Study Results
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Basic Information
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COMPLETED
NA
58 participants
INTERVENTIONAL
2010-08-01
2013-07-31
Brief Summary
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Detailed Description
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The investigators hope to find the benefit of the swallowing therapies both in clinical swallowing function and in brain functional neuroactivity/reorganization after acute stroke. While comparing the 3 swallowing therapies, different functional neuroactivity may be facilitated by different swallowing therapies. Finally, the investigators could also find out the most effective swallowing therapy among the 3 therapies in acute stroke patients with dysphagia according to the findings of videofluoroscopy and fMRI.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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general swallowing therapy
including:
* oral exercises
* tactile stimulation
* compensatory techniques
* swallowing maneuvers
general swallowing therapy
including a session of oral exercises, tactile stimulation, compensatory techniques, swallowing maneuvers that are taught to the participants by a speech therapist.
the NMES therapy with VitalStim therapeutic device
The placement of 2-channel electrodes is depended on the dysphagic types and the findings on VFS
NMES therapy
he NMES therapy with VitalStim therapeutic device will be done by one physician who is licensed practitioner and certified in use of the VitalStim device. The placement of 2-channel electrodes is depended on the dysphagic types and the findings on VFS.
: the combined NMES and general swallowing therapies
general swallowing therapy
including a session of oral exercises, tactile stimulation, compensatory techniques, swallowing maneuvers that are taught to the participants by a speech therapist.
NMES therapy
he NMES therapy with VitalStim therapeutic device will be done by one physician who is licensed practitioner and certified in use of the VitalStim device. The placement of 2-channel electrodes is depended on the dysphagic types and the findings on VFS.
Interventions
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general swallowing therapy
including a session of oral exercises, tactile stimulation, compensatory techniques, swallowing maneuvers that are taught to the participants by a speech therapist.
NMES therapy
he NMES therapy with VitalStim therapeutic device will be done by one physician who is licensed practitioner and certified in use of the VitalStim device. The placement of 2-channel electrodes is depended on the dysphagic types and the findings on VFS.
Eligibility Criteria
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Inclusion Criteria
* no history of stroke
* no active neurological disorder
* a single cerebral hemispheric stroke
* swallowing difficulty: detected by bedside swallow assessment by a physician while admitting to the rehabilitation unit.
* a single brain stem stroke without prior stroke history
* swallowing difficulties: detected by bedside swallow assessment by a physician while admitting to the rehabilitation unit
Exclusion Criteria
* impaired communication ability due to cognition deficit
* other central or peripheral neurological deficit leading to swallowing difficulty.
* use of an electrically sensitive biomedical device (eg. cardiac pacemaker)
* metal clip in the brain
* pneumonia at the time of enrollment.
18 Years
80 Years
ALL
Yes
Sponsors
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Chang Gung Memorial Hospital
OTHER
Responsible Party
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Principal Investigators
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Yu Chi Huang, Bachelor
Role: PRINCIPAL_INVESTIGATOR
Chang Gung Memorial Hospital
References
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Other Identifiers
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NMRPG896021
Identifier Type: -
Identifier Source: org_study_id
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