- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03145740
Intensive Faciltiation of Swallowing in Patients With Severe Dysphagia After Acquired Brain Injury
The Effect of Intensive Facial Oral Tract Therapy (F.O.T.T.®) on Swallowing Function in Patients After Acquired Brain Injury (ABI)
This study is a randomized controlled trial (RCT). Patients after severe acquired brain injury (ABI) were randomised in addition to the individual daily rehabilitation program to intensive Facial Oral Tract Therapy (F.O.T.T.®) (intervention group) or unspecific treatment: washing face, brushing teeth, without facilitating swallowing (control group).
The duration of the intervention period was 15 working days (3 weeks). The intervention in both groups was twice a day.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with dysphagia caused by severe ABI
Exclusion Criteria:
- congenital brain damage, psychiatric diagnosis, history of head and neck cancer, agitated behaviour, need for tracheostomy tube
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intensive F.O.T.T.®
Intensive F.O.T.T.® intervention was given twice a day, approximately 20 minutes per intervention, exclusive time to position the patient.
Before and after the intervention, the patient was positioned in a standardized way in side lying for 10 minutes to rest.
Here, the Electromyographic Bioimpedance Measuring device (EMBI) measured the spontaneous swallowing frequency and -quality during both, the resting period and the intervention.
In the intervention itself, the patient was facilitated with specific handling and interventions to swallow, according to F.O.T.T.®.
The faciltation was embedded into a meaningful context for the patient, e.g.
tooth brushing or eating small amounts of apple sauce, if safe.
|
Therapeutic F.O.T.T.® intervention provided by Occupational Therapists (OTs).
The intervention consists of positioning the patient, and giving sensory input to the hands and face in order to stimulate and facilitate swallowing of saliva or small amounts of food and drink, if considered safe.
|
Placebo Comparator: Unspecific stimulation of face and mouth
The intervention in the control group was given twice a day, approximately 20 minutes per intervention, exclusive time to position the patient.
Patients in the control group were before and after the intervention, positioned in a standardized way in side lying for 10 minutes to rest.
The EMBI measured the spontaneous swallowing frequency and -quality during both, the resting period and the intervention.
The intervention included unspecific stimulation of the hands and the face, without therapeutic interventions directed towards facilitation of swallowing.
|
The intervention consists of positioning the patient and either washing his face, the hands, or brushing teeth, apply lipbalm, with no specific stimulation or facilitation of swallowing
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in swallowing frequency of saliva.
Time Frame: Change from baseline frequency of swallowing at three weeks.
|
EMBI is a measure device, measuring the number of spontaneous and facilitated swallows by electromyographic and bioimpedance signals.
|
Change from baseline frequency of swallowing at three weeks.
|
Change in swallowing quality of saliva (speed of laryngeal elevation)
Time Frame: Change from baseline quality of swallowing at three weeks.
|
EMBI is a measure device, measuring the speed of laryngeal elevation during spontaneous and facilitated swallows by electromyographic and bioimpedance signals.
|
Change from baseline quality of swallowing at three weeks.
|
Change in swallowing quality of saliva (Range of movement of laryngeal elevation during swallowing)
Time Frame: Change from baseline quality swallowing at three weeks.
|
EMBI is a measure device, measuring the range of movement of laryngeal elevation during spontaneous and facilitated swallows by electromyographic and bioimpedance signals.
|
Change from baseline quality swallowing at three weeks.
|
Change in swallowing quality of saliva (time of pharyngeal closure during swallowing)
Time Frame: Change from baseline quality of swallowing at three weeks.
|
EMBI is a measure device, measuring the time of pharyngeal closure during spontaneous and facilitated swallows by electromyographic and bioimpedance signals.
|
Change from baseline quality of swallowing at three weeks.
|
Change in swallowing quality of saliva (pumping jaw movements before swallowing)
Time Frame: Change from baseline quality of swallowing at three weeks.
|
EMBI is a measure device, measuring the pumping jaw movements during spontaneous and facilitated swallows by electromyographic and bioimpedance signals.
|
Change from baseline quality of swallowing at three weeks.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Severity of Dysphagia
Time Frame: Baseline and three weeks
|
Scored on the Penetration Aspiration Scale (PAS) during Fiberoptic Endoscopic Evaluation of Swallowing
|
Baseline and three weeks
|
Ability to eat and drink
Time Frame: Baseline and three weeks
|
Scored on the Functional Oral Intake Scale (FOIS)
|
Baseline and three weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- H-2-2013-162
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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