Phase 2
N=14
Tongue Pressure Profile Training for Dysphagia Post Stroke
Dysphagia
Bottom Line
View on ClinicalTrials.gov: NCT01370083 ↗Enrolled (actual)
14
Serious AEs
7.1%
Results posted
Dec 2015
Primary outcome: Primary: Change in Swallow Response Time for 5 cc Thin Liquid Swallows — 2; 2; 4; 3 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Tongue Pressure Profile Training (Behavioral); Tongue-Pressure Strength-and-Accuracy Training (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Toronto Rehabilitation Institute
- Primary completion
- Jun 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Swallow Response Time for 5 cc Thin Liquid Swallows |
2; 2; 4; 3 | — |
| SECONDARY Penetration-Aspiration Scale Score for 5 cc Thin Liquid Swallows |
2; 4; 4; 1 | — |
| SECONDARY Tongue-palate Pressure Amplitude for Maximum Isometric Pressures |
28.45; 43.84 | — |
Summary
People with swallowing impairment experience particular difficulty swallowing thin liquids safely; the fast flow of liquids makes them difficult to control. The tongue plays a critical role in containing liquids in the mouth, channeling the direction of their flow towards the pharynx (throat) and controlling their flow along that channel. The investigators are engaged in a program of research to better understand tongue function in swallowing, particularly with respect to controlling the flow of liquids. In this study the investigators will compare two different tongue-pressure resistance training protocols, to determine whether a protocol that emphasizes strength-and-accuracy or one that emphasizes pressure timing work better for improving liquid flow control in swallowing.
Eligibility Criteria
Inclusion Criteria
- Individuals with dysphagia characterized by prolonged swallow response duration for 5 cc boluses of thin liquid (i.e., > 350 ms, confirmed in videofluoroscopy).
Exclusion Criteria
- premorbid reported history of swallowing, motor speech, gastro-esophageal or neurological difficulties.
- prior history of surgery to the speech apparatus (other than routine tonsillectomy or adenoidectomy).
Data sourced from ClinicalTrials.gov (NCT01370083). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.