Dysphagia and aspiration
Conditions
Interventions
Treatment group:Conventional swallowing training combined with inspiratory muscle training
Control group:Routine swallowing function training: oral sensory training and oral motor organ training, airway safety protection training, Mendelsohn maneuver and neuromuscular electrical stimulation
Sponsors
Nanping First Hospital Affiliated to Fujian Medical University
Eligibility
Sex/Gender
All
Age
33 Years to 76 Years
Inclusion criteria
Inclusion criteria: (1) meet the diagnostic criteria of stroke in the "Chinese Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke 2018" and combined with swallowing dysfunction; (2) The first onset, the course of disease was 48 hours or 1 month after the condition was stable; (3) The preliminary screening test of Kubota drinking water was above grade 3; (4) aged 18-80 years old; Patients who are able to cooperate; (5) Penetration-aspiration scale (PAS) = 6; (6) Patients or their family members agreed to accept the study and swallow radiography and other examinations, and signed informed consent before the study.
Exclusion criteria
Exclusion criteria: (1) age > 80 or < 18 years old; (2) those with severe mental disorders; (3) patients with a history of cerebral infarction and dysphagia; (4) patients with severe liver and kidney diseases; (5) patients with chronic obstructive pulmonary disease; (6) unstable myocardial infarction, arrhythmia, coronary heart disease and other heart diseases; (7) Grand mal seizures requiring drug therapy; (8) patients with aortic aneurysm; (9) the elderly, frail patients, patients who cannot use neuromuscular electrical stimulation, such as bleeding tendency, acute inflammation, local skin ulceration, local metal implantation, cardiac pacemaker installation, and patients with severe heart disease; (10) Unable to complete the study or withdrawing from the study due to various reasons. This study was approved by the Medical Ethics Committee of our hospital.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| penetration-aspiration scale (PAS) based on Video fluoroscopic swallowing study (VFSS); | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional Dysphagia Scale (FDS) and Functional Oral Intake Scale (FOIS) based on Video Fluoroscopic Swallowing Study (VFSS);Maximal peak expiratory flow rate (PEF), Forced vital capacity (FVC); | — |
Countries
China
Contacts
Public Contactliu shan
Nanping First Hospital Affiliated to Fujian Medical University
Outcome results
None listed