Neuromuscular dysphagia Dysphagia Neuromuscular dysphagia Nicergoline Swallowing Flexible Endoscopic Evaluation of Swallowing FEES Penetration-Aspiration Scale PAS Substance P central nervous disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged > 18 years old 2. Neuromuscular dysphagia, diagnosis by FEES and stable condition > 3 months
Exclusion criteria
Exclusion criteria: 1. History of surgery or RT or tumor in H&N area 2. High risk aspiration 3. CAD(coronary artery disease), Bradycardia (HR < 40/min), Hypotension (SBP<90, DBP<60 mmHg) 4. Abnormal liver function 5. CrCl < 30 mL/min 6. Uric acid > 8 mg/dL 7. Pregnancy or breastfeeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Flexible endoscopic evaluation of swallowing score (FEES score) 4weeks Flexible endoscopic evaluation of swallowing score (rates swallowing function based on what a clinician observes using a thin, flexible camera to view the throat during swallowing),Change in Visual analogue swallowing score 4 weeks Visual analogue swallowing score (a simple scale where patients mark a line to indicate their perceived level of swallowing difficulty.) | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in Flexible endoscopic evaluation of swallowing score parameter score 4 weeks Flexible endoscopic evaluation of swallowing parameter score (FEES consists of 3 parameters: spillage, residue, and penetration and aspiration. Each parameter is scored by a clinician) | — |
Countries
Thailand
Contacts
Faculty of medicine Siriraj hospital, Mahidol university