/j.anorl.2026.03.005_bib0285","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00455-020-10104-3","article-title":"Dose in exercise-based dysphagia therapies: a scoping review","volume":"36","author":"Krekeler","year":"2021","journal-title":"Dysphagia"},{"issue":"4","key":"10.1016\/j.anorl.2026.03.005_bib0290","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1136\/bjsports-2021-103987","volume":"56","author":"Ardern","year":"2022","journal-title":"Br J Sports Med"},{"issue":"10.1002","key":"10.1016\/j.anorl.2026.03.005_bib0295","first-page":"14651858","article-title":"Updated guidance for trusted systematic reviews: a new edition of the Cochrane handbook for systematic reviews of interventions","volume":"10","author":"Cumpston","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"issue":"8","key":"10.1016\/j.anorl.2026.03.005_bib0300","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1093\/ptj\/83.8.713","article-title":"Reliability of the PEDro scale for rating quality of randomized controlled trials","volume":"83","author":"Maher","year":"2003","journal-title":"Phys Ther"},{"key":"10.1016\/j.anorl.2026.03.005_bib0305","series-title":"RoB 2: a revised Cochrane risk-of-bias tool for randomized trials","year":"2023"},{"key":"10.1016\/j.anorl.2026.03.005_bib0310","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"},{"key":"10.1016\/j.anorl.2026.03.005_bib0315","series-title":"Cochrane handbook for systematic reviews of interventions","author":"Higgins","year":"2019"},{"key":"10.1016\/j.anorl.2026.03.005_bib0320","series-title":"Statistical methods for meta-analysis","author":"Hedges","year":"2014"},{"key":"10.1016\/j.anorl.2026.03.005_bib0325","series-title":"An effect size primer: a guide for clinicians and researchers","author":"Ferguson","year":"2016"},{"issue":"21","key":"10.1016\/j.anorl.2026.03.005_bib0330","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1097\/BRS.0000000000001061","article-title":"2015 updated method guideline for systematic reviews in the Cochrane Back and Neck Group","volume":"40","author":"Furlan","year":"2015","journal-title":"Spine"},{"issue":"4","key":"10.1016\/j.anorl.2026.03.005_bib0335","doi-asserted-by":"crossref","first-page":"753","DOI":"10.3233\/NRE-172145","article-title":"Effects of shaker exercise in stroke survivors with oropharyngeal dysphagia","volume":"41","author":"Choi","year":"2017","journal-title":"NeuroRehabilitation"},{"issue":"3","key":"10.1016\/j.anorl.2026.03.005_bib0340","first-page":"426","article-title":"Effects of chin tuck against resistance exercise versus shaker exercise on dysphagia and psychological state after cerebral infarction","volume":"53","author":"Gao","year":"2016","journal-title":"Eur J Phys Rehabil Med"},{"issue":"5","key":"10.1016\/j.anorl.2026.03.005_bib0345","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1111\/joor.12492","article-title":"Effect of head lift exercise on kinematic motion of the hyolaryngeal complex and aspiration in patients with dysphagic stroke","volume":"44","author":"Park","year":"2017","journal-title":"J Oral Rehabil"},{"issue":"1","key":"10.1016\/j.anorl.2026.03.005_bib0350","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/joor.12461","article-title":"Tongue-to-palate resistance training improves tongue strength and oropharyngeal swallowing function in subacute stroke survivors with dysphagia","volume":"44","author":"Kim","year":"2017","journal-title":"J Oral Rehabil"},{"issue":"3","key":"10.1016\/j.anorl.2026.03.005_bib0355","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1007\/s00455-016-9699-5","article-title":"A randomized trial comparing two tongue-pressure resistance training protocols for post-stroke dysphagia","volume":"31","author":"Steele","year":"2016","journal-title":"Dysphagia"},{"issue":"10","key":"10.1016\/j.anorl.2026.03.005_bib0360","doi-asserted-by":"crossref","first-page":"749","DOI":"10.2340\/16501977-2603","article-title":"Effects of game-based chin tuck against resistance exercise vs. head-lift exercise in patients with dysphagia after stroke: an assessor-blind, randomized controlled trial","volume":"51","author":"Park","year":"2019","journal-title":"J Rehabil Med"},{"issue":"11","key":"10.1016\/j.anorl.2026.03.005_bib0365","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1111\/joor.12837","article-title":"Efficacy of modified chin tuck against resistance exercise using hand-free device for dysphagia in stroke survivors: a randomised controlled trial","volume":"46","author":"Kim","year":"2019","journal-title":"J Oral Rehabil"},{"issue":"3","key":"10.1016\/j.anorl.2026.03.005_bib0370","doi-asserted-by":"crossref","first-page":"507","DOI":"10.3233\/BMR-181477","article-title":"Effects of resistive jaw opening exercise in stroke patients with dysphagia: a double-blind, randomized controlled study","volume":"33","author":"Park","year":"2020","journal-title":"J Back Musculoskelet Rehabil"},{"issue":"2","key":"10.1016\/j.anorl.2026.03.005_bib0375","first-page":"71","article-title":"Proposal for a modified jaw opening exercise for dysphagia: a randomized, controlled trial","volume":"42","author":"Koyama","year":"2017","journal-title":"Tokai J Exp Clin Med"},{"issue":"3","key":"10.1016\/j.anorl.2026.03.005_bib0380","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1111\/1460-6984.12453","article-title":"Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia: a double-blind, randomized controlled trial","volume":"54","author":"Park","year":"2019","journal-title":"Int J Lang Commun Disord"},{"issue":"4","key":"10.1016\/j.anorl.2026.03.005_bib0385","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1007\/s00455-013-9461-1","article-title":"Effects of the Mendelsohn maneuver on extent of hyoid movement and UES opening post-stroke","volume":"28","author":"McCullough","year":"2013","journal-title":"Dysphagia"},{"key":"10.1016\/j.anorl.2026.03.005_bib0390","doi-asserted-by":"crossref","first-page":"104521","DOI":"10.1016\/j.archoralbio.2019.104521","article-title":"Tongue