Study: NCT02576470

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Financial Reward
Description: Motor learning training can be enhanced by adjuvant techniques such as non-invasive neural stimulation and explicit reward. Both influence the primary motor cortex (M1), a key neural substrate of motor skill learning. Non-invasive neural stimulation reduces dysphagia after stroke as measured with subjective swallowing severity scales, however it is unknown whether it could also enhance swallowing maneuver training. Explicit reward (i.e. financial) incentivizes successful gains during motor training. Explicit reward has never been investigated in swallowing rehabilitation. However, it has been shown that increasing stress and financial penalty can reduce swallowing frequency in healthy adults.

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Financial Reward
Description: Motor learning training can be enhanced by adjuvant techniques such as non-invasive neural stimulation and explicit reward. Both influence the primary motor cortex (M1), a key neural substrate of motor skill learning. Non-invasive neural stimulation reduces dysphagia after stroke as measured with subjective swallowing severity scales, however it is unknown whether it could also enhance swallowing maneuver training. Explicit reward (i.e. financial) incentivizes successful gains during motor training. Explicit reward has never been investigated in swallowing rehabilitation. However, it has been shown that increasing stress and financial penalty can reduce swallowing frequency in healthy adults.

Intervention type: BEHAVIORAL
Group type: ACTIVE_COMPARATOR
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: SHAM_COMPARATOR
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: ACTIVE_COMPARATOR
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: SHAM_COMPARATOR
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology

Intervention type: BEHAVIORAL
Group type: SHAM_COMPARATOR
Intervention: targeted dysphagia training maneuver
Description: training swallowing maneuvers or compensatory techniques (referred to as targeted dysphagia training throughout this document) that might reduce their swallowing pathophysiology