Outcomes of Swallowing Rehabilitation After Stroke

Last updated: February 6, 2006
Sponsor: University of Canterbury
Overall Status: Completed

Phase

N/A

Condition

Heartburn

Stroke

Cerebral Ischemia

Treatment

N/A

Clinical Study ID

NCT00288834
HSF NA 4992
NZ CMRF 01/10
  • Ages > 21
  • All Genders

Study Summary

This project proposes to evaluate the relative effectiveness of four therapy protocols for pharyngeal phase swallowing impairment in the stroke population. Data derived from this study should contribute significantly to our understanding of the rehabilitative process in the neurogenic dysphagic population and will provide the foundation for the establishment of efficacious, cost-efficient patient services.

  1. Research Question to be addressed

  2. The utilization of SEMG biofeedback monitoring in dysphagia rehabilitation facilitates more rapid and complete recovery than traditional rehabilitation using the same swallowing exercises without exteroceptive feedback.

  3. Swallowing rehabilitation provided in an intensive rehabilitative programme (10 hrs of treatment in the 1st week) facilitates more rapid and complete recovery than traditionally scheduled swallowing rehabilitation (twice weekly).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Subjects will represent the diagnostic categories of single event brain stem injury,right cortical stroke and left cortical stroke.

  • Chronic dysphagia at least 6 months post onset secondary to single neurological event,brain stem, right cortical or left cortical stroke confirmed with CT or MRI

  • Diagnosis of chronic pharyngeal phase dysphagia based on clinical andvideofluoroscopic evaluation completed within 3 weeks of beginning treatment.

  • Must be at least 12 months post onset with no substantial recovery of swallowingfunction. If patients have received prior swallowing treatment, they must be at leastthree months post the termination of direct treatment.

  • Mini Mental Status Exam score >21

Exclusion

Exclusion Criteria:

  • history of pre-existing dysphagia or neurologic disease prior to the onset of thecurrent disorder.

  • MMSE score < 21

Study Design

Study Start date:
August 01, 2001
Estimated Completion Date:
July 31, 2006

Study Description

This multi-site, multi-national project will evaluate the relative effectiveness of four therapy protocols for pharyngeal phase swallowing impairment in the stroke population. For this study, patients with chronic dysphagia secondary to stroke will be assigned to one of four treatment protocols. These four protocols differ in respect to the intensity of treatment and the inclusion of surface electromyography (SEMG) biofeedback as an adjunct to treatment. All patients will complete a total of 30 hours of therapy with data collection to assess progress at intervals of every 10 sessions. Treatment outcomes will be measured using a combination of physiologic and behavioral measures. Data derived from this study should contribute significantly to our understanding of the rehabilitative process in the neurogenic dysphagic population and will provide the foundation for the establishment of efficacious, cost-efficient patient services.

Connect with a study center

  • Austin and Repatriation Medical Centre

    Melbourne, Victoria
    Australia

    Site Not Available

  • Fremantle Hospital

    Fremantle, Western Australia
    Australia

    Site Not Available

  • Glenrose Rehabilitation Centre

    Edmonton, Alberta
    Canada

    Site Not Available

  • Deer Lodge Centre

    Winnipeg, Manitoba
    Canada

    Site Not Available

  • Leonard Miller Rehabilitation Centre

    St. John's, Newfoundland and Labrador
    Canada

    Site Not Available

  • Hamilton Health Sciences Centre

    Hamilton, Ontario
    Canada

    Site Not Available

  • Trillium Health Centre

    Mississauga, Ontario
    Canada

    Site Not Available

  • Princess Margaret Hospital

    Christchurch,
    New Zealand

    Site Not Available

  • Tan Tock Seng Hospital

    Singapore,
    Singapore

    Site Not Available

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.