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Effect of Myofascial Release on Dysphagia Prevention for Elderly People in the Community

Not Applicable
Recruiting
Conditions
Dysphagia
Interventions
Behavioral: Myofascial Release Training
Registration Number
NCT06256874
Lead Sponsor
Zeng Changhao
Brief Summary

The goal of this clinical trial is to explore the impact of Myofascial Release Training on swallowing function and quality of life in community-dwelling elderly individuals (≥60 year old) with swallowing disorders. It primarily aims to address the effects of Myofascial Release Training on swallowing function and quality of life in community-dwelling elderly individuals with swallowing disorders. All participants are required to undergo a continuous three-week (21 days) Myofascial Release Training, with weekends off and training conducted only on weekdays. The training will be conducted two sessions per day, lasting 15-30 minutes each.

Detailed Description

Myofascial release, also known as fascial release or fascial manipulation, is a physical therapy used to treat muscle and fascial tissue tension or pain. It involves applying appropriate pressure and stretching to release tight fascia and soft tissues, improving blood circulation, alleviating pain, and promoting rehabilitation.

The goal of this clinical trial is to explore the impact of Myofascial Release Training on swallowing function and quality of life in community-dwelling elderly individuals (≥60 year old) with swallowing disorders. It primarily aims to address the effects of Myofascial Release Training on swallowing function and quality of life in community-dwelling elderly individuals with swallowing disorders. All participants are required to undergo a continuous three-week (21 days) Myofascial Release Training, with weekends off and training conducted only on weekdays. The training will be conducted two sessions per day, lasting 15-30 minutes each.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
300
Inclusion Criteria
  • Age over 60 years old.
  • No hospitalization within the past six months.
  • With clear consciousness and able to cooperate with questionnaires and training.
  • The elderly people who voluntarily participate and agree to adhere until the end of the study.
  • Dysphagia
Exclusion Criteria
  • Complicated with severe liver and kidney failure, tumors, or hematological disorders.
  • Physical disability.
  • Difficulty in mobility.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
the observation groupMyofascial Release TrainingThe observation group is the only group of the participants.The elderly individuals will be arranged to undergo a continuous three-week (21 days) duration of Myofascial Release Training, with weekends off and training conducted only on weekdays, two sessions per day, each lasting 15-30 minutes. Each training session will be conducted approximately one hour prior to meals. Apart from this,we require participants to only engage in daily activities and avoid strenuous and dangerous behaviors
Primary Outcome Measures
NameTimeMethod
Swallowing-Related Quality of Life Questionnaireday 1 and day 21

The Swallowing-Related Quality of Life Questionnaire (SWAL-QOL) is a validated tool used to assess the impact of swallowing difficulties on quality of life. It is a 44-item questionnaire designed to measure the physical, emotional, and social domains of swallowing-related quality of life.The higher final scores indicate the better life quality. The total score will be converted into a standard percentage

Secondary Outcome Measures
NameTimeMethod
Water Swallow Testday 1 and day 21

The Water Swallow Test was recruited to assess swallowing function in patients at admission. Specifically, patients were instructed to sit and drink 30 ml of warm water. A 5-point scoring system is used as follows:

1. Point: Successful swallowing of water within 5 seconds without coughing.

2. Points: Able to swallow the water once but taking more than 5 seconds or swallowing in two or more attempts without coughing.

3. Points: Able to swallow the water once with coughing.

4. Points: Able to swallow the water in two or more attempts with coughing.

5. Points: Unable to swallow all of the water, frequent coughing. The higher points indicate the worse swallowing function

Functional Oral Intake Scaleday 1 and day 21

During Dysphagia-Functional Oral Intake Scale assessment, evaluators engage in communication with the patient, conduct observations, and make records to assess the patient's oral intake ability. The Functional Oral Intake Scale assessment form includes seven levels of scoring, ranging from level 1 to level 7, indicating a progressive improvement in the patient's oral intake ability. In general, the result below level 6 indicates unsafe for oral intake while level 6 and above indicates that eating via mouth can be safely conducted.

Time consumed in eatingday 1 and day 21

We require participants to eat a lunch according to their daily intake and habits, and count the time consumed

Trial Locations

Locations (2)

Gaoxiong Rehabilitation Hospital

🇨🇳

Xinzhu, Taiwan

Hsinchu Rehabilitation Hospital

🇨🇳

Xinzhu, Taiwan

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