Swallowing Training on Muscle Strength
Conditions
Brief summary
The goal of this clinical trial is to learn investigate the effect of instrument-assisted early progressive resistance swallowing training on swallowing related muscle strength in critically ill patients. It will also learn about the safety of swallowing training. The main questions it aims to answer are: * Does instrument-assisted early progressive resistance swallowing training increase the swallowing related muscle strength in critically ill patients? * What medical problems do participants have when taking swallowing training? Researchers will compare instrument-assisted early progressive resistance swallowing training to pure effortful swallowing to see if instrument-assisted early progressive resistance swallowing training works to increase muscle strength. Participants will: -Take instrument-assisted early progressive resistance swallowing training or pure effortful swallowing every day for 2 weeks and take muscle strength test every week.
Interventions
OTHERpure effortful swallowing
The investigator instructed the patient to swallow forcefully while squeezing the tongue upward and backward in the direction of the soft palate based on the sounds of an electronic timer.
OTHERprogressive resistance swallowing training
Patients in the test group, resistance swallowing exercise was performed by providing external resistance through Iowa Oral Performance Instrument (IOPI), and all other protocols were performed the same as those in the control group.
Sponsors
Shanghai Zhongshan Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Aged ≥ 18 years old * Tracheotomy after intubation and ventilator ventilation * Receiving treatment in ICU, and expected hospital stay \> 2 weeks after pneumonectomy * Be able to cooperate to complete the maximum anterior tongue pressure test
Exclusion criteria
* Inability to cooperate with tongue pressure testing and swallowing training, including disturbance of consciousness, oropharyngeal neuromuscular or motor impairment * Patients refuse to participate in this study * Significant malocclusion and facial asymmetry
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Forced swallowing tongue pressure | Day 14 after training | Place the pressure balloon on the prelingual pressure measurement site. The examiner placed the water in the participant 's mouth using a disposable 3 mL syringe. Subjects held 3 mL of water in their mouth and swallowed as forcefully as possible as directed by the examiner to observe instrument readings. |
Outcome results
None listed