Status:
COMPLETED
Exercise for Swallowing Problems After Stroke
Lead Sponsor:
VA Office of Research and Development
Collaborating Sponsors:
University of Wisconsin, Madison
Conditions:
Cerebrovascular Accident
Deglutition Disorders
Eligibility:
All Genders
45+ years
Phase:
NA
Brief Summary
The purpose of this study is to determine whether stroke patients with swallowing problems will show greater swallowing improvement with intense oral exercise than subjects who perform either a low in...
Detailed Description
Swallowing problems affect as many as 40% of adults over age 60. Serious consequences are suffered by the numerous patients with neuromuscular deficits secondary to stroke. Patients with dysphagia sub...
Eligibility Criteria
Inclusion
- 3 months post ischemic or hemorrhagic stroke
- 45 years of age or older
- physician approval of medical stability
- aspiration or penetration of the laryngeal vestibule (score of 3 or higher on Penetration/Aspiration Scale) or post swallow residue in the oropharynx
- able to manage own secretions with no signs of aspiration
- the capacity to provide informed consent
Exclusion
- neurologic insult (other than stroke) or neuromuscular disease
- history of radiation to the head or neck
- poorly controlled psychosis
- lack the capacity to complete the exercise program
- refractory alcoholism (on AWD precautions)
- class IV congestive heart failure
- sever chronic obstructive pulmonary disease (home oxygen dependent)
- end-stage renal failure
- allergy to barium (used in radiographic swallowing assessment
- Subjects with known contraindication will be excluded from the MRI portion of the protocol:
- Cardiac pacemakers
- Aneurysm clips
- Neurostimulators
- Cochlear implant
- Ossicular prostheses
- Intracranial or intraorbital foreign bodies
- Claustrophobia
Key Trial Info
Start Date :
February 1 2011
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
June 1 2012
Estimated Enrollment :
83 Patients enrolled
Trial Details
Trial ID
NCT00722111
Start Date
February 1 2011
End Date
June 1 2012
Last Update
March 21 2018
Active Locations (1)
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1
Wlliam S. Middleton Memorial Veterans Hospital, Madison
Madison, Wisconsin, United States, 53705