The Effects of Chin Tuck Against Resistance Exercise on Acute Stroke Patients With Dysphagia

Официальное название

The Effects of Chin Tuck Against Resistance Exercise on Swallowing Function, Depression, and Quality of Life in Acute Stroke Patients With Dysphagia

Обзор

The aim of this study is to investigate the effects of chin tuck against resistance exercise on swallowing function, depression, and quality of life in acute stroke patients with dysphagia.

Подробное описание

The study is an experimental research design, with participants randomly assigned to either the experimental group or the control group. The experimental group will undergo chin tuck against resistance exercises, while the control group will receive traditional swallowing rehabilitation training. The subjects of this study are patients from the neurology and rehabilitation wards of a medical center in northern Taiwan. The research tools include a personal basic information questionnaire, the standardized swallowing assessment, the Functional Oral Intake Scale, the Patient Health Questionnaire-9, and the Taiwan version of the Swallowing Quality of Life Questionnaire. Data collection for both groups will be conducted using a pre-test and post-test method.

Вмешательства

• Поведенческое chin tuck against resistance exercise
  Both groups of patients will receive traditional swallowing rehabilitation therapy; however, the experimental group will additionally perform CTAR exercises. The procedure is as follows:Ask the patient to sit, then, press the chin firmly against the inflatable rubber ball, for isometric exercise, the chin is pressed down against the resistance of the ball and held for 60 seconds as one round, with a total of three rounds. And for isotonic exercise, the chin presses down against the resistance of

Первичные конечные точки

• swallowing function [Срок оценки: before intervention and up to 6 weeks]

Вторичные конечные точки (2)

• Depression [Срок оценки: before intervention and up to 6 and 10 weeks]
• Swallowing-Related Quality of Life [Срок оценки: before intervention and up to 6 and 10 weeks]

Критерии участия

Критерии включения

• Patients diagnosed with hemorrhagic or ischemic stroke, including those with initial diagnoses or recurrent strokes.
• Patients who did not pass the swallowing screening based on the standard swallowing scale.
• Adults aged 18 years and older.
• Vital signs are stable: systolic blood pressure (hemorrhagic < 160 mmHg, ischemic < 220 mmHg), heart rate 40-130 beats per minute, and oxygen saturation > 92%.
• The patient's consciousness is clear, able to express themselves, can communicate in Mandarin or Taiwanese, and can follow commands to perform actions.
• The patient can be in a seated position.

Критерии исключения

• Patients who have had a stroke for more than one month (inclusive).
• Patients with a history of depression or related mental health disorders.
• Patients with a history of neck pain, injury, or disease.
• Patients who have previously undergone tracheostomy or have a tracheostomy tube in place.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Поддерживающая терапия

Центры проведения

Тайвань · 1 центр

• Department of Nursing, National Taiwan University — Taipei

Идентификаторы

NCT: NCT06674356 · 202408146RINB

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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