Behavioural Intervention for Dysphagia in Acute Stroke
Swallowing dysfunction after stroke is common, but there is no reliable evidence for how it should be managed other than perhaps by nasogastric tube. This study compared the effectiveness of standardised, low and high intensity behavioral intervention for dysphagia with that of “usual care”.
Behavioral: behavioral swallowing exercises/ strategies
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Treatment
|Official Title:||A Randomised Controlled Trial of Dysphagia Therapies for Swallowing Disorders Following Stroke.|
- survival free of an abnormal diet at 6 months
- time to return to normal diet over the study
- recovery of swallowing ability at 6 months after stroke
- the occurrence of dysphagia – related medical complications at 6 months.
|Study Start Date:||May 1996|
|Estimated Study Completion Date:||May 1999|
Stroke compromises swallowing function, causing dysphagia, in one quarter to one half of all patients. Dysphagia is associated with an increased risk of aspiration pneumonia, dehydration and malnutrition. Despite the development and implementation of several strategies of managing dysphagia after stroke, Few have been evaluated by means of randomised controlled trials.
Comparisons: This study aims to compare stroke patients with dysphagia assigned to receive usual swallowing care, prescribed by the attending physician; standardised low intensity intervention comprising swallowing compensation strategies and diet prescription; or standardised high intensity intervention and dietary prescription .
Please refer to this study by its ClinicalTrials.gov identifier: NCT00257764
|Australia, Western Australia|
|Royal Perth Hospital|
|Perth, Western Australia, Australia, 6000|
|Study Director:||Graeme Hankey, MBBS, MD,||Royal Perth Hospital|
|Principal Investigator:||Giselle D Mann, MPH,PhD||Royal Perth Hospital|