Effects of a Home-based Respiratory Muscle Training on Swallowing Function in Patients With Chronic Stroke
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Universidad de Granada
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Gugging Swallowing screen
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this study is to evaluate the effects of a home-based respiratory muscle training on swallowing function in patients with chronic stroke. The patients will be included in a experimental or a control group. The patients in the experimental group will receive a home-based respiratory training using respiratory devices added to standard treatment, while the participants in the control group will only receive the standard treatment.
Detailed Description
This study aims to evaluate the effects of a home-based respiratory muscle training on swallowing function in patients with chronic stroke. The patients will be included in a experimental or a control group. The patients in the experimental group will receive home-based respiratory training using respiratory devices added to standard treatment, while the participants in the control group will only receive the standard treatment. The swallowing function will be assessed using specific tools and questionnaires. Secondary outcomes will evaluate the respiratory function. The intervention will have a duration of 6 weeks.
Investigators
Irene Cabrera Martos
Profesor titular de Universidad
Universidad de Granada
Eligibility Criteria
Inclusion Criteria
- •Clinical diagnosis of stroke
- •18 years of age or more
Exclusion Criteria
- •Cognitive impairment or aphasia that prevents the understanding of instructions.
- •Tracheostomy.
- •Presence of cancer.
- •Patients who present another disease of the central nervous system
- •Absence of neuromotor competence to carry out the respiratory function tests.
- •Central apnea.
- •Hypoventilation-obesity syndrome.
- •Severe cardiorespiratory impairment (hemodynamic instability, pulmonary embolism, recent pneumonothorax, acute hemoptysis, active respiratory infections, recent myocardial infarction, unstable angina, pulmonary hypertension, uncontrolled asthma, or severe chronic obstructive pulmonary disease).
- •Patients with recent otorhinolaryngological, abdominal, or thoracic surgery.
Outcomes
Primary Outcomes
Gugging Swallowing screen
Time Frame: Baseline, 6 weeks
Screening test that indicates the need to evaluate the presence of dysphagia. The scores ranges from 0 to 20, with higher scores indicating better performance. Twenty points are the highest score that a patient can attain, and it means normal swallowing ability without aspiration risk.
cough peak flow
Time Frame: Baseline, 6 weeks
Evaluation of the strength of cough using a peak flow meter
Swallowing quality of life questionnaire
Time Frame: Baseline, 6 weeks
Questionnaire evaluating the impact of swallowing deficits on daily living. The scores range from 0 to 100 metric, with a lower score indicating less quality of life.
Secondary Outcomes
- Forced expiratory volumen in the first second(Baseline, 6 weeks)
- Respiratory Pressure Meter(Baseline, 6 weeks)
- FEV1/FVC ratio(Baseline, 6 weeks)
- Forced vital capacity(Baseline, 6 weeks)