Occupational Therapy Rehabilitation for Frail Elders With Dysphagia

Status Recruiting

Clinical Trial Summary

The goal of this proof-of-concept study is to assess the potential of a newly developed intervention with combined skill- and strength-based principles for maximizing swallowing-related outcomes and prevent further weakening of the swallowing muscles in older people with dysphagia (difficulty swallowing). The main questions to be answered are: 1. Does the intervention produce clinically significant improvement in ingestive skills during meals in older individuals with dysphagia? 2. Does the intervention produce clinically significant improvements in tongue strength and orofacial function in older persons with dysphagia? 3. Does the intervention produce clinically significant improvements in nutritional status and quality of life in older individuals with dysphagia? 4. Is there an association between perceived autonomy support and intervention engagement when older individuals with dysphagia receive the intervention during hospitalization and continued in community-based rehabilitation after discharge? Participants will be asked to perform goal-directed and task-specific swallowing exercises in eating and drinking activities where the intensity variables include advancing steps of an altered bolus volume and consistency according to a 17-level task hierarchy, which are introduced according to predetermined progression rules, as well as increases in swallowing repetitions. The dosage is 2-3 individual, face-to-face therapy sessions per week for up to a maximum of eight weeks. A therapy session lasts up to 45 min. In between therapy sessions, participants integrate the achieved level from therapy into their daily meals as self-training.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT05935618
Study type	Interventional
Source	Hvidovre University Hospital
Contact	Tina Hansen, PhD
Phone	+45 29243586
Email	tina.hansen.18@regionh.dk
Status	Recruiting
Phase	N/A
Start date	August 7, 2023
Completion date	December 31, 2025

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT00570557` - Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia	N/A
Completed	`NCT04243577` - Wearable Monitoring Systems for Swallowing Function and Disorders	Early Phase 1
Recruiting	`NCT03975465` - EMST and Swallowing in Long-Term Survivors of HNCA	N/A
Completed	`NCT05013918` - Oral Health and Nutrition Integrated Care Model
Recruiting	`NCT05439447` - A Study on Building a Voice Cohort for the Development of a Non-face-to-face Machine Learning Diagnostic and Monitoring Platform Using Voice Analysis and Various Sensors in Patients With Dysphagia.
Recruiting	`NCT05149976` - Establishment of Voice Analysis Cohort for Development of Monitoring Technology for Dysphagia
Recruiting	`NCT05978700` - Effectiveness of Video-game Based Swallowing Function Training in Patients With Dysphagia	N/A
Recruiting	`NCT06219200` - Automatic Voice Analysis for Dysphagia Screening in Neurological Patients
Enrolling by invitation	`NCT02935946` - Cold Liquids Fed to Preterm Infants: Efficacy and Safety After 10 Minutes of Exposure	N/A
Withdrawn	`NCT02925507` - Computerized Acoustic Swallowing Evaluation	N/A
Completed	`NCT02379182` - Effect Of Vitalstim In Patients With Chronic Post-stroke Oropharyngeal Dysphagia	N/A
Completed	`NCT02457052` - Impact of a Transportable Customizable and Scalable Sitting Positioning Device on Swallowing Disorders	N/A
Completed	`NCT02825927` - Swallowing Function, Oral Health, and Food Intake in Old Age	N/A
Active, not recruiting	`NCT01559649` - Stroke Swallowing Screening Tool Validation	N/A
Completed	`NCT00439439` - ACHAT-STUDY, Alternative Treatment of Chronic Globus Sensations	N/A
Completed	`NCT00141752` - Toronto Bedside Swallowing Screening Test (TOR-BSST) - A Bedside Swallowing Screening for Stroke Patients	N/A
Completed	`NCT04369092` - Myotonometer Analyses of Muscles in Multiple Sclerosis Patients With Dysphagia	N/A
Terminated	`NCT02576470` - Motor Learning in Dysphagia Rehabilitation	N/A
Completed	`NCT02003287` - Comparing FEES to VFSS in Diagnosing Laryngeal Penetration and Aspiration in Infants in the NICU	N/A
Completed	`NCT01006330` - Dysphagia in Elderly Medical Patients	Phase 4