Dysphagia Clinical Trial
Official title:
Neuromuscular Electroestimulation and Respiratory Muscle Training in the Management of Dysphagia of Subacute Stroke Patients
This study, part of a larger research project (The Retornus Study), is aimed to evaluate new strategies to optimize rehabilitation outcomes in dysphagic stroke patients. Main objective is to assess effectiveness of neuromuscular electroestimulation (NMES) in combination with respiratory muscle training (RMT) in the treatment of oropharyngeal dysphagia in subacute stroke patients.
Dysphagia is present in a significant proportion of subacute stroke patients (up to 85%,
depending on the series) and is associated with an increase in medical complications such as
bronchoaspirative pneumoniae which is responsible for approximately half of the deaths that
occur in these patients. Besides, the risk of pneumonia in patients with dysphagia is three
times higher compared to those patients without. Since there is no drug able to restore the
swallowing and respiratory muscle function, neurological rehabilitation apperars to be as
the mainstay of treatment of these disorders.
Respiratory muscle weakness is common after stroke, but how it contributes in the
development of bronchoaspiration pneumonia is not well determined. In acute phases of
stroke, the mechanism seems to be more related to an impaired central drive than the
reduction of strength in respiratory muscle.
Otherwise, the NMES aims to improve muscle strength. The NMES accelerates swallowing
recovery since it induces brain reorganitzation after stroke through sensory and motor
stimulation of peripheral nerves, mainly in swallowing aerea.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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