Stroke Clinical Trial
Official title:
Outcomes of Swallowing Rehabilitation After Stroke
This project proposes to evaluate the relative effectiveness of four therapy protocols for
pharyngeal phase swallowing impairment in the stroke population. Data derived from this
study should contribute significantly to our understanding of the rehabilitative process in
the neurogenic dysphagic population and will provide the foundation for the establishment of
efficacious, cost-efficient patient services.
1. Research Question to be addressed
1. The utilization of SEMG biofeedback monitoring in dysphagia rehabilitation facilitates
more rapid and complete recovery than traditional rehabilitation using the same
swallowing exercises without exteroceptive feedback.
2. Swallowing rehabilitation provided in an intensive rehabilitative programme (10 hrs of
treatment in the 1st week) facilitates more rapid and complete recovery than
traditionally scheduled swallowing rehabilitation (twice weekly).
This multi-site, multi-national project will evaluate the relative effectiveness of four therapy protocols for pharyngeal phase swallowing impairment in the stroke population. For this study, patients with chronic dysphagia secondary to stroke will be assigned to one of four treatment protocols. These four protocols differ in respect to the intensity of treatment and the inclusion of surface electromyography (SEMG) biofeedback as an adjunct to treatment. All patients will complete a total of 30 hours of therapy with data collection to assess progress at intervals of every 10 sessions. Treatment outcomes will be measured using a combination of physiologic and behavioral measures. Data derived from this study should contribute significantly to our understanding of the rehabilitative process in the neurogenic dysphagic population and will provide the foundation for the establishment of efficacious, cost-efficient patient services. ;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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