Stroke
Conditions
Interventions
Control group:Conventional respiratory rehabilitation training and swallowing rehabilitation training
Experimental group:Add progressive respiratory-swallowing coordination training based on NMES to the control group
Sponsors
The Second Hospital of Dalian Medical University
Eligibility
Sex/Gender
All
Age
No minimum to 80 Years
Inclusion criteria
Inclusion criteria: (1) Meets the diagnostic criteria for acute ischemic stroke or intracerebral hemorrhage according to the Chinese Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke (2018 edition) and the Chinese Guidelines for the Diagnosis and Treatment of Intracerebral Hemorrhage (2019 edition), and has been confirmed by computed tomography (CT) or magnetic resonance imaging (MRI) as newly developed cerebral infarction or cerebral hemorrhage; (2) Age = 90% under supplemental oxygen; (4) Conscious, no severe cognitive impairment, able to cooperate and follow general instructions; (5) Produces a large amount of sputum, with significant lung wheezing sound, imaging and pathogen examination supporting the diagnosis of pulmonary infection, and clinical pulmonary infection score <= 6 points; (6) No severe systemic diseases such as heart, liver, kidney, newly developed deep vein thrombosis in lower limbs, serious fractures, or joint dislocation; (7) Signed informed consent for treatment.
Exclusion criteria
Exclusion criteria: (1) Patients with unstable vital signs and condition; (2) Those with a history of other diseases that may cause swallowing difficulties, such as Parkinson's disease, multiple sclerosis, etc., or those with a history of nasopharyngeal cancer, head and neck cancer, oral cancer, or previous stroke history with residual swallowing dysfunction; (3) Deterioration of pulmonary infection, with a clinical pulmonary infection score > 6; (4) Severe concurrent systemic diseases of the heart, liver, kidney, etc., newly developed deep vein thrombosis in the lower limbs, serious fractures, dislocations, etc.; (5) Severe anemia, with hemoglobin <= 60 g/L; (6) Non-compliant patients who refuse to sign the informed consent for treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Penetration aspiration scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Modified Mann assessment of swallowing ability;Murray secretion severity rating scale;The number of swallowing events within 10 minutes at rest.;Maximal inspiratory pressure;Maximal expiratory pressure;Peak expiratory flow;Semiquantitative cough strength score;Clinical pulmonary infection score;DE Morton mobility index;Tracheostomy tube decannulation rate; | — |
Countries
China
Contacts
Public ContactJiang Yongmei
The Second Hospital of Dalian Medical University
Outcome results
None listed