- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05861596
Repetitive Transcranial Magnetic Stimulation on Dysphagia in the Stroke Patient
Effects of Repetitive Transcranial Magnetic Stimulation on Dysphagia in Individuals With Stroke
Study Overview
Status
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Chien-Hung Lai, MD, PhD
- Phone Number: 3243 02-27372181
- Email: chlai@tmu.edu.tw
Study Contact Backup
- Name: Chieh Chen, MD
- Phone Number: +886933235048
- Email: garyrbc@gmail.com
Study Locations
-
-
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Taipei, Taiwan, 110
- Recruiting
- Taipei Medical University Hospital
-
Contact:
- Chien-Hung Lai, PhD
- Phone Number: 1236 +886-2-27372181
- Email: chlai@tmu.edu.tw
-
Principal Investigator:
- Chien-Hung Lai, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- stroke
- Onset time at least for one week,area not be limited.
- Patient was first time stroke patient without obvious infection condition.
- Patients with dysphagia in the stroke who were diagnosed by neurologist and CT/MRI in our institute. Patient was clear with adequate motivation and could cooperate the whole therapy and FEES evaluation.
Exclusion Criteria:
- Lower motor neuron disease, such as autonomic dysreflexia, facial palsy, hyhoid muscle denervation.
- Mental status unstable, mental retardation, schizophrenia, bipolar disease were be excluded.
- Metal implantation of head, ventroperotoneal shunt or any seizure history, pacemaker, as well as head and neck cancer.
- Allergy to specific subjects
- Cognition impairment
- Alcohol or drugs abuse
- Afraid of the noise of rTMS.
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: Group A
Conscript 10 individuals, every individual will receive 20 mins of repetitive transcranial magnetic stimulation and 30 min NMES combined with conventional swallowing therapy, 5 times per week, lasting for 2 weeks.
|
Participants suffered from acute stroke with dysphagia in single hospital who were determined by CT/MRI and clinical evaluation.
The aim of this study is to compare the effects of rTMS, Neuromuscular electrical stimulation (NMES) and conventional swallowing therapy to those of sham rTMS, Neuromuscular electrical stimulation(NMES) and conventional swallowing therapy.
One group will receive Neuromuscular electrical stimulation(NMES), to sham One group will receive Neuromuscular electrical stimulation(NMES),traditional swallowing therapy and rTMS therapy five times per week for 2 weeks ; Another group will receive Neuromuscular electrical stimulation(NMES) and traditional swallowing therapy with shame rTMS five times per week for 2 weeks.
MEP character, FEES, degrees of dysphagia, FOIS, and SSA were used for evaluated swallowing function before the therapy and after 2 weeks therapy.
Participants suffered from acute stroke with dysphagia in single hospital who were determined by CT/MRI and clinical evaluation.
The aim of this study is to compare the effects of rTMS, Neuromuscular electrical stimulation (NMES) and conventional swallowing therapy to those of sham rTMS, Neuromuscular electrical stimulation(NMES) and conventional swallowing therapy.
One group will receive Neuromuscular electrical stimulation(NMES), to sham One group will receive Neuromuscular electrical stimulation(NMES),traditional swallowing therapy and rTMS therapy five times per week for 2 weeks ; Another group will receive Neuromuscular electrical stimulation(NMES) and traditional swallowing therapy with shame rTMS five times per week for 2 weeks.
MEP character, FEES, degrees of dysphagia, FOIS, and SSA were used for evaluated swallowing function before the therapy and after 2 weeks therapy.
|
Sham Comparator: Group B
Conscript 10 individuals, every individual will receive sham repetitive transcranial magnetic stimulation and 30 min NMES combined with conventional swallowing therapy, 5 times per week, lasting for 2 weeks.
|
Participants suffered from acute stroke with dysphagia in single hospital who were determined by CT/MRI and clinical evaluation.
