Swallowing Training Combined With Game-based Biofeedback in Post-stroke Dysphagia
NCT ID: NCT01967212
Last Updated: 2013-10-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
30 participants
INTERVENTIONAL
2012-12-31
Brief Summary
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Detailed Description
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The therapist often requests the patient to "swallow hard" or "maintain laryngeal elevation". However, it is difficult to provide appropriate feedback to the patient, because it's hard to see the throat muscle contraction and bone displacement,the real point of the force is not clear, only oral and tactile feedback is inadequate and when combined with sensory loss, fatigue or cognition impairment.
Biofeedback is defined as "the technique of using equipment (usually electronic) to reveal internal physiological events by visual and auditory signals, to teach patients to manipulate the intrinsic physiological activity (Basmajian, 1989).The rationale is thus that if a patient sees his muscle activity, rather than just feels his muscles contract, he will be able to contract his muscles more fiercely and therefore he will be able to train his muscles faster.
Past studies have shown that biofeedback can help nerve injury patients control their physiological activities such as swallowing training.
The purpose of this study is to determine whether swallowing training combined with game-based biofeedback is effective in the treatment of dysphagia due to stroke.
Conditions
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Keywords
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Game-based swallow biofeedback
swallowing training combined with game-based biofeedback in stroke dysphagia patient.
Game-based swallow biofeedback
The intervention are divided into two parts：
1. Traditional swallowing training 30 min by speech therapist.
2. Game-based biofeedback combined with Mendelsohn's maneuver and effortful swallow 30 min by investigator.
Swallow training without biofeedback
Swallow training without biofeedback
The intervention are divided into two parts：
1. Traditional swallowing training 30 min by speech therapist.
2. Mendelsohn's maneuver and effortful swallow without biofeedback 30 min.
Interventions
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Game-based swallow biofeedback
The intervention are divided into two parts：
1. Traditional swallowing training 30 min by speech therapist.
2. Game-based biofeedback combined with Mendelsohn's maneuver and effortful swallow 30 min by investigator.
Swallow training without biofeedback
The intervention are divided into two parts：
1. Traditional swallowing training 30 min by speech therapist.
2. Mendelsohn's maneuver and effortful swallow without biofeedback 30 min.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* above 18 years-old
* pharyngeal stage dysphagia
Exclusion Criteria
* cannot follow one command
18 Years
90 Years
ALL
No
Sponsors
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National Taiwan University Hospital
OTHER
Responsible Party
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Principal Investigators
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Tyng Guey Wang, PHD
Role: PRINCIPAL_INVESTIGATOR
Department of Physical Medicine and Rehabilitation,National Taiwan University Hospital
Locations
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National Taiwan University Hospital
Taipei, Taipei, Taiwan
Countries
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Other Identifiers
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201210059RIC
Identifier Type: -
Identifier Source: org_study_id