Wallenberg Syndrome
Conditions
Brief summary
The goal of this clinical trial is to learn about on dysphagia in wallenberg syndrome. The main questions it aims to answer are: the efficacy of Virtual Reality Therapy in the rehabilitation of patients with dysphagia in Wallenberg syndrome. Participants received conventional dysphagia treatment and Virtual Reality Therapy once a day for 14 days. Researchers compared the control group to see the effect and mechanism of Virtual Reality Therapy.
Detailed description
Virtual Reality technology has revolutionized various fields, and its application in rehabilitation medicine is particularly noteworthy. Virtual Reality provides immersive environments that simulate real-life situations, making it an invaluable tool in the rehabilitation process. The goal of this clinical trial is to learn about on dysphagia in wallenberg syndrome. The main questions it aims to answer are: the efficacy of Virtual Reality Therapy in the rehabilitation of patients with dysphagia in Wallenberg syndrome. Participants received conventional dysphagia treatment and Virtual Reality Therapy once a day for 14 days. Researchers compared the control group to see the effect and mechanism of Virtual Reality Therapy.
Interventions
DEVICEVirtual Reality Therapy
The therapist begins by assessing the patient's swallowing abilities and creating a personalized treatment plan. This involves determining the appropriate Virtual Reality Therapy scenarios, difficulty levels, and specific swallowing goals tailored to the patient's condition.
BEHAVIORALConventional dysphagia treatment
Conventional dysphagia treatment included oropharyngeal muscle movement training, orofacial alternating hot and cold stimulation, Masako swallowing training, Mendelsohn maneuver, therapeutic ingestion training, intermittent oral-esophageal tube feeding, etc., 30 min each time, once a day for 14 consecutive days.
Sponsors
Zeng Changhao
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* age ranged from 18-85 years and right-handed; * first onset, vital signs stable and conscious; * the dysphagia confirmed by videofluoroscopic swallowing study; * no cognitive impairment, the mini-mental state examination score: \>17 for those with an illiterate education, \>20 for those with an elementary education, and \>24 for those with a secondary education and above; * cranial integrity without craniotomy and/or craniectomy; * patient and/or his/her relative agrees and signs written informed consent.
Exclusion criteria
* combined ischemic foci at other sites; * presence of organic swallowing dysfunction or pre-existing dysphagia due to Parkinson's disease, dementia, and others; * severe cardiac, pulmonary, hepatic, and renal insufficiency and vital organ failure; * infected or broken skin on the head; * poorly controlled epilepsy; * poor patient compliance.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| standardized swallowing assessment | day 1 and day 14 | The standardized swallowing assessment was used to assess the improvement of overall swallowing function, it has a maximum score of 46 and a minimum score of 18, with lower scores indicating better swallowing function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Murray secretion scale | day 1 and day 14 | The severity of Murray secretion scale was measured using a grade of 0-3, patients without obvious saliva accumulation are scored as Murray secretion scale grade 0, whereas patients who had secretions in the laryngeal vestibule at the start of the exam were assigned grade 3. |
| Rosenbek penetration-aspiration scale | day 1 and day 14 | The highest Rosenbek penetration-aspiration scale score is 8 and the lowest is 1 (1 = no entry of material into the airway; 2 - 5 = penetration of material past the mouse into the supraglottic space and traveling as far as the true vocal folds; 6 - 8 = tracheal aspiration of material below the true vocal folds). |
| swallowing-quality of life | day 1 and day 14 | Swallowing-quality of life has a score range of 44 - 220, with lower scores indicating poorer swallowing function and poorer quality of life. |
Countries
Taiwan
Contacts
Primary ContactZhefeng Zeng, Master
Backup ContactWeiji Zhao, Doctor
Outcome results
None listed