The aim of this study is to compare the effects of rTMS, Neuromuscular electrical stimulation (NMES) and conventional swallowing therapy to those of sham rTMS, Neuromuscular electrical stimulation(NMES) and conventional swallowing therapy.
One group will receive Neuromuscular electrical stimulation(NMES), to sham One group will receive Neuromuscular electrical stimulation(NMES),traditional swallowing therapy and rTMS therapy five times per week for 2 weeks ; Another group will receive Neuromuscular electrical stimulation(NMES) and traditional swallowing therapy with shame rTMS five times per week for 2 weeks.
MEP character, FEES, degrees of dysphagia, FOIS, and SSA were used for evaluated swallowing function before the therapy and after 2 weeks therapy.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline in Fiberoptic Endoscopic Examination of Swallowing (FEES) at 2 weeks
Time Frame: one day before intervention, 1 day after intervention
|
In this study, FEES is executed before and after intervention. The assessment of FEES is as follows. Hyodo-score: for predicting aspiration with moderate sensitivity and high specificity. This method consists of four parameters; These four parameters are each scored 0-3 on a 4 point scale (0; normal, 1; mildly impaired, 2; moderately impaired, 3; severely impaired). The Hyodo score is expressed as the sum of scores for each of the four parameters, ranging 0- 12. Patients with a score of less than 5 were assessed as having normal swallowing function. Patients with a score of more than 8 had severe swallowing dysfunction and would not be allowed any oral intake. |
one day before intervention, 1 day after intervention
|
Change from baseline in The Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS) at 2 weeks
Time Frame: one day before intervention, 1 day after intervention
|
The Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS): Stroke-related dysphagia was divided into a six-point FEDSS with 1 score for the best and 6 scores for the worst. |
one day before intervention, 1 day after intervention
|
Change of baseline Standardized Swallowing Assessment (SSA) at 2 weeks
Time Frame: one day before intervention, 1 day after intervention
|
In this study, SSA was executed before and after intervention.
SSA is a standard of universal screening of all stroke patients within 24 hours of admission.
And SSA comprises three sections and was designed to terminate if a problem was encountered.
The first section checked whether the patient was physically capable of screening; sections 2 and 3 comprised the main screening test.
Volitional cough, saliva control, oral motor dexterity, respiratory compromise and phonation were first evaluated; if no problems were elicited, the ability to swallow water was observed.
|
one day before intervention, 1 day after intervention
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Change of baseline Latency of Motor evoked potentials (MEP) at 2 weeks
Time Frame: one day before intervention, 1 day after intervention
|
Onset latency of MEP, The latency, however, may provide information about the stress in damaged motor pathways.
|
one day before intervention, 1 day after intervention
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Change of baseline Amplitude of Motor evoked potentials (MEP) at 2 weeks
Time Frame: one day before intervention, 1 day after intervention.
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Onset to peak amplitude of Motor evoked potentials (MEP).The amplitude of motor evoked potentials (MEPs) elicited by transcranial magnetic stimulation (TMS) is a common yet highly variable measure of corticospinal excitability.
|
one day before intervention, 1 day after intervention.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of baseline Degree of dysphagia at 2 weeks
Time Frame: one day before intervention, 1 day after intervention
|
Score of degree of dysphagia, score 0 shows normal swallowing, score 1 is able to swallow , some solid food, score 2 is able to swallow semi-liquid food, score 3 is able to swallow liquids only, score 4 exhibits absolute dysphagia.
|
one day before intervention, 1 day after intervention
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Change of Functional Oral Intake Scale (FOIS) at 2 weeks
Time Frame: one day before intervention, 1 day after intervention
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Functional Oral Intake Scale
|
one day before intervention, 1 day after intervention
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Change of baseline modified water swallowing test at 2 weeks
Time Frame: one day before intervention, 1 day after intervention
|
modified water swallowing test
|
one day before intervention, 1 day after intervention
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Collaborators and Investigators
Investigators
- Principal Investigator: Chien-Hung Lai, MD, PhD, Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
- N201912080
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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