Outpatient Swallowing Therapy for Subjects With Neurological Illness
Outpatient Swallowing Therapy for Subjects With Neurological Illness - a Feasability Study
Health care staff in the municipalities do not always have the necessary competencies to treat patients with dysphagia. At the present neurorehabilitation hospital dysphagia examinations for outpatients are provided.
The objective is to investigate the effect of a specialized outpatient dysphagia unit for subjects with dysphagia following neurological illness. Occupational therapists from the outpatient dysphagia unit will train with subjects for 2-3 weeks, and supervise furter training provided by health care staff in the municipalities.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Region Of Central Jutland
-
Hammel, Region Of Central Jutland, Denmark, 8450
- Hammel neurorehabilitation centre and university research clinic
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Neurological illness
- Living in the Region of central Jutland
- FEDSS score 2-6
Exclusion Criteria:
-
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Specialized dysphagia treatment
Dysphagia treatment is provided by occupational therapists specialized in dysphagia.
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Neuromuscular electrical stimulation, Masako exercises, Mendelsohn maneuver, chin down, mobilization, shaker exercises, eating different food consistencies.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS)
Time Frame: Baseline and 14 days follow-up
|
The FEDSS assess severity of dysphagia, with scores ranging 1-6.
Higher scores mean worse outcome.
|
Baseline and 14 days follow-up
|
|
Change in Functional Oral Intake Scale (FOIS)
Time Frame: Baseline, immediately after the intervention, and 14 days follow-up
|
Level of oral intake with scores ranging 1-7.
Higher scores mean better outcome.
|
Baseline, immediately after the intervention, and 14 days follow-up
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Penetration Aspiration Scale (PAS)
Time Frame: Baseline and 14 days follow-up
|
Assessment of aspiration with scores ranging 1-8.
Higher scores mean worse outcome.
|
Baseline and 14 days follow-up
|
|
Change in The Yale Pharyngeal Residue Severity Rating Scale
Time Frame: Baseline and 14 days follow-up
|
Assessment of residue location and amount of residue.
Two subscales with scores ranging 1-5.
Higher scores mean worse outcome.
|
Baseline and 14 days follow-up
|
|
Facio Oral Tract Therapy - Swallowing assessment of Saliva (FOTT-SAS)
Time Frame: Baseline, immediately after the intervention, and 14 days follow-up
|
Clinical examination of swallowing function.
Yes or no to initiation of oral intake (binary outcome).
|
Baseline, immediately after the intervention, and 14 days follow-up
|
|
Dysphagia Handicap Index (DHI)
Time Frame: Baseline, immediately after the intervention, and 14 days follow-up
|
Questionnaire on experience of dysphagia.
25 items with a toal score ranging 0-100.
Higher scores mean worse outcome.
Also measures overall severity with scores ranging 1-7.
Higher scores means worse outcome.
|
Baseline, immediately after the intervention, and 14 days follow-up
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jesper Fabricius, PhD, Hammel Neurorehabilitation Centre and Univeristy Research Clinic
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1-10-72-182-20
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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