Oral Neuromuscular Training in Stroke Patients With Dysphagia
StrokeDysphagiaThis study aims to explore if oral neuromuscular training is superior to orofacial sensory-vibration stimulation in patients with oropharyngeal dysphagia. Four weeks after stroke onset, patients with oropharyngeal dysphagia and pathological swallowing according to the timed water swallow test (TWST) will be randomized 1:1 into a 5-week oral neuromuscular training with an oral device in addition to orofacial sensory-vibration stimulation with an electrical toothbrush (intervention group) or orofacial sensory-vibration stimulation only (control group). The participants will be examined with a TWST, lip force test, and videofluoroscopy (VFS) of oropharyngeal swallowing before (baseline), after 5-weeks training (end-of-training) and at a 12-18 months follow-up. The primary endpoint is changes in TWST at the end-of-training compared with baseline, and at late follow-up based on intention-to-treat analyses. The secondary endpoints are the corresponding changes in lip force and aspiration frequency at VFS.
Exercise for Swallowing Problems After Stroke
Cerebrovascular AccidentDeglutition DisordersThe purpose of this study is to determine whether stroke patients with swallowing problems will show greater swallowing improvement with intense oral exercise than subjects who perform either a low intensity oral exercise or a sham exercise.
Behavioural Intervention for Dysphagia in Acute Stroke
DysphagiaSwallowing dysfunction after stroke is common, but there is no reliable evidence for how it should be managed other than perhaps by nasogastric tube. This study compared the effectiveness of standardised, low and high intensity behavioral intervention for dysphagia with that of "usual care".
Study to Evaluate Palifermin in the Reduction of Dysphagia in Patients With Locally Advanced Non-Small...
DysphagiaNon-Small Cell Lung Cancer1 moreThe purpose of this study is to determine if palifermin will reduce the incidence of dysphagia in patients receiving concurrent chemoradiotherapy followed by consolidation chemotherapy for treatment of unresectable stage III Non-Small Cell Lung Cancer (NSCLC).
Describe to Better Understand, the Mealtime of People With Parkinson's Disease Dependent on Food...
Parkinson DiseaseDeglutition DisordersThe main objective is to describe strategies (verbal, non-verbal (gesture, intonation), and environmental), designed and used by the assisting/aided dyad to feed a dysphagic dependent person by articulating the safe and hedonic dimensions in the context of Parkinson's disease or atypical parkinsonian syndrome during a meal
Dysphagia Cups in Elderly and Rehabilitation Setting
TechnologyThe study has 6 research questions regarding the use of dysphagia cups: Primary study questions: Can the use of the dysphagia cups increase water consumption and liquid consumption during the trial period? Can the use of the dysphagia cups reduce the frequency and intensity of choking and coughing while drinking? What are the potential risks to the service users while using the dysphagia cups? Secondary study question: Can the use of the dysphagia cups enhance the autonomy of the service users in drinking? Auxiliary study questions: Can the use of the dysphagia cups reduce the amount of thickener used for water consumption? What are the perceived benefits and acceptability of using the dysphagia cups?
A Predictive Model for Oropharyngeal Dysphagia in Non-hospitalized Older Patients
Deglutition DisordersOtorhinolaryngologic Diseases1 moreOropharyngeal dysphagia (OD) is a highly prevalent and growing condition in the older population. It affects approximately one in three community-dwelling elderly, almost half of the geriatric patients, and even more than half of elderly nursing home residents. The main complications of OD are respiratory infections such as aspiration pneumonia, malnutrition, and dehydration. It supposes substantial costs for the healthcare system, increases the risk for (re)admissions and length of stay, and has an important impact on the quality of life of people who suffer from it. The aim of this study is to develop a predictive model to identify non-hospitalized older patients at risk for oropharyngeal dysphagia, quantify that risk, and facilitate decision-making according to personal, clinical, and socio-emotional characteristics.
Acceptance of Different Thickeners in Dysphagia
DysphagiaDysphagia1 moreRandomized, controlled, pilot study of nutritional intervention to evaluate the acceptance to different kinds of thickeners, with and without the addition of flavoring.
Chewing and Swallowing Training Program in Coffin-Lowry Syndrome
Swallowing DisorderChewing ProblemThis study will report the chewing and swallowing disorders of a Coffin-Lowry Syndrome (CLS) patient, and effects of chewing and swallowing training on chewing and swallowing function.
Remote Orthophonic Follow-up on Patients With Chronic Swallowing Disorders
DeglutitionThe study will assess the feasibility of monthly post rehabilitation remote monitoring, using the "MAX Educ" webvision app, in patients with sequelae of aerodigestive cancer treatments.