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Comparison of Two Therapies for UES Dysphagia
This study is currently recruiting patients.
Sponsored by: | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
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Information provided by: | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
Purpose
The aim of this research study is to determine the effectiveness of: 1) a traditional therapy regimen focusing on individual exercises for pharyngeal (throat) and laryngeal (voice box) musculature and 2) a new therapeutic exercise, the Shaker exercise.
The primary objective of this 5-year project is to identify which of two therapy programs, the Shaker exercise versus traditional therapy, results in the largest number of stable, non-oral dysphagic patients who can swallow safely and return to full oral feeding after 6 weeks of intervention. The study is powered adequately so that this aim can be tested separately for head and neck cancer and stroke patients. Our primary outcome measure is return to oral feeding, i.e., 100% of nutrition and hydration by mouth.
Condition | Treatment or Intervention |
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Deglutition Disorders |
Procedure: Shaker Exercise vs. Traditional Dysphagia Therapy Regime |
MedlinePlus related topics: Dysphagia
Study Type: Interventional
Study Design: Treatment, Randomized, Efficacy Study
Expected Total Enrollment: 204
Study completion: June 2007
Secondary aims of this research are: 1. Determine in a descriptive manner whether patients with residue in the pyriform sinuses who aspirate the residue after the swallow respond better, i.e., a higher percentage of them can return to 100% oral intake, than patients with residue in the valleculae who aspirate after the swallow or patients with residue in both locations who aspirate after the swallow and thus to define the spectrum of indications for the proposed exercise programs in the two groups of dysphagic patients (stroke and post-chemo radiation treatment for head and neck cancer) and whether postures enable each patient type to swallow more bolus types without aspiration at pre- and post
2.Define the pathophysiology underlying the swallow dysfunction and those pathophysiologic elements which change as a result of each therapy program including changes in – a)anteroposterior and lateral diameter of maximum deglutitive UES opening b)maximum deglutitive laryngeal anterior and superior excursions
Eligibility
Ages Eligible for Study: 21 Years - 90 Years, Genders Eligible for Study: Both
Criteria
Inclusion Criteria (all required)
Exclusion Criteria
Location and Contact Information
More Information
Division of Gastroenterology and Hepatology
Publications
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National Institutes of Health, Department of Health & Human Services | ||||||||||||||
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