Acute stroke
Conditions
Interventions
Dining,Selection of 10 commercially available seasonings to suit your tastes For both the intervention and control groups, the standard frequency and duration of swallowing training will be "
20 minutes per session, at least 5 times per week"
and will be standardized for both groups.In addition, the method of talking to and assisting the patients during the training will be uniformly applied in both groups.
Regular meals served
Sponsors
Niigata University Regional Medical Education Center Uonuma kikan Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients with swallowing dysfunction (MASA score of 177 or less) as determined by our swallowing evaluation protocol. 2. Patients who are 65 years of age or older at the time of obtaining consent to participate in the study.
Exclusion criteria
Exclusion criteria: 1. Patients who could not be assessed for swallowing function within 48 hours of onset 2. Patients with severe impaired consciousness, severe cognitive decline, or severe aphasia that would make intervention difficult and would make cooperation in the study difficult 3. Patients who will receive central venous nutrition with meals during the study period 4. Patients with diagnosis of lacunar infarction or subarachnoid hemorrhage (to limit stroke classification) 5. Patients with a history of dysphagia or a history of high risk of developing dysphagia (e.g., stroke, aspiration pneumonia, neuromuscular disease) 6. Patients whose general condition is poor and for whom it is deemed difficult to obtain the established assessment items 7. Patients with the following food allergies: shrimp, wheat, sesame, soybean, apple *Allergens contained in seasonings
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.The Mann Assessment of Swallowing Ability (MASA) 2.Functional Oral Intake Scale (FOIS), Oral Nutritional Intake 3.Simplified Nutritional Appetite Questionnaire-Japanese (SNAQ-J) Baseline, Week1, Week2, Week3, Discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| Basic information: disease information, age, gender, complications, medical history, hospitalization, hospital stay, medications, etc. Biochemical data: ALB, WBC, CRP, BUN, Cre, Tf, Pre-ALB, etc. Vital data: temperature, blood pressure, blood oxygen saturation, heart rate, pulse rate, etc. Physical function: grip strength, tongue pressure, Barthel Index, Inbody, physical and cerebral palsy symptoms, etc. Imaging data: CT, MRI, VE, VF, chest X-ray, etc. Nutritional status: BMI, GNRI, CRP, Tf, Pre ALB, etc. Cognitive function: MMSE, presence of dementia, etc. | — |
Countries
Japan
Contacts
Public ContactYuichiro Yoneoka
Niigata University Regional Medical Education Center Uonuma kikan Hospital neurosurgery
Outcome results
None listed