None listed
Conditions
Brief summary
The aim of this study is to investigate the effect of a home-based lingual strength training program using the Iowa Oral Performance Instrument (IOPI) on the lingual strength of patients who experience chronic swallowing problems. Previous studies have found that lingual strength improves following training and therefore it is hypothesized that lingual strength will increase following an at-home IOPI training program. Additionally, the effects of this lingual training on self-reported swallowing, speech, saliva control and quality of life will be assessed, as well as reductions in the burden of cost for the healthcare system.
Interventions
Intervention: IOPI (Iowa Oral Performance Instrument), a biofeedback device that measures tongue pressure produced in kiloPascals (kPa) using an air-filled bulb.
The training protocol consists of a 6-week regime with the participant doing exercises in their home setting. Each participant will be trained individually by the investigators and different exercises will be instructed. After instruction, the participant will be allowed to take the IOPI home for the length of the study to do the exerc
Intervention: IOPI (Iowa Oral Performance Instrument), a biofeedback device that measures tongue pressure produced in kiloPascals (kPa) using an air-filled bulb. The training protocol consists of a 6-week regime with the participant doing exercises in their home setting. Each participant will be trained individually by the investigators and different exercises will be instructed. After instruction, the participant will be allowed to take the IOPI home for the length of the study to do the exercises at home. Participants will also be required to complete exercises independently on two other days each week, which will take 10-15 minutes and will be asked to record these practice sessions in a provided diary. One of the researchers will contact each participant weekly via Skype to evaluate how the exercises are going and if needed, to adjust some of the exercises. Each of these sessions will span 30 minutes to 1 hour and will take place at a time that is suitable for the participant. Only for the first and last session (which will take about 60 minutes), the participant needs to attend the University of Sydney campus. Dr Bogaardt is a qualified speech pathologist who is a specialist in the use of biofeedback intervention for patients with dysphagia. All investigators will be required to review the Instructions for Use (IFU) of the IOPI device, and it will be used according to its intended use. Dr Bogaardt will supervise the first 5 sessions using the device to ensure the device is being used correctly according to the IFU.
Sponsors
The University of Sydney / Fac. Health Sciences
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
•Patients with self-reported swallowing problems; •Aged 18 years or older; •Mini Mental State Examination (MMSE) score higher than 21; •Willing to participate and is willing to provide informed consent to participate in the study and has a weekly schedule that will allow for training to occur; • Access to technology that will enable telehealth to operate i.e. computer/laptop with a webcam.
Exclusion criteria
•A history of seizures; •Pain disorder of the face or jaw, for example, temporomandibular joint disorder; •Has visual difficulties that would prevent reading from a screen and see feedback lights on the IOPI.
Outcome results
None listed