Sarcopenic dysphagia Sarcopenic dysphagia EMST (Expiratory Muscle Strength Training) PAS (Penetration-Aspiration scale) FILS (Food intake level scale) DSRS (Dysphagia severity rating scale) MEP (Maximal expiratory pressure) PCF (Peak cough flow)
Conditions
Interventions
Participants in the experimental group will perform EMST training using a resistance set at 75 percent of their maximal expiratory pressure (MEP) and receive standard care for sarcopenic dysphagia.,Pa
Experimental Device,Sham Comparator Device
Expiratory muscle strength trainer (EMST) device,Expiratory muscle strength trainer (EMST) device
Sponsors
Sujitra Pisutarporn
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age 65 years or older 2. Independent in activities of daily living with no dependency (Barthel Index score equal to or greater than 18) 3. Diagnosed with definite sarcopenic dysphagia based on the Consensus diagnostic criteria from the 19th Annual Meeting of the Japanese Association of Dysphagia Rehabilitation 4. Presence of liquid penetration or aspiration, with PAS score greater than 2 during swallowing of 20 milliliters of thin liquid (IDDSI level 0) mixed with barium sulfate, swallowed from a cup in an upright sitting position during VFSS assessment 5. Able to follow instructions and complete training, with TMSE score greater than 23 6. Able to maintain upright sitting posture with back support for at least 30 minutes 7. Peak cough flow (PCF) less than 440 liters per minute 8. Provides written informed consent and is capable of consenting independently
Exclusion criteria
Exclusion criteria: 1. Unstable vital signs 2. Presence of a tracheostomy 3. Contraindications for EMST training, including: - Severe respiratory diseases - Uncontrolled hypertension (systolic blood pressure greater than 180 millimeters of mercury and/or diastolic blood pressure greater than 100 millimeters of mercury) - Untreated or poorly controlled gastroesophageal reflux disease (GERD) - Perforated tympanic membrane or other ear-related conditions - Conditions requiring avoidance of Valsalva maneuver or increased intrathoracic, intra-abdominal, or intracranial pressure 4. Inability to securely hold the EMST device mouthpiece 5. History of previous use of respiratory muscle training devices such as threshold IMT or EMST 6. Known allergy to barium contrast agent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Penetration Aspiration scale(PAS) At the end of the intervention Video Fluoroscopic Swallowing Study(VFSS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Food intake level scale(FILS) At the end of the intervention Video Fluoroscopic Swallowing Study(VFSS),Dysphagia severity rating scale(DSRS) At the end of the intervention Video Fluoroscopic Swallowing Study(VFSS),Maximal expiratory pressure(MEP) At the end of the intervention Pressure manometer,Peak cough flow(PCF) At the end of the intervention Peak flow meter | — |
Countries
Thailand
Contacts
Public ContactSujitra Pisutarporn
Faculty of medicine, Chulalongkorn university
Outcome results
None listed