M34.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - 18 - 99 years of age - systemic sclerosis (both limited and diffuse cutaneous systemic sclerosis) Meeting the ACR/EULAR classification criteria 2013 - Written informed consent obtained from the subject or his/her legally acceptable representative - Understanding of study procedures and willingness to abide by all procedures during the course of the study.
Exclusion criteria
Exclusion criteria: - cognitive impairment - stroke (in the last 6 months) - aphasia - dementia, epilepsy or any other neurologic condition in which speech therapy cannot be administered - Myositis - dysphagia not due to systemic sclerosis - Ulcera / injury of the mouth or oropharynx - ventilation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Frequency of oropharyngeal dysfunction (at least 1 positive criteria) in patients with systemic sclerosis Oropharyngeal dysfunction comprises: oropharyngeal dysphagia (impairment of oropharyngeal swallowing), Reflux, impairment of voice, impairment in speaking/articulation, impairment in breathing (oropharyngeal breathing), impairment of oropharyngeal muscle function (tongue, palate, mimic muscles). Patients will assess (subjective): oropharyngeal dysphagia (impairment of oropharyngeal swallowing), Reflux, Impairment of voice, impairment in speaking/articulation. A speech therapist will assess (objective): oropharyngeal dysphagia (impairment of oropharyngeal swallowing), impairment of voice, impairment in speaking/articulation, impairment in breathing (oropharyngeal breathing), impairment of oropharyngeal muscle function (tongue, palate, mimic muscles). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. subjective improvement of oropharyngeal dysfunction in up to 7 days after initial speech therapy (2 appointments: Evaluation and therapy) assessed on a visual analogue scale (VAS) from 0 to 100 mm 2. subjective improvement of oropharyngeal dysfunction after 3 months of logopedic treatment assessed on a visual analogue scale (VAS) from 0 to 100 mm 3. objective improvement (logopedic reevaluation) of oropharyngeal dysfunction after 3 months of logopedic treatment (no improvement - little improvement - good improvement) 4. change in logopedic evaluation after 3 months of therapy using the Hoffmann-SSc-Scale 5. Change in bodyweight 6. Change in SHAQ, FFbH and HAQ 7. Change in daily doses and frequency of procinetic pharmacotherapy 8. Change in Hb, MCV, MCH and transferrinsaturation | — |
Countries
Germany
Contacts
Campus Kerckhoff der Justus-Liebig-Universität Gießen, Abt. Rheumatologie, Immunologie, Osteologie und Physikalische Medizin