Status:
WITHDRAWN
Slow-Stream Expiratory Muscle Strength Training for Veterans With Dysphagia Living in Long-term Care
Lead Sponsor:
Sunnybrook Health Sciences Centre
Conditions:
Dysphagia, Oropharyngeal
Dysphagia
Eligibility:
All Genders
85-110 years
Phase:
NA
Brief Summary
Sunnybrook Veterans Centre (VC) is a long-term care (LTC) facility with many elderly residents living with swallowing disorders who are at high risk of developing pneumonia from aspirating food/liquid...
Detailed Description
This study will take place in Sunnybrook Veterans Centre (VC), a long-term care facility (LTC) with many residents above the age of 85 years living with dysphagia. These residents with dysphagia are a...
Eligibility Criteria
Inclusion
- Fluent in the English language
- Identified by their speech-language pathologist as at risk for laryngeal penetration/aspiration when drinking thin liquids
- A Penetration Aspiration Scale score of 3+ on at least one thin liquid bolus during pre-test videofluoroscopy, as rated live at the time of test by the speech-language pathologist conducting the videofluoroscopy.
- Cognitively and physically able to perform study tasks (spirometry, EMST). If assistance and/or cuing is required, the participant must have a support team who is agreeable to providing this for the duration of the study at time of consent. Support teams may consist of any combination of family, friends, private companions, and VC staff.
- Medical clearance by the participant's most responsible physician (MRP)
Exclusion
- At time of consent
- General medical exclusions: Any history of hernia, pneumothorax, perforated tympanic membrane, recent surgery, untreated gastroesophageal reflux disease or untreated hypertension.
- Other medical conditions where increased intrathoracic pressure would be contraindicated, on an individual basis, as per participant's MRP
- Cognitively and/or physically unable to perform study tasks, despite support
- Participants who do not consent to videofluoroscopy or for whom videofluoroscopy is contraindicated
- After time of consent
- Participants who score PAS \< 3 on pre-test videofluoroscopy
- Inability to complete pre-post testing for at least one primary outcome
- Inability to complete minimum 50 breaths of the weekly protocol, and minimum 400 total breaths through the device over the 8 week program
Key Trial Info
Start Date :
September 1 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 1 2024
Estimated Enrollment :
Patients enrolled
Trial Details
Trial ID
NCT04064333
Start Date
September 1 2022
End Date
September 1 2024
Last Update
August 23 2024
Active Locations (1)
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1
Sunnybrook Health Sciences Centre - Veterans Centre
Toronto, Ontario, Canada, M4N 3M5