Dysphagia
Conditions
Brief summary
This is a randomized controlled study, including post-stroke dysphagic patients. The participants were divided randomly into the experimental group and the control group. Both two groups were given routine treatment and swallowing rehabilitation training. Moreover, the experimental group was given Acupuncture Technique for Restoring Consciousness. Swallowing function will be compared before and after treatment.
Detailed description
This is a randomized controlled study, including post-stroke dysphagic patients. The participants were divided randomly into the experimental group and the control group. Both two groups were given routine treatment and swallowing rehabilitation training. Moreover, the experimental group was given Acupuncture Technique for Restoring Consciousness. Swallowing function will be compared before and after treatment. Specifically, our main focus is on Neiguan, Renzhong and Sanyinjiao.
Interventions
BEHAVIORALRoutine rehabilitation training
Balance function training: Patients were instructed to achieve weight shift between the left and right sides of the balance bar in a standing position. Walking function training: based on hip, knee, and ankle control training, patients were instructed to take steps training. Core muscle strength training: Patients were instructed to maintain 3 minutes of training in Bridge-style movement. Functional training of daily living: including training on dressing and undressing, independent eating, painting, and writing.
PROCEDUREAcupuncture Technique for Restoring Consciousness combined with Scalp Acupuncture
Acupuncture Technique for Restoring Consciousness: Main acupoints: Neiguan (bilateral), Renzhong, Sanyinjiao (affected side) Additional acupoints: Fengchi, Wangu, Yifeng (bilateral), and posterior pharyngeal wall needling. Scalp Acupuncture Method: Based on the standard treatment lines for scalp acupuncture \[17\], select the anterior oblique line of vertex-temporal region, posterior oblique line of vertex-temporal region, and anterior line of temporal region (bilateral).
Sponsors
Copka Sonpashan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
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 stroke. * Diagnosed with dysphagia confirmed by the video fluoroscopic swallowing study. * Water swallow test\> Level 3. * Stable vital signs, conscious, able to cooperate with assessment and treatment.
Exclusion criteria
* Dysphagia possibly caused by other reasons, such as cerebrovascular disease, trauma, neuromuscular diseases, malignant diseases of the pharynx and larynx, and digestive tract diseases. * History of mental diseases or use of antipsychotics. * Complicated with cognitive impairment or consciousness dysfunction. * Simultaneously suffering from severe liver, kidney failure, tumors, or hematological diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Penetration-Aspiration Scale | day 1 and day 28 | The Penetration-Aspiration Scale was conducted under video fluoroscopic swallowing study. The scale is a standardized tool used to assess the safety of swallowing. The scale was developed to evaluate the entry of material into the airway (penetration) and the subsequent passage of material below the vocal folds (aspiration) during swallowing. The scale ranges from 1 to 8, with each level representing different degrees of penetration or aspiration. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional Oral Intake Scale | day 1 and day 28 | The scale reflects the patient's oral intake. Studies have shown that this scale can also serve as an independent measure of intake for post-stroke dysphagia patients. The scale is divided into 7 levels, with the level positively correlated with swallowing function. Level 7 indicates normal swallowing function. |
| Gugging Swallowing Screen | day 1 and day 28 | Gugging Swallowing Screen is a safe and simple bedside screening tool that consists of 2 testing parts. It can accurately assess the risk of aspiration and differentiate between different food consistencies. The scale can not only detect the risk of aspiration in patients but also guide their diet. The scale has a maximum score of 20, indicating normal swallowing function. The lower the score, the more severe the swallowing disorder. |
Contacts
Primary ContactLavie Ce, Master
Outcome results
None listed