Deglutition Disorder Clinical Trial
Official title:
Effect of Pre-emptive Transcutaneous Neuro-muscular Electrical Stimulation for Dysphagia in Long Term Intubated Patients
It was well known that long term intubation caused a various kind of abnormal presentations
of dysphagia such as the increased aspiration risk, the decreased gag reflex, mucosal
pathology, the airway stenosis and so on. It was thought that the freezing and impaired
proprioception to be developed as a result of dis-use around the pharynx and the larynx
while intubation was one of the reason.
Preemptive swallowing manual stimulation applied on the oral cavity to avoid the vicious
cycle of dis-use was reported to improve dysphagia after extubation.
Neuromuscular electrical stimulation have been utilized for a wide variety of dysphagia of
multiple causes of neuro-muscular disorder.
Supposing that preemptive transcutaneous neuromuscular electrical stimulation to be
delivered to the muscles of being involved in swallowing could decrease the degree of
dis-use during intubation so that it could reduce the occurence and severity of dysphagia
developed after extubation, the investigators plan to perform randomized prospective double
blind placebo controlled clinical interventional study.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Prevention
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