Dysphagia after stroke
Conditions
Interventions
Conventional group:The treatment is routine swallowing rehabilitation training, which includes four core modules: The first is oral-facial function and sensory training using ice-acid stimulation and
Second, through Shaker training and glottic closure exercises, the functions of laryngeal elevation and glottic closure are strengthened. The third is to guide the compensation of eating postures and
Cerebellum group:The treatment involves cerebellar iTBS therapy and conventional swallowing rehabilitation training. The cerebellar stimulation target is based on the occipital protrusion as a bony ma
Combined treatment group:The treatment included conventional swallowing rehabilitation training and iTBS therapy for the cerebellum and suprhyoid muscle group. The positioning of the suprhyoid muscle
Sponsors
The Affiliated Taian City Central Hospital of Qingdao University, 271000 Taian, China
Eligibility
Sex/Gender
All
Age
30 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients with stroke according to the above diagnostic criteria for stroke; 2. First-time stroke patients with a disease course of more than 14 days. 3. Swallowing X-ray fluoroscopy (VFSS) confirmed the presence of dysphagia. 4. The patient's vital signs were stable, the patient was conscious, and there were no obvious contraindications. The patient could cooperate with the treatment. 5. The patient and their family agree to participate in the test and sign a written informed consent form.
Exclusion criteria
Exclusion criteria: 1. Patients with severe mental disorders and cognitive impairments; 2. Patients with metal stents implanted in the brain or heart or pacemakers implanted in the heart 3. Those with severe internal diseases, such as pharyngeal or thyroid ulcers, lung infections, tumors, etc. 4. Patients with high risk of thrombosis and untreated hypertension 5. Those with vertigo 6. Patients whose condition changes during treatment and are not suitable for continued treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oral transport time;Palatopharyngeal closure time;Hyoid bone displacement time;Upper esophageal sphincter opening time; | — |
Secondary
| Measure | Time frame |
|---|---|
| Penetration-aspiration scale;Functional Oral Intake Scale; | — |
Countries
China
Contacts
Public ContactHuimin Jia
The Affiliated Taian City Central Hospital of Qingdao University, 271000 Taian, China
Outcome results
None listed