Dysphagia after stroke
Conditions
Interventions
Peripheral magnetic stimulation treatment group:Conventional swallowing rehabilitation training + high-frequency rPMS of the infrahyoid muscles
Transcranial magnetic stimulation treatment group:Conventional swallowing rehabilitation training + high-frequency rTMS of the orolingual cortex
Transcranial Magnetic Stimulation-Peripheral Magnetic Stimulation Combined Treatment Group:Conventional swallowing rehabilitation training + high-frequency rPMS of the infrahyoid muscles+high-frequenc
Sponsors
The Affiliated Rehabilitation Hospital of Chongqing Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Meet the diagnostic criteria for stroke as established by the 4th National Cerebrovascular Disease Academic Conference and confirmed by cranial CT or MRI scans; 2.The stroke is the first onset, and the course of the disease is within half a year; 3.Adults (18-80 years old) with dysphagia after stroke; 4.Conscious with stable vital signs; 5.Able to understand and execute physician's instructions; 6.The Kubota Water Swallowing Test was positive, and a GUSS swallowing function assessment was conducted. A fiberoptic endoscopic evaluation of swallowing (FEES) confirmed the presence of swallowing dysfunction; 7.The patient or their family members agreed to participate in this study and undergo a laryngeal endoscopy swallowing evaluation. Informed consent was obtained prior to the study;
Exclusion criteria
Exclusion criteria: 1.Refuse to cooperate with the inspection; 2.Insufficient function of vital organs such as the heart, lungs, and kidneys; 3.Severe brain hemorrhage, brain trauma, tumors, infections, and other diseases that may trigger epilepsy. 4.Acute large-area cerebral infarction, multiple intracranial aneurysms; 5.Severe or recent heart attack; 6.High-frequency and high-intensity transcranial magnetic stimulation (TMS) is contraindicated in individuals with a history of epilepsy or those showing epileptiform abnormalities on EEG; 7.Contraindications for magnetic stimulation therapy include (but are not limited to): implanted electronic devices/intracranial metal devices; history of head and neck cancer or oral cancer surgery, or other structural lesions in the head and neck region; 8.glaucoma, retinal detachment; 9.Suffering from other serious diseases that affect swallowing (such as cancer, chronic respiratory diseases, etc.); 10.pregnant woman;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Electromyographic (EMG) signals from the suprahyoid muscles;Assessment of bolus transit during swallowing and detection of any residual food retention.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Grading of laryngeal penetration/aspiration;Ability for oral alimentation; | — |
Countries
China
Contacts
Public ContactLiu Chang
The Affiliated Rehabilitation Hospital of Chongqing Medical University
Outcome results
None listed