Efficacy of Game-Based EMG-Biofeedback Therapy in Post-Stroke Dysphagia

Kocaeli University33 enrolled

Overview

This study aims to determine the effectiveness of game-based biofeedback application via surface electromyography in patients with post-stroke dysphagia. The same treatment interventions will be applied with and without biofeedback, and thus the contribution of adding biofeedback to the treatment will be determined.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Stroke Dysphagia Surface Electromyography Biofeedback Swallowing Disorder

Interventions

With EMG-BiofeedbackDEVICE

Once a day for a total of 15 sessions, the Mendelsohn maneuver will be performed for 15 minutes and the effortful swallow maneuver will be performed for 15 minutes with game-based emg-biofeedback.

Without EMG-BiofeedbackBEHAVIORAL

Once a day for a total of 15 sessions, the Mendelsohn maneuver will be performed for 15 minutes and the effortful swallow maneuver will be performed for 15 minutes with only verbal feedback.

Usual CareBEHAVIORAL

Patient and family education will be provided by the investigator. In addition, each patient will be evaluated and oral motor exercises and thermal tactile stimulation will be given to each patient when necessary.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. History of hemorrhagic or ischemic stroke longer than 3 months 2. Being over the age of eighteen 3. Level ≤ 6 on the Functional Oral Intake Scale (FOIS) 4. Post-stroke onset of swallowing complaints 5. Ability to communicate with the patient and carry out the given commands 6. Mini mental test evaluation ≥ 24 points 7. Absence of concomitant serious systemic disease (unregulated hypertension, decompensated heart failure, malignancy, infection, pacemaker, epilepsy, etc.) 8. Detection of pathology in the oropharyngeal phase of swallowing in videofluoroscopic evaluation 9. Not taking any swallowing-related treatment in the last 3 months Exclusion Criteria: 1. History of neoplastic disease and/or radiotherapy to the head and neck region 2. Having additional musculoskeletal disease or non-stroke neurologic disease that may cause swallowing disorders 3. Unable to communicate or carry out commands 4. Inability to maintain head-holding balance 5. Patients with severe pathology in bolus formation or delivery of the bolus to the pharynx during the oral swallowing phase

Locations (1)

Kocaeli University

Kocaeli, Turkey (Türkiye)

Outcomes

Primary Outcomes

Gugging Swallowing Screen (GUSS)

It is used to determine the severity of dysphagia and the risk of aspiration in patients with acute stroke. It is evaluated out of 20 points. It recommends videofluoroscopy as an advanced examination for patients with a score of less than 20.