Dysphagia Following Cerebrovascular Accident
Conditions
Keywords
dysphagia, ischemic stroke, intracranial hemorrhage
Brief summary
Dysphagia is a common problem in post-stroke patients and greatly impaired quality of life. Among them, the strength of tongue and lip muscles played a key role in the oral phase of swallowing and many stroke survivors suffered from these muscles weakness. Iowa oral performance instrument (IOPI) is a standardized portable device that can be used to quantify tongue muscle strength, thus allowing the clinician to set the level of resistance necessary to achieve optimal gains in strength, and also providing visual feedback of performance to the patients to guide training. In this study, we use Videofluoroscopic Swallowing Study (VFSS) to screen for the stroke patient suffering from dysphagia and recruited them into the trial. They then participated in a home based resistance-training program using the tongue depressor, 1 time everyday and each time consisted of 30 repetitions, totally 4 weeks. Various tongue strength variables and subjective scale were obtained before and after the intervention. The purpose of the study was to evaluate the effect of the home based swallowing therapy in the post stroke dysphagia patients.
Interventions
BEHAVIORALhome based IOPI swallow training
Use IOPI for tongue and labial muscle resistance training. Conventional training was the same as controlled group.
Sponsors
Taichung Veterans General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
30 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Acute stroke within 1 year, videofluoroscopic swallow study revealed abnormalities * Mini-Mental Status Examination \>20, could cooperate swallow therapy
Exclusion criteria
* Already known dysphagia before stroke event * Malocclusion or severe facial palsy * Localized oral lesion interfering swallowing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anterior tongue pressure | 1 week after treatment |
| Posterior tongue pressure | 1 week after treatment |
| Right buccal pressure | 1 week after treatment |
| Left buccal pressure | 1 week after treatment |
| Labial pressure | 1 week after treatment |
Secondary
| Measure | Time frame |
|---|---|
| The score of Eat-10 scale | 1 week after treatment |
Contacts
Primary ContactCHUN MING FU
Outcome results
None listed