Effect of Superficial Neuromuscular Stimulation in Post-stroke Dysphagic Patients.
NCT ID: NCT06321406
Last Updated: 2024-06-05
Study Results
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Basic Information
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COMPLETED
NA
10 participants
INTERVENTIONAL
2024-04-15
2024-06-03
Brief Summary
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Detailed Description
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1. st group; One electrode will be connected to the suprahyoid region and the other electrode will be connected between the thyroid and hyoid cartilages. Superficial neuromuscular stimulation will be applied by the physiotherapist at 80 Hz, 0-25 µA (microampere) current range for 20 minutes, for 5 days for the patient, for a total of 4 weeks. At the same time, each patient will be taught the exercises included in traditional swallowing treatment and will be advised to practice them for 30 minutes every day.
2. nd group; Exercises such as progressively resistant oral-facial, lingual, laryngeal exercises, tongue strengthening exercises, effortful swallowing maneuver, thermal/tactile stimulation to oropharyngeal muscles, Masako maneuver, Mendelson maneuver, Shaker maneuver, which are included in traditional swallowing treatment, will be taught and practiced for 30 minutes will be recommended for one month.
Patients' dysphagia scales, quality of life survey and ultrasonography measurements will be performed before and after treatment.
Tests to be applied
* Functional Oral Intake Scale (FOAS)
* Swallowing Function Screening Test (EAT-10)
* GUSS (Gagging Swallowing Screening Test)
* Modified Mann Swallowing Ability Assessment Test (MMASA)
* SWAL-QOL (The impact of swallowing disorders on quality of life questionnaire),
* Measurements made by ultrasonography (measurement of tongue thickness, measurement of hyoid-larynx distance and measurements of other anatomical structures)
Clinic Responsible for Research: Physical Therapy and Rehabilitation Clinic of Kayseri City Hospital
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Control Group
Exercises such as progressively resistant oral-facial, lingual, laryngeal exercises, tongue strengthening exercises, effortful swallowing maneuver, thermal/tactile stimulation to oropharyngeal muscles, Masako maneuver, Mendelson maneuver, Shaker maneuver, which are included in traditional swallowing treatment, will be taught and practiced for 30 minutes will be recommended for one month.
Exercise
Traditional Conservative swallowing treatment
NMES(neuromuscular electrical stimulation) Group
One electrode will be connected to the suprahyoid region and the other electrode will be connected between the thyroid and hyoid cartilages. Superficial neuromuscular stimulation will be applied by the physiotherapist at 80 Hz, 0-25 µA current range for 20 minutes, for 5 days for the patient, for a total of 4 weeks. At the same time, each patient will be taught the exercises included in traditional swallowing treatment and will be advised to practice them for 30 minutes every day.
NMES (neuromuscular electrical stimulation)
With this application, swallowing muscles are stimulated and muscle strength increases.
Exercise
Traditional Conservative swallowing treatment
Interventions
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NMES (neuromuscular electrical stimulation)
With this application, swallowing muscles are stimulated and muscle strength increases.
Exercise
Traditional Conservative swallowing treatment
Eligibility Criteria
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Inclusion Criteria
* Patients with Functional Oral Intake Scale (FOAS) 1-6
Exclusion Criteria
* Dementia, impaired consciousness or hypoesthetic /anesthetic patients
* Patients with low body mass
* Patients with pacemakers and severe heart disease
* Severe hypertension and hypotension
* Thrombosis or thrombophlebitis
* Pregnancy
* Epilepsy
40 Years
80 Years
ALL
No
Sponsors
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Kayseri City Hospital
OTHER_GOV
Responsible Party
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Havva Talay Çalış
Professor Doctor
Principal Investigators
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Neslihan YAĞMUR GÖZ
Role: PRINCIPAL_INVESTIGATOR
Kayseri City Hospital
Locations
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health sciences university Kayseri medicine faculty
Kayseri, , Turkey (Türkiye)
Countries
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References
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Cook IJ, Kahrilas PJ. AGA technical review on management of oropharyngeal dysphagia. Gastroenterology. 1999 Feb;116(2):455-78. doi: 10.1016/s0016-5085(99)70144-7. No abstract available.
Kuhl V, Eicke BM, Dieterich M, Urban PP. Sonographic analysis of laryngeal elevation during swallowing. J Neurol. 2003 Mar;250(3):333-7. doi: 10.1007/s00415-003-1007-2.
Bath PM, Lee HS, Everton LF. Swallowing therapy for dysphagia in acute and subacute stroke. Cochrane Database Syst Rev. 2018 Oct 30;10(10):CD000323. doi: 10.1002/14651858.CD000323.pub3.
Simonelli M, Ruoppolo G, Iosa M, Morone G, Fusco A, Grasso MG, Gallo A, Paolucci S. A stimulus for eating. The use of neuromuscular transcutaneous electrical stimulation in patients affected by severe dysphagia after subacute stroke: A pilot randomized controlled trial. NeuroRehabilitation. 2019;44(1):103-110. doi: 10.3233/NRE-182526.
Chiang CF, Lin MT, Hsiao MY, Yeh YC, Liang YC, Wang TG. Comparative Efficacy of Noninvasive Neurostimulation Therapies for Acute and Subacute Poststroke Dysphagia: A Systematic Review and Network Meta-analysis. Arch Phys Med Rehabil. 2019 Apr;100(4):739-750.e4. doi: 10.1016/j.apmr.2018.09.117. Epub 2018 Oct 21.
Konecny P, Elfmark M. Electrical stimulation of hyoid muscles in post-stroke dysphagia. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2018 Mar;162(1):40-42. doi: 10.5507/bp.2017.043. Epub 2017 Nov 2.
Lim KB, Lee HJ, Lim SS, Choi YI. Neuromuscular electrical and thermal-tactile stimulation for dysphagia caused by stroke: a randomized controlled trial. J Rehabil Med. 2009 Feb;41(3):174-8. doi: 10.2340/16501977-0317.
Oh DH, Park JS, Kim HJ, Chang MY, Hwang NK. The effect of neuromuscular electrical stimulation with different electrode positions on swallowing in stroke patients with oropharyngeal dysphagia: A randomized trial. J Back Musculoskelet Rehabil. 2020;33(4):637-644. doi: 10.3233/BMR-181133.
Robbins J, Kays SA, Gangnon RE, Hind JA, Hewitt AL, Gentry LR, Taylor AJ. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil. 2007 Feb;88(2):150-8. doi: 10.1016/j.apmr.2006.11.002.
Other Identifiers
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KayseriCHdysphagia
Identifier Type: -
Identifier Source: org_study_id
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