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Prevalence of Pneumonia After Adding Repetitive Transcranial Magnetic Stimulation in Poststroke Dysphagia

Pneumonia Clinical Trial

Official title:
Prevalence of Pneumonia After Adding Repetitive Transcranial Magnetic Stimulation to Conventional Oropharyngeal Training in Post-stroke Dysphagia During Early Rehabilitation

Clinical Trial Summary

BACKGROUND: Dysphagia is one of the most life-threatening stroke complications. Dysphagic stroke patients are at increased risk of aspiration pneumonia. Pneumonia accounts for at least 10% of post stroke deaths within 30 days of hospitalization after stroke. rTMS is effective in improving post-stroke dysphagia and swallowing coordination after stimulation of the unaffected hemisphere, however it's efficacy on the prevalence of pneumonia has not yet been examined. Purpose of the study: To determine the effect of adding repetitive transcranial magnetic stimulation to conventional oropharyngeal physical therapy program on the prevalence of aspiration pneumonia in in patients with post stroke dysphagia.

Clinical Trial Description

Thirty Five acute ischemic stroke patients with oropharyngeal dysphagia from both sexes represented the sample of this study. They were diagnosed by a neurologist and stroke diagnosis was confirmed by brain MRI and/or CT. They were selected from the stroke unit El Kasr El Ainy hospital, Cairo university. They were randomly assigned into two equal groups, the control group (A) and the study group (B). Control group (GA) will be treated using a designed physical therapy intervention for oropharyngeal dysphagia consists of neuromuscular electrical stimulation combined with physical therapeutic exercise for oropharyngeal muscles in addition to sham repetitive transcranial magnetic stimulation. Study group (GB) will be treated with low frequency (1 Hz) rTMS to the contralesional cerebral hemisphere in addition to the same Oropharyngeal physical therapy program for dysphagia as in group A. Stroke dysphagia was diagnosed by a neurologist. The Gugging swallowing screen (GUSS) bedside screening test will be used to detect dysphagia and aspiration risk. A2DS2 scale is used to detect stroke associated pneumonia (SAP). Stroke associated pneumonia (SAP) will be diagnosed according to the criteria of the modified Center for Disease Control and Prevention (CDC). ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT06123650
Study type Interventional
Source Cairo University
Contact Engy BadrEldin S Moustafa, PhD
Phone 00201099445112
Email engybm.saleh@cu.edu.eg
Status Recruiting
Phase N/A
Start date October 22, 2023
Completion date July 28, 2024
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