Dysphagia Following Cerebrovascular Accident
Conditions
Keywords
vagus nerve stimulation, dysphagia, stroke
Brief summary
The aim of the present project is to use transcutaneous auricular vagus nerve stimulation (t-VNS) for the treatment of dysphagia in acute stroke patients to improve swallowing function and reduce mortality and disability related to this condition. 30 patients will be randomized into one of the two arms of the study: * REAL: real t-VNS + speech therapy * SHAM: t-VNS placebo + speech therapy. The experimental treatment consists in the association between t-VNS (real or placebo) and speech therapy exercises to improve swallowing functionality. Each patient will undergo a speech therapy rehabilitation session lasting approximately 40 minutes a day for 3 consecutive days, simultaneously with t-VNS on left ear. Swallowing function and clinical conditions will be evaluated before the intervention (baseline, T0), immediately after the intervention (T1) and 3 months after the intervention (T2).
Interventions
Transcutaneous Auricular Vagus Nerve Stimulation
Sponsors
Study design
Eligibility
Inclusion criteria
* Acute ischemic or hemorrhagic stroke (within 7 days of onset) * Dysphagia diagnosed by FEES with a Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS) score between 3 and 5
Exclusion criteria
* Pre-existing stroke dysphagia * Dementia or other medical conditions that may interfere with the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Swallowing function | Baseline, Immediately after intervention | Swallowing video fluoroscopic will be used to measure swallowing function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disability | Baseline, Immediately after intervention, 3 months after intervention | Disability will be measured by mRS and the necessity of nasogastric tube/gastrostomy. |
| Mortality | Baseline, Immediately after intervention, 3 months after intervention | Number of deaths |
| Morbidity | Baseline, Immediately after intervention, 3 months after intervention | Number of aspiration pneumonia |
| Swallowing function | Baseline, 3 months after intervention | Swallowing video fluoroscopic will be used to measure swallowing function |
Countries
Italy