Dysphagia, Stroke
Conditions
Keywords
transcranial direct current stimulation, stroke-related dysphagia, cortical plasticity
Brief summary
The purpose of this study is to evaluate whether transcranial direct current stimulation of the cerebral swallow motor cortex in addition to standard care can enhance recovery of swallow function in acute dysphagic stroke patients compared to sham treatment plus standard care.
Interventions
20 Minutes of transcranial direct current stimulation (20 min, 1 mA) administered over the contralesional cortical swallow motor area once daily over 4 consecutive days. In case of a brainstem stroke stimulation will be applied over the cortical swallow motor area of the right hemisphere.
20 Minutes of sham transcranial direct current stimulation (20 min, no current applied) administered over the contralesional cortical swallow motor area once daily over 4 consecutive days. In case of a brainstem stroke sham stimulation will be applied over the cortical swallow motor area of the right hemisphere.
Sponsors
Study design
Eligibility
Inclusion criteria
\- dysphagia due to acute stroke
Exclusion criteria
* preexisting dysphagia * comorbidities that can possibly cause dysphagia * psychiatric comorbidities * pacemaker or other implanted electronic devices * inability to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FEDSS (Fiberoptic Endoscopic Dysphagia Severity Scale) Score | Within three days after the last stimulation session |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diet at discharge | by the time of discharge, an expected average of 2 weeks after the last stimulation session | — |
| Dysphagia Severity Rating Score | within three days after the last stimulation session | — |
| Endoscopically assessed swallow function | within three days after the last stimulation session | Improvement of salient endoscopic findings |
Countries
Germany