The Impact of Diaphragm Training on Dysphagia in Elderly Nursing Home Residents: A Preliminary Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dysphagia
- Sponsor
- Copka Sonpashan
- Enrollment
- 200
- Primary Endpoint
- Gugging Swallowing Screen
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this clinical trial is to explore the Diaphragm Training on swallowing function in Elderly Nursing Home Residents (≥60 year old) with swallowing disorders. It primarily aims to address: the effects of Diaphragm Training on swallowing function and quality of life in Elderly Nursing Home Residents. All participants are divided into 2 groups. The intervention group is required to undergo a continuous three-week (21 days) Diaphragm Training, with weekends off and training conducted only on weekdays. The training will be conducted two sessions per day, lasting 30 minutes each.
Detailed Description
Diaphragm training for dysphagia in elderly nursing home residents involves exercises and techniques aimed at strengthening the diaphragm muscle to improve swallowing function. Dysphagia, or difficulty swallowing, is common among older adults and can lead to complications such as malnutrition, dehydration, and aspiration pneumonia. Diaphragm training may include breathing exercises, postural adjustments, and swallowing maneuvers designed to enhance coordination and strength in the muscles involved in the swallowing process. By targeting the diaphragm, which plays a crucial role in breathing and swallowing coordination, this training approach aims to alleviate dysphagia symptoms and improve overall swallowing function in elderly nursing home residents, thus enhancing their quality of life and reducing the risk of associated health complications. The goal of this clinical trial is to explore the Diaphragm Training on swallowing function in Elderly Nursing Home Residents (≥60 year old) with swallowing disorders. It primarily aims to address: the effects of Diaphragm Training on swallowing function and quality of life in Elderly Nursing Home Residents. All participants are divided into 2 groups. The intervention group is required to undergo a continuous three-week (21 days) Diaphragm Training, with weekends off and training conducted only on weekdays. The training will be conducted two sessions per day, lasting 30 minutes each.
Investigators
Copka Sonpashan
Research Director
Chao Phya Abhaibhubejhr Hospital
Eligibility Criteria
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.
- •early dysphagia caused by sarcopenia.
Exclusion Criteria
- •Complicated with severe liver and kidney failure, tumors, or hematological disorders.
- •Physical disability.
- •Difficulty in mobility.
- •Simultaneously receiving other therapies that might influence this study.
- •Individuals with a gastrostomy.
- •Abnormalities of the oral, pharyngeal, or esophageal structures.
Outcomes
Primary Outcomes
Gugging Swallowing Screen
Time Frame: day 1 and day 21
The Gugging Swallowing Screen is used to assess dysphagia. The Screen consists of 10 items covering various aspects of swallowing, including oral and pharyngeal muscle function, oral sensation, tongue coordination, and more. The total scores range from 1 to 20, with lower scores indicating more severe dysphagia.
Secondary Outcomes
- Time consumed in eating(day 1 and day 21)
- Swallowing-Related Quality of Life Questionnaire(day 1 and day 21)
- Eating Assessment Tool-10(day 1 and day 21)
- Dysphagia Handicap Index(day 1 and day 21)