NCT00722111

Brief Summary

The purpose of this study is to determine whether stroke patients with swallowing problems will show greater swallowing improvement with intense oral exercise than subjects who perform either a low intensity oral exercise or a sham exercise.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
83

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2011

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 23, 2008

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 25, 2008

Completed
2.5 years until next milestone

Study Start

First participant enrolled

February 1, 2011

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2011

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2012

Completed
5.8 years until next milestone

Results Posted

Study results publicly available

March 21, 2018

Completed
Last Updated

March 21, 2018

Status Verified

March 1, 2018

Enrollment Period

10 months

First QC Date

July 23, 2008

Results QC Date

October 17, 2013

Last Update Submit

March 12, 2018

Conditions

Keywords

tonguepressure

Outcome Measures

Primary Outcomes (2)

  • Isometric Lingual Pressure

    Tongue Strength

    8 weeks

  • Maximum Isometric Tongue Pressure

    Peak isometric pressure at 4 sensors

    16 months

Study Arms (4)

Arm 1

EXPERIMENTAL

lingual press (high-intensity, oral, non-swallowing)

Device: lingual press

Arm 2

EXPERIMENTAL

effortful swallowing (high-intensity swallowing)

Behavioral: effortful swallowing

Arm 3

EXPERIMENTAL

natural swallowing (high frequency, low intensity swallowing)

Behavioral: natural swallowing

Arm 4

SHAM COMPARATOR

non-oral sham (control) exercise

Behavioral: non-oral sham (control) exercise

Interventions

lingual press (high-intensity, oral, non-swallowing)

Arm 1

effortful swallowing (high-intensity swallowing)

Arm 2

natural swallowing (high frequency, low intensity swallowing)

Arm 3

non-oral sham (control) exercise

Arm 4

Eligibility Criteria

Age45 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • months post ischemic or hemorrhagic stroke
  • years of age or older
  • physician approval of medical stability
  • aspiration or penetration of the laryngeal vestibule (score of 3 or higher on Penetration/Aspiration Scale) or post swallow residue in the oropharynx
  • able to manage own secretions with no signs of aspiration
  • the capacity to provide informed consent

You may not qualify if:

  • neurologic insult (other than stroke) or neuromuscular disease
  • history of radiation to the head or neck
  • poorly controlled psychosis
  • lack the capacity to complete the exercise program
  • refractory alcoholism (on AWD precautions)
  • class IV congestive heart failure
  • sever chronic obstructive pulmonary disease (home oxygen dependent)
  • end-stage renal failure
  • allergy to barium (used in radiographic swallowing assessment
  • Subjects with known contraindication will be excluded from the MRI portion of the protocol:
  • Cardiac pacemakers
  • Aneurysm clips
  • Neurostimulators
  • Cochlear implant
  • Ossicular prostheses
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Wlliam S. Middleton Memorial Veterans Hospital, Madison

Madison, Wisconsin, 53705, United States

Location

MeSH Terms

Conditions

StrokeDeglutition Disorders

Interventions

Exercise

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular DiseasesEsophageal DiseasesGastrointestinal DiseasesDigestive System DiseasesPharyngeal DiseasesOtorhinolaryngologic Diseases

Intervention Hierarchy (Ancestors)

Motor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Results Point of Contact

Title
Dr. JoAnne Robbins
Organization
VAHSRD

Study Officials

  • JoAnne Robbins, PhD

    Wlliam S. Middleton Memorial Veterans Hospital, Madison

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 23, 2008

First Posted

July 25, 2008

Study Start

February 1, 2011

Primary Completion

December 1, 2011

Study Completion

June 1, 2012

Last Updated

March 21, 2018

Results First Posted

March 21, 2018

Record last verified: 2018-03

Locations