Dysphagia
Conditions
Brief summary
This is a multicenter randomized controlled study. The study recruited stroke patients with mild cognitive impairment and dysphagia who were undergoing inpatient rehabilitation treatment in three hospitals in mainland China as the participants (study subjects). The study duration for each participant was 15 days. The subjects were randomly divided into an experimental group and a control group. During the treatment, all patients received routine rehabilitation treatment. In addition, patients in the control group received conventional cognitive training, while patients in the experimental group received computer-assisted cognitive training.
Detailed description
Computer-assisted cognitive training is a rehabilitation method that uses computer technology and psychological principles to promote the recovery of cognitive function.This is a multicenter randomized controlled study. The study recruited stroke patients with mild cognitive impairment and dysphagia who were undergoing inpatient rehabilitation treatment in three hospitals in mainland China as the participants (study subjects). The study duration for each participant was 15 days. The subjects were randomly divided into an experimental group and a control group. During the treatment, all patients received routine rehabilitation treatment. In addition, patients in the control group received conventional cognitive training, while patients in the experimental group received computer-assisted cognitive training.
Interventions
BEHAVIORALroutine rehabilitation treatment
The routine rehabilitation treatment included intervention for risk factors (such as blood pressure, blood lipids, and blood glucose control, restriction of smoking and alcohol, exercise, etc.) Besides, the patients with stable vital signs were scheduled for specialized rehabilitation training upon enrollment, and targeted rehabilitation programs were selected, conducted by experienced rehabilitation therapists.
Based on the patient's cognitive impairment assessment results, the training content includes Attention game training, Executive function program training, Logical reasoning training, Agility training, Memory training. The training is conducted seven days a week, once a day, for a duration of 30-45 minutes per session
BEHAVIORALconventional cognitive training
including Memory training, attention training, and executive function training were conducted 2-5 times per week, lasting for 30-60 minutes each session, based on the patient's condition.
Sponsors
Muhammad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years. * Meeting the diagnostic criteria for traumatic brain injury, confirmed by magnetic resonance imaging. * Montreal Cognitive Assessment score \< 26 and \> 18 (adjusted by 1 point if the educational level is high school graduation or above). * Confirmed swallowing disorder through Fiberoptic Endoscopic Examination of Swallowing. * Duration of illness greater than three months. * Patients or their family members are aware of and consent to participate in the study.
Exclusion criteria
* Presence of other intracranial lesions, such as stroke. * Cognitive impairment caused by other diseases. * Mental abnormalities. * Inability to complete treatment and assessments due to other impairments. * Concurrent severe injuries.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Montreal Cognitive Assessment | day 1 and day 15 | The Montreal Cognitive Assessment is used for assessing cognitive function.The total score on the test is 30, the higher scores indicating the higher cognitive function The total score ranged from 0 to 30. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The coordination of swallowing | day 1 and day 15 | Observation of the coordination of laryngeal and vocal fold movements. Results are categorized as normal/abnormal. |
| Penetration-Aspiration Scale | day 1 and day 15 | Penetration-Aspiration Scale was used to assess dysphagia under Videofluoroscopic Swallowing Study, primarily evaluating the extent to which fluid food entered the airway and caused penetration or aspiration during the swallowing process. As the level increased, the severity of dysphagia also increased. The higher scores indicating worse swallowing function The total score ranged from 0 to 8. |
| Swallowing duration | day 1 and day 15 | The time duration that the patient swallowed the contrast agent under Videofluoroscopic Swallowing Study the was recorded.Unit: seconds. |
| Swallowing reflex | day 1 and day 15 | Observation of the ability to initiate swallowing movements during eating, manifested by the white-out phenomenon seen under flexible laryngoscopy. Results are categorized as normal or abnormal. |
Contacts
Primary ContactLavie Ce, Master
Outcome results
None listed