Effect of Kinesio Taping Applied to the Suprahyoid Muscles on Swallowing Safety in Patients With Post-Stroke Dysphagia (Post-Stroke KT)
Investigation of the Effects of Suprahyoid Kinesio Taping on Swallowing Safety and Hyolaryngeal Elevation in Patients With Post-Stroke Dysphagia
Dysphagia is defined as a disorder that occurs during the process of food transfer, beginning with oral intake and continuing until it reaches the stomach. The incidence of post-stroke dysphagia has been reported to range between 42% and 75%. Dysphagia can lead to aspiration pneumonia due to food entering the lungs, as well as malnutrition, dehydration, and even death. In patients with inadequate swallowing safety and efficiency, compensatory maneuvers such as chin tuck, head flexion, supraglottic swallowing, and the Mendelsohn maneuver are commonly used. These maneuvers aim to maintain oral intake by narrowing the laryngeal vestibule or increasing hyolaryngeal elevation. They are evaluated during videofluoroscopic swallowing studies and recommended to patients if they are found to prevent aspiration or penetration.
Kinesio taping (KT) has been reported to stimulate cutaneous receptors, increase sensory input, and facilitate neural reflexes, thereby promoting the activation of a greater number of motor units during maximal muscle contraction. In recent years, it has also begun to be used in the field of dysphagia rehabilitation. Studies conducted in stroke patients have shown that KT applied to the infrahyoid muscles provides resistance to the suprahyoid muscles and enhances their strength. A kinematic analysis study in stroke patients reported that KT applied to include the suprahyoid muscles increased vertical hyoid movement, although it did not result in a significant improvement in swallowing safety. The study, however, did not specify the detailed taping method used. Since the suprahyoid muscles are primarily responsible for hyolaryngeal elevation, KT focusing on this region has the potential to serve as a compensatory maneuver in dysphagia management.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Sanliurfa, Turkey (Türkiye)
- Harran University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosis of stroke
- Age over 18 years
- Presence of swallowing disorder symptoms
- Willingness to participate in the study
Exclusion Criteria:
- Presence of neurological diseases other than stroke
- Presence of tracheostomy
- Open wounds on the skin in the submental region
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Kinesio Taping Group
Participants with post-stroke dysphagia will receive Kinesio Taping applied to the suprahyoid muscle region. Swallowing safety and kinematic parameters will be evaluated before and after the intervention. |
Kinesio tape will be applied over the suprahyoid region to facilitate muscle activation. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Hyolaryngeal Kinematic Displacement (Hyoid and Laryngeal Displacement)
Time Frame: Immediately before and immediately after Kinesio taping application.
|
Hyolaryngeal kinematic displacement will be assessed from videofluoroscopic swallowing study (VFSS) recordings using MATLAB-based STAMPS software. Anatomical landmarks (C2, C4, the subglottic air column, and the hyoid bone) will be digitized frame-by-frame to calculate hyoid and laryngeal displacement in the superior, anterior, and total (resultant) directions, yielding six kinematic parameters. Total displacement will be calculated as the square root of the sum of the squared anterior and superior displacement components. Spatial calibration will be performed using a 20 mm reference object placed on the mastoid process. Differences in these parameters between taped and non-taped swallowing trials will be analyzed to assess the acute effect of suprahyoid Kinesio taping on hyolaryngeal movement. |
Immediately before and immediately after Kinesio taping application.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Swallowing Safety (Penetration-Aspiration Scale Score)
Time Frame: Immediately before and immediately after Kinesio taping application.
|
Swallowing safety will be evaluated using the Penetration-Aspiration Scale (PAS) during videofluoroscopic swallowing study (VFSS). Each swallow will be scored on an 8-point scale, with higher scores indicating a higher risk of airway invasion. The difference in PAS scores before and immediately after Kinesio taping will be analyzed to assess the acute effect of the intervention on swallowing safety. |
Immediately before and immediately after Kinesio taping application.
|
Collaborators and Investigators
Sponsor
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HRÜ/24.14.41
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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