Enhancing Post-Stroke Dysphagia Rehabilitation (Not exist)

Hamad Medical Corporation (HMC)

Status: Enrolling

Conditions: Dysphagia After Stroke

Treatments: Procedure: Swallowing exercise (Expiratory Muscle Strength Training); Procedure: Neuromuscular Electrical Stimulation; Procedure: Neuromuscular Taping; Procedure: Swallowing exercise (Chin Tuck Against Resistance)

Study type: Interventional

Funder types: Industry

Identifiers

NCT06887855

Not exist (Other Grant/Funding Number)

MRC-01-23-242

Details and patient eligibility

About

The goal of this clinical trial is to investigate the effects of a combined swallowing intervention (Neuromuscular Electrical Stimulation (NMES) + Neuromuscular Taping (NMT) + swallowing exercises) on swallowing function and quality of life in post-stroke dysphagia patients. The main questions it aims to answer are:

• Does the combination of swallowing exercises, NMES & NMT have a greater improvement in dysphagia rehabilitation when compared to either NMES or NMT alone? Researchers will compare the effects of intervention between the three groups (NMES and swallowing exercises, NMT and swallowing exercises, and NMES with NMT and swallowing exercises).

Participants will:

• Receive a combined dysphagia rehabilitation comprised of swallowing exercises, Neuromuscular Electrical stimulation, and/or Neuromuscular Taping.
• Visit the clinic once every 5 days a week for 10 therapy sessions.
• Undergo baseline and post-intervention evaluation procedures.

Full description

This proposed study will be conducted using a prospective, three-group, randomized controlled trial. The participants for this study will be recruited from the post-acute and rehabilitation units who are diagnosed with post-stroke dysphagia at Hamad Medical Corporation hospitals in the State of Qatar.

Enrollment: 10 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 18 - 75 years old,
• Diagnosed with swallowing disorders between one day and six months post-stroke,
• Able to attend 10 therapy sessions,
• Have never received any swallowing treatment before participating in this study.

Exclusion criteria

• Post-stroke patients with severe cognitive impairment,
• Patients who have swallowing disorders due to other etiologies,
• Patients who need traditional swallowing therapy other than Expiratory Muscle Strength Training (EMST) and Chin Tuck Against Resistance (CTAR). - Skin disorders in the submental area and anterior neck,
• Medical conditions that may affect participation,
• A defibrillator and use precision electrical biomedical devices (e.g. pacemaker, etc.).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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10 participants in 3 patient groups

Group A

Experimental group

Description:

Participants will receive neuromuscular electrical stimulation + swallowing exercises ( chin tuck against resistance + expiratory muscle strength training)

Treatment:

Procedure: Swallowing exercise (Chin Tuck Against Resistance)

Procedure: Neuromuscular Electrical Stimulation

Procedure: Swallowing exercise (Expiratory Muscle Strength Training)

Group B

Experimental group

Description:

Participants will receive neuromuscular taping + swallowing exercises (chin tuck against resistance + expiratory muscle strength training)

Treatment:

Procedure: Swallowing exercise (Chin Tuck Against Resistance)

Procedure: Neuromuscular Taping

Procedure: Swallowing exercise (Expiratory Muscle Strength Training)

Group C

Experimental group

Description:

Participants will receive neuromuscular electrical stimulation + neuromuscular taping + swallowing exercises (chin tuck against resistance + expiratory muscle strength training)

Treatment:

Procedure: Swallowing exercise (Chin Tuck Against Resistance)

Procedure: Neuromuscular Taping

Procedure: Neuromuscular Electrical Stimulation

Procedure: Swallowing exercise (Expiratory Muscle Strength Training)