stretching exercises improve tongue motility and oromotor function in patients with dysphagia after stroke: a preliminary randomized controlled trial","volume":"108","author":"Na-Kyoung","year":"2019","journal-title":"Arch Oral Biol"},{"issue":"12","key":"10.1016\/j.anorl.2026.03.005_bib0395","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1097\/PHM.0000000000001998","article-title":"Effect of Tongue-pressure resistance training in poststroke dysphagia patients with oral motor dysfunction: a randomized controlled trial","volume":"101","author":"Wang","year":"2022","journal-title":"Am J Phys Med Rehabil"},{"issue":"4","key":"10.1016\/j.anorl.2026.03.005_bib0400","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1589\/jpts.27.1005","article-title":"Effects of neck exercises on swallowing function of patients with stroke","volume":"27","author":"Kim","year":"2015","journal-title":"J Phys Ther Sci"},{"issue":"2","key":"10.1016\/j.anorl.2026.03.005_bib0405","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1002\/hed.23570","article-title":"Effects of 2 different swallowing exercise regimens during organ-preservation therapies for head and neck cancers on swallowing function","volume":"37","author":"Virani","year":"2015","journal-title":"Head Neck"},{"issue":"1","key":"10.1016\/j.anorl.2026.03.005_bib0410","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1113\/jphysiol.2007.139477","article-title":"Muscle fatigue: what, why and how it influences muscle function","volume":"586","author":"Enoka","year":"2008","journal-title":"J Physiol"},{"key":"10.1016\/j.anorl.2026.03.005_bib0415","doi-asserted-by":"crossref","first-page":"241","DOI":"10.3389\/fnsys.2014.00241","article-title":"Upper esophageal sphincter mechanical states analysis: a novel methodology to describe UES relaxation and opening","volume":"8","author":"Omari","year":"2015","journal-title":"Front Syst Neurosci"},{"issue":"2","key":"10.1016\/j.anorl.2026.03.005_bib0420","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/s00455-013-9502-9","article-title":"Chin tuck against resistance (CTAR): new method for enhancing suprahyoid muscle activity using a shaker-type exercise","volume":"29","author":"Yoon","year":"2014","journal-title":"Dysphagia"},{"key":"10.1016\/j.anorl.2026.03.005_bib0425","first-page":"2907293","article-title":"Effectiveness of conventional swallowing therapy in acute stroke patients with dysphagia","volume":"2020","author":"Jongprasitkul","year":"2020","journal-title":"Rehabil Res Pract"},{"issue":"1","key":"10.1016\/j.anorl.2026.03.005_bib0430","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/0016-5085(93)90847-6","article-title":"Deglutitive tongue action: volume accommodation and bolus propulsion","volume":"104","author":"Kahrilas","year":"1993","journal-title":"Gastroenterology"},{"issue":"3","key":"10.1016\/j.anorl.2026.03.005_bib0435","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s00455-015-9601-x","article-title":"Effects of tongue strength training and detraining on tongue pressures in healthy adults","volume":"30","author":"Oh","year":"2015","journal-title":"Dysphagia"},{"issue":"5","key":"10.1016\/j.anorl.2026.03.005_bib0440","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1016\/0016-5085(95)90690-8","article-title":"Deglutitive tongue force modulation by volition, volume, and viscosity in humans","volume":"108","author":"Pouderoux","year":"1995","journal-title":"Gastroenterology"},{"issue":"5","key":"10.1016\/j.anorl.2026.03.005_bib0445","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1007\/s00455-020-10200-4","article-title":"Developmental changes in tongue strength, swallow pressures, and tongue endurance","volume":"36","author":"Potter","year":"2021","journal-title":"Dysphagia"},{"key":"10.1016\/j.anorl.2026.03.005_bib0450","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.3389\/fnins.2019.01355","article-title":"Tongue force training induces plasticity of the lingual motor cortex in young adult and aged rats","volume":"13","author":"Cullins","year":"2019","journal-title":"Front Neurosci"},{"issue":"3","key":"10.1016\/j.anorl.2026.03.005_bib0455","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.nlm.2012.09.004","article-title":"Skill learning induced plasticity of motor cortical representations is time and age-dependent","volume":"98","author":"Tennant","year":"2012","journal-title":"Neurobiol Learn Mem"},{"issue":"3","key":"10.1016\/j.anorl.2026.03.005_bib0460","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s00455-018-9940-5","article-title":"Tongue-strengthening exercises in healthy older adults: does exercise load matter? A randomized controlled trial","volume":"34","author":"Van den Steen","year":"2019","journal-title":"Dysphagia"}],"container-title":["European Annals of Otorhinolaryngology, Head and Neck Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1879729626000736?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1879729626000736?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T15:49:16Z","timestamp":1784216956000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1879729626000736"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":46,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S1879729626000736"],"URL":"https:\/\/doi.org\/10.1016\/j.anorl.2026.03.005","relation":{},"ISSN":["1879-7296"],"issn-type":[{"value":"1879-7296","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Efficacy of swallowing muscle training for the treatment of patients with post-stroke dysphagia: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"European Annals of Otorhinolaryngology, Head and Neck Diseases","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.anorl.2026.03.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Masson SAS.","name":"copyright","label":"Copyright"}]}}