Clinical trial NCT05678686: Investigation of The Effects of Different Exercise Methods on Swallowing Function in Stroke Patients
Official title: Investigation of The Effects of Different Exercise Methods on Swallowing Function in Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Dysphagia
Swallowing Disorder
Keywords: Dysphagia
Stroke
PNF Exercise
CTAR Exercise
Swallowing Rehabilitation
Lead sponsor: Karamanoğlu Mehmetbey University
Sponsor class: OTHER
Collaborators: name: Ankara Yildirim Beyazıt University
First posted: 2023-01-10
Enrollment: 42
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study is to examine the effects of PNF (proprioceptive neuromuscular facilitation) and CTAR (Chin Tuck Against Resistance) exercises on swallowing rehabilitation in stroke patients. In addition another aim is to examine the effects of these exercises on the swallowing function, quality of life, functional independence and functional oral intake of individuals, and to investigate the superiority of the exercises to each other in line with these features.


Eligibility criteria: Inclusion Criteria:

* 18 years and older,
* Who have been diagnosed with stroke
* At least one month has passed since the diagnosis of stroke
* Voluntarily participated in the research,
* Cooperative, able to take instructions (Mini Mental Test score of 24 and above) and
* Individuals with a score of 2 or higher on the Penetration Aspiration Scale will be included.

Exclusion Criteria:

* Lack of long-term sitting balance, unable to maintain an upright position with or without support,
* Have tumors or neoplastic disease in the head and neck region,
* Radiotherapy applied to the neck, swallowing disorders caused by radiotherapy applied to the head and neck region,
* With additional musculoskeletal disease that may cause swallowing disorders,
* With non-stroke neurological disease (Traumatic Brain Injury, Parkinson's, Dementia, ALS, MS, etc.),
* Individuals who have previously received dysphagia treatment will be excluded from the study.

Primary outcomes:
measure: Penetration Aspiration Scale (PAS)
timeFrame: Change from baseline at 8 weeks
measure: Ultrasound Evaluation
timeFrame: Change from baseline at 8 weeks
Secondary outcomes:
measure: Cognitive Status
timeFrame: a day before the start of treatment
measure: The Barthel Index
timeFrame: Change from baseline at 8 weeks
measure: Eating Assessment Tool (EAT-10)
timeFrame: Change from baseline at 8 weeks
measure: Functional Oral Intake Scale (FOIS)
timeFrame: Change from baseline at 8 weeks
measure: Swallowing Quality Of Life Questionnaire (SWAL-QOL)
timeFrame: Change from baseline at 8 weeks
Other outcomes:
Locations:
city: Konya
country: Turkey
facility: Selcuk University, Faculty of Medicine, Department of Otolaryngology
state: Selcuklu
Study officials:
affiliation: Karamanoğlu Mehmetbey University
name: Esra Nur ÖZCAN, MSc
role: PRINCIPAL_INVESTIGATOR
affiliation: Ankara Yildirim Beyazıt University
name: Nezehat Özgül ÜNLÜER, PhD
role: STUDY_CHAIR
References: