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The aim of this study is to evaluate the effects of a home-based respiratory muscle training on swallowing function in patients with chronic stroke. The patients will be included in a experimental or a control group. The patients in the experimental group will receive a home-based respiratory training using respiratory devices added to standard treatment, while the participants in the control group will only receive the standard treatment.
This study aims to evaluate the effects of a home-based respiratory muscle training on swallowing function in patients with chronic stroke. The patients will be included in a experimental or a control group. The patients in the experimental group will receive home-based respiratory training using respiratory devices added to standard treatment, while the participants in the control group will only receive the standard treatment. The swallowing function will be assessed using specific tools and questionnaires. Secondary outcomes will evaluate the respiratory function. The intervention will have a duration of 6 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Respiratory training added to orofacial exercises | Experimental | Home-based respiratory training of the inspiratory and expiratory muscles using a device added to standard treatment including orofacial exercises. |
|
| Orofacial exercises | Active Comparator | Standard treatment including orofacial exercises. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Respiratory training | Device | Respiratory training using the EMST 150 device to increase inspiratory and expiratory muscle strength. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Gugging Swallowing screen | Screening test that indicates the need to evaluate the presence of dysphagia. The scores ranges from 0 to 20, with higher scores indicating better performance. Twenty points are the highest score that a patient can attain, and it means normal swallowing ability without aspiration risk. | Baseline, 6 weeks |
| Swallowing quality of life questionnaire | Questionnaire evaluating the impact of swallowing deficits on daily living. The scores range from 0 to 100 metric, with a lower score indicating less quality of life. | Baseline, 6 weeks |
| cough peak flow | Evaluation of the strength of cough using a peak flow meter | Baseline, 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Forced vital capacity | This is the maximum amount of air you can forcibly exhale from your lungs after fully inhaling | Baseline, 6 weeks |
| Forced expiratory volumen in the first second | refers to the volume of air that an individual can exhale during a forced breath in the first second. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Irene Cabrera Martos | Contact | 958248763 | irenecm@ugr.es | |
| Irene Cabrera Martos | Contact | irenecm@ugr.es |
| Name | Affiliation | Role |
|---|---|---|
| Irene Cabrera Martos | UGR | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Health Sciences | Recruiting | Granada | 18016 | Spain |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D001945 | Breathing Exercises |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026241 | Exercise Movement Techniques |
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| Orofacial exercises | Other | The exercises will include activities to improve orofacial structures such as mobility, strength and coordination. |
|
| Baseline, 6 weeks |
| FEV1/FVC ratio | This is the ratio of the forced expiratory volume in the first one second to the forced vital capacity of the lungs | Baseline, 6 weeks |
| Respiratory Pressure Meter | This measure will include the maximal inspiratory and maximal expiratory measures evaluated using a device | Baseline, 6 weeks |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D026741 |
| Physical Therapy Modalities |