Resistance Swallowing Training in Patients With Tracheotomy
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: pure effortful swallowing, progressive resistance swallowing training.
- Who it may be relevant to
- Registry conditions: Swallowing Training on Muscle Strength. Basic parameters: 18 years — 100 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effect of Early Progressive Resistance Swallowing Training on Swallowing Related Muscle Strength in Patients With Tracheotomy
Overview
The goal of this clinical trial is to learn investigate the effect of instrument-assisted early progressive resistance swallowing training on swallowing related muscle strength in critically ill patients. It will also learn about the safety of swallowing training. The main questions it aims to answer are: * Does instrument-assisted early progressive resistance swallowing training increase the swallowing related muscle strength in critically ill patients? * What medical problems do participants have when taking swallowing training? Researchers will compare instrument-assisted early progressive resistance swallowing training to pure effortful swallowing to see if instrument-assisted early progressive resistance swallowing training works to increase muscle strength. Participants will: -Take instrument-assisted early progressive resistance swallowing training or pure effortful swallowing every day for 2 weeks and take muscle strength test every week.
Interventions
- Other pure effortful swallowing
The investigator instructed the patient to "swallow forcefully while squeezing the tongue upward and backward in the direction of the soft palate" based on the sounds of an electronic timer. - Other progressive resistance swallowing training
Patients in the test group, resistance swallowing exercise was performed by providing external resistance through Iowa Oral Performance Instrument (IOPI), and all other protocols were performed the same as those in the control group.
Primary outcome measures
- Forced swallowing tongue pressure [Time frame: Day 14 after training]
Eligibility criteria
Inclusion criteria
- Aged ≥ 18 years old
- Tracheotomy after intubation and ventilator ventilation
- Receiving treatment in ICU, and expected hospital stay > 2 weeks after pneumonectomy
- Be able to cooperate to complete the maximum anterior tongue pressure test
Exclusion criteria
- Inability to cooperate with tongue pressure testing and swallowing training, including disturbance of consciousness, oropharyngeal neuromuscular or motor impairment
- Patients refuse to participate in this study
- Significant malocclusion and facial asymmetry
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT06372795 · KY2023635