Dysphagia during convalescence from stroke
Conditions
Interventions
Group of cortical or subcortical dysphagia:Low frequency transcranial magnetic stimulation in healthy hemisphere
High frequency transcranial magnetic stimulation in damaged hemisphere
TMS pseudostimulation
Group of Brainstem dysphagia:Low frequency transcranial magnetic stimulation in healthy hemisphere
Sponsors
Rehabilitation Department of Huashan Hospital affiliated to Fudan University
Eligibility
Sex/Gender
All
Age
20 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged 20-75 years old, regardless of gender; 2. The patients whose condition is stable within 1 month to 6 months and 1 week after the first stroke; 3. Stroke patients who have clear mind, no obvious cognitive impairment and can cooperate with examination and treatment; 4. Patients who need to have indirect aspiration symptoms such as salivation, choking and coughing during eating at the same time, or who have weakened tongue movement, larynx lifting, vomiting reflex, vocal cord paralysis, cough or wet voice when the patient drinks 5ml of water at the bedside, etc., indicating the clinical symptoms of dysphagia; 5. Right handed patients; 6. Patients who can sign the informed consent in person or on behalf of their immediate relatives.
Exclusion criteria
Exclusion criteria: 1. Patients with metal allogeneic implants (such as VP shunt, pacemaker, cochlear implant), patients with brain surgery history, epilepsy history, pregnancy patients, patients with severe speech disorder, neglect, depression, cognitive impairment (MMSE score less than 10 points), patients with serious alcohol or drug abuse history; 2. Patients with serious medical complications, pulmonary failure, heart function greater than grade II, uncontrolled hypertension, hyperglycemia, liver function problems, creatinine higher than normal, blood system diseases, etc; 3. Patients with tumor diseases; 4. Patients with estimated survival less than 6 months; 5. Patients with acute infectious diseases, such as severe pneumonia, tuberculosis, etc 6. Patients who participated in other clinical trials at the same time.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resting Motion Threshold;Motor evoked potential; | — |
Countries
China
Contacts
Public ContactJunta Wu
Huashan Hospital affiliated to Fudan University
Outcome results
None listed