K01 Impacts of Lingual Endurance Exercise
Dysphagia, Dysphagia, Oropharyngeal, Ischemic Stroke
About this trial
This is an interventional treatment trial for Dysphagia
Eligibility Criteria
Inclusion Criteria: 1) 3-6 months since most recent diagnosis of ischemic, non-hemorrhagic stroke occurring in areas involving anterior or posterior circulation and affecting underlying cortical or subcortical structures (including brainstem) 2) able to tolerate some oral intake required for assessment of swallowing function via modified barium swallow study (MBSS) 4) able to follow 2-step commands. 3) MBSImP Oral Total (OT) score >10 on Modified Barium Swallow Study (MBSS) Exclusion Criteria: 1) ≤18 years of age 2) history of dysphagia prior to or after the stroke caused by any of the following conditions: gastrointestinal disease, traumatic brain injury, head and neck cancer, surgery involving the pharynx or larynx 3) history of other neurological disease (i.e. multiple sclerosis, ALS, Parkinsons, dementia). 4) Any history of dysphagia from prior stroke will be exclusionary.
Sites / Locations
- University of CincinnatiRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Sham Comparator
Lingual Endurance Exercise
Sham Exercise
The experimental exercise group will participate in 3 training sessions per day for 8 weeks. Endurance exercise will include completing isotonic endurance repetitions 3 times a day. Number of repetitions per session will be determined during baseline testing for each participant.
The sham control group will be instructed to press the lingual sensor 30 times at a very low-pressure threshold (1-5 kPa), which will be monitored weekly via device output sent to the study team to avoid use of excessive force that would qualify as exercise (>5 kPa).