Investigation of The Effects of Different Exercise Methods on Swallowing Function in Stroke Patients

Karamanoğlu Mehmetbey University

Status: Completed

Conditions: Dysphagia; Stroke; Swallowing Disorder

Treatments: Other: Experimental: PNF Exercise; Other: Experimental: CTAR Exercise; Other: Active Comparator: Routine Exercise Group

Study type: Interventional

Funder types: Other

Identifiers

NCT05678686

KMU-EOZCAN-001

Details and patient eligibility

About

The aim of this study is to examine the effects of PNF (proprioceptive neuromuscular facilitation) and CTAR (Chin Tuck Against Resistance) exercises on swallowing rehabilitation in stroke patients. In addition another aim is to examine the effects of these exercises on the swallowing function, quality of life, functional independence and functional oral intake of individuals, and to investigate the superiority of the exercises to each other in line with these features.

Enrollment: 42 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 years and older,
• Who have been diagnosed with stroke
• At least one month has passed since the diagnosis of stroke
• Voluntarily participated in the research,
• Cooperative, able to take instructions (Mini Mental Test score of 24 and above) and
• Individuals with a score of 2 or higher on the Penetration Aspiration Scale will be included.

Exclusion criteria

• Lack of long-term sitting balance, unable to maintain an upright position with or without support,
• Have tumors or neoplastic disease in the head and neck region,
• Radiotherapy applied to the neck, swallowing disorders caused by radiotherapy applied to the head and neck region,
• With additional musculoskeletal disease that may cause swallowing disorders,
• With non-stroke neurological disease (Traumatic Brain Injury, Parkinson's, Dementia, ALS, MS, etc.),
• Individuals who have previously received dysphagia treatment will be excluded from the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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42 participants in 3 patient groups

Routine Exercise Group

Active Comparator group

Description:

Conventional swallowing therapy exercises will be given to the routine exercise group.

Treatment:

Other: Active Comparator: Routine Exercise Group

PNF Exercise

Experimental group

Description:

Head-neck PNF (Proprioceptive Neuromuscular Facilitation) movement patterns will be applied to the participants with the combined isometric contraction technique.

Treatment:

Other: Experimental: PNF Exercise

CTAR Exercise

Experimental group

Description:

CTAR (Chin Tuck Against Resistance) exercises will be applied to the participants.

Treatment:

Other: Experimental: CTAR Exercise