4至12岁儿童喂养与吞咽的口面部肌功能治疗：证据显示了什么？一项系统综述。
Orofacial Myofunctional Therapy for Feeding and Swallowing in Children From Four to 12 Years: What Does the Evidence Show? A Systematic Review.
文献信息
| PMID | 42711116 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Danielle Carey |
| 作者单位 | North Carolina Tongue Tie Center, Cary, North Carolina, USA. |
| 期刊 | Journal of oral rehabilitation |
| SCI 分区 | Q1 |
| IF | 3.8 |
| 研究类型 | 综述 Meta · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
背景： 口面部肌功能治疗（OMT）是口腔运动治疗的一种亚型，应用神经肌肉再教育技术来解决因非典型口面部肌肉功能和结构异常而影响呼吸、睡眠、说话、进食和吞咽的口面部肌功能障碍。OMT由持证专业人员在执业范围内提供。虽然某些形式的口腔运动治疗是被动的，可以在任何年龄应用，但OMT是随意的，通常适用于四岁及以上的儿童。
目的： 本系统综述的目的是评估OMT在改善4-12岁儿童喂养和吞咽结局方面的有效性，并评估现有证据的方法学质量。
方法： 本系统综述通过检索四个电子数据库进行，以寻找分析使用OMT治疗儿童喂养和吞咽障碍的研究。纳入的研究包括平均年龄为4-12岁的儿童，报告接受OMT治疗喂养和吞咽困难后的治疗结果。最终纳入17篇论文进行分析。
结果： 所有17篇论文均报告了实施OMT后喂养和/或吞咽结局的积极改善；然而，所选研究的质量参差不齐。
结论： 本综述强调了OMT对喂养和吞咽的积极临床结局，并为其持续的临床应用提供了令人信服的基础。未来采用严格、标准化研究设计的研究对于明确确立治疗效果并将OMT正式定位为儿童喂养和吞咽障碍的循证干预措施至关重要。
英文摘要
BACKGROUND: Orofacial Myofunctional Therapy (OMT), a subtype of oral motor therapy, applies neuromuscular re-education techniques to address orofacial myofunctional disorders impacting breathing, sleeping, speaking, eating and swallowing due to atypical orofacial muscle function and structural anomalies. OMT is delivered by licensed professionals within their scope of practice. While some forms of oral motor therapy are passive and can be applied at any age, OMT is volitional and appropriate generally for children four and above.
OBJECTIVES: The aim of this systematic review is to evaluate the effectiveness of OMT for improving feeding and swallowing outcomes in children aged 4-12 years and to evaluate the methodological quality of the available evidence.
METHOD: This systematic review was conducted by searching four electronic databases for studies which analysed the use of OMT to treat paediatric feeding and swallowing disorders. Studies included children with a mean age of 4-12 years, reporting treatment outcomes after receiving OMT for feeding and swallowing difficulties. Seventeen papers were included for final analysis.
RESULTS: All 17 papers reported positive feeding and/or swallowing outcomes secondary to implementation of OMT; however, the quality of the selected studies was variable.
CONCLUSIONS: The review highlighted positive clinical outcomes of OMT on feeding and swallowing and provided a compelling foundation for its continued clinical application. Future research employing rigorous, standardized study designs will be essential to definitively establish the treatment effectiveness and to formally position OMT as an evidence-based intervention for paediatric feeding and swallowing disorders.