Dysphagia in children after brain injury
Conditions
Interventions
Experimental group 2:Swallowing training+rTMS targeted by MEP+Vitalstim electrical stimulation
Experimental group 1:Swallowing training+rTMS targeted by MEP
Sponsors
Shanghai Yangzhi rehabilitation hospital
Eligibility
Sex/Gender
All
Age
3 Years to 16 Years
Inclusion criteria
Inclusion criteria: 1. Meet the diagnostic criteria for brain injury (diagnostic criteria refer to Liu Zhenhuan's edited book 'Atlas of Rehabilitation Training for Children with Motor Development Delay'): (1) Presence of high-risk factors such as jaundice, hypoxic-ischemic cerebral injury, or brain injury; (2) Infants and young children with a developmental quotient (DQ) < 85; (3) Reduced or increased muscle tone; (4) Delay in developmental milestones; 2. Age between 3 and 16 years; 3. First diagnosis of brain injury with dysphagia, disease course 2~8 weeks, conscious, and stable vital signs; 4. Swallowing imaging indicates dysphagia; 5. No history of epilepsy, severe neurological diseases, or other psychiatric history; 6. No exposure to other neuromodulation treatments in the past 30 days; 7. Informed consent obtained from the patient and family.
Exclusion criteria
Exclusion criteria: 1. Dysphagia caused by previous or comorbid diseases 2. People with a history of epilepsy, intracranial metal implants, pacemakers, or coronary stents; those with skull defects; patients with heart failure or severe liver and kidney dysfunction; patients with mental illnesses; patients who cannot cooperate due to severe aphasia or dementia; patients with cricopharyngeal muscle relaxation disorders. 3. Those who do not cooperate with treatment; 4. Others whom the researchers judge to be unsuitable to participate in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The change in Functional Oral Intake Scale (FOIS) score from baseline; | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in PAS score from baseline;Amplitude changes in suprahyoid/tongue surface electromyography (sEMG); | — |
Countries
China
Contacts
Public ContactWu Yanqiu
Shanghai Yangzhi rehabilitation hospital
Outcome results
None listed