Stroke
Conditions
Brief summary
Patients with stroke frequently present phonation difficulties. An intervention combining myofunctional and respiratory training is presented in order to improve phonation outcomes.
Detailed description
Patients with stroke frequently present phonation difficulties. An intervention combining myofunctional and respiratory training is presented to improve phonation outcomes. Myofunctional therapy is based on exercise training program for the muscles around your face, mouth, and tongue. Respiratory muscle strength training focuses on increasing the force-generating capacity of the inspiratory and expiratory muscles. A combination of both may be of interest to improve phonation parameters.
Interventions
The patients will receive exercises included in a myofunctional approach and a respiratory training focused on inspiratory and expiratory muscles using a device.
The patients will receive the standard treatment of speech and language therapy including range of motion exercises (open and close the mouth) and thermal and mechanical stimulation in the orofacial region.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with a clinical diagnosis of chronic stroke (duration above 6 months). * Age over 18 years
Exclusion criteria
* Communication or cognitive deficits that prevented them from following verbal commands.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Volume during monologue | Baseline, 6 weeks | The volumen during a monologue of basic activities of daily living assessed in decibels. |
| Frequency during monologue | Baseline, 6 weeks | The frequency during a monologue of basic activities of daily living expressed in hertz. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Volumen during sustained phonation of /s/ sound | Baseline, 6 weeks | The decibels during the maximum sustained phonation of s. |
| Volumen during sustained phonation of /a/ sound | Baseline, 6 weeks | The decibels during the maximum sustained phonation of a. |
| Frequency during sustained phonation of /s/ sound | Baseline, 6 weeks | The Hertzs during the maximum sustained phonation of s. |
| Communication effectiveness Index | Baseline, 6 weeks | This is a questionnaire with the scores ranging from 0 to 100, with lower scores meaning more difficulties associated to effectiveness in communication. |
| Frequency during sustained phonation of /a/ sound | Baseline, 6 weeks | The Hertzs during the maximum sustained phonation of a |
Countries
Spain