The Motor Imagery Based on Action Observation Treatment on Dysphagia in Wallenberg Syndrome
- Conditions
- Deglutition DisordersLateral Medullary Syndrome
- Interventions
- Other: conventional dysphagia treatmentOther: motor imagery based on action observation treatment
- Registration Number
- NCT06224686
- Lead Sponsor
- Le Wang
- Brief Summary
The goal of this clinical trial is to learn about on dysphagia in wallenberg syndrome. The main questions it aims to answer are:
* the efficacy of motor imagery based on action observation treatment in the rehabilitation of patients with dysphagia in Wallenberg syndrome.
* apply functional near infrared spectroscopy to explore the mechanism of action of this therapy.
Participants received conventional dysphagia treatment and motor imagery based on action observation treatment once a day for 14 days. Researchers compared the control group to see the effect and mechanism of motor imagery based on action observation treatment.
- Detailed Description
The goal of this clinical trial is to learn about on dysphagia in wallenberg syndrome. The main questions it aims to answer are:
* the efficacy of motor imagery based on action observation treatment in the rehabilitation of patients with dysphagia in Wallenberg syndrome.
* apply functional near infrared spectroscopy to explore the mechanism of action of this therapy.
Both groups received conventional dysphagia treatment, and the experimental group underwent the addition of motor imagery based on action observation treatment to the control group once a day for 14 days. Overall swallowing function was assessed before treatment and after 14 days of intervention. Meanwhile, the functional near infrared spectroscopy was used to detect changes in cerebral hemodynamics during the execution of volitional swallowing task and swallowing motor imagery.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- age ranged from 18-80 years and right-handed;
- first onset, vital signs stable and conscious;
- the dysphagia confirmed by videofluoroscopic swallowing study;
- no cognitive impairment, the mini-mental state examination score: >17 for those with an illiterate education, >20 for those with an elementary education, and >24 for those with a secondary education and above;
- good motor imagery ability with kinesthetic and visual imagery questionnaire-10 score ≥25;
- cranial integrity without craniotomy and/or craniectomy;
- patient and/or his/her relative agrees and signs written informed consent.
- combined ischemic foci at other sites;
- presence of organic swallowing dysfunction or pre-existing dysphagia due to Parkinson's disease, dementia, and others;
- severe cardiac, pulmonary, hepatic, and renal insufficiency and vital organ failure;
- significant psychological disorders such as anxiety and depression;
- infected or broken skin on the head;
- poorly controlled epilepsy;
- poor patient compliance.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description The experimental group conventional dysphagia treatment conventional dysphagia treatment and motor imagery based on action observation treatment The experimental group motor imagery based on action observation treatment conventional dysphagia treatment and motor imagery based on action observation treatment The control group conventional dysphagia treatment conventional dysphagia treatment
- Primary Outcome Measures
Name Time Method standardized swallowing assessment day 1 and day 14 The standardized swallowing assessment was used to assess the improvement of overall swallowing function, it has a maximum score of 46 and a minimum score of 18, with lower scores indicating better swallowing function.
cortical activation during swallowing motor imagery day 1 The functional near infrared spectroscopy system (Nirsmart, Danyang Huichuang Medical Equipment Co., Ltd., China) was used to detect changes in cerebralhemodynamics during the whole swallowing motor imagery.
cortical activation during volitional swallowing day 1 and day 14 The functional near infrared spectroscopy system (Nirsmart, Danyang Huichuang Medical Equipment Co., Ltd., China) was used to detect changes in cerebralhemodynamics during the execution of volitional swallowing task.
- Secondary Outcome Measures
Name Time Method swallowing-quality of life day 1 and day 14 Swallowing-quality of life has a score range of 44 - 220, with lower scores indicating poorer swallowing function and poorer quality of life.
yale pharyngeal residue severity rating scale day 1 and day 14 Yale pharyngeal residue severity rating scale scores were measured using a 5-point ordinal scale: Ⅰ = none, Ⅱ = trace, Ⅲ = mild, Ⅳ = moderate, Ⅴ = severe.
Rosenbek penetration-aspiration scale day 1 and day 14 The highest PAS score is 8 and the lowest is 1 (1 = no entry of material into the airway; 2 - 5 = penetration of material past the laryngeal additus into the supraglottic space and traveling as far as the true vocal folds; 6 - 8 = tracheal aspiration of material below the true vocal folds).
Murray secretion scale day 1 and day 14 The severity of Murray secretion scale was measured using a grade of 0-3, patients without obvious saliva accumulation are scored as MSS grade 0, whereas patients who had secretions in the laryngeal vestibule at the start of the exam were assigned grade 3.
Trial Locations
- Locations (1)
The First Affiliated Hospital of Zhengzhou University
🇨🇳Zhengzhou, Henan, China