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Patients with stroke frequently present phonation difficulties. An intervention combining myofunctional and respiratory training is presented in order to improve phonation outcomes.
Patients with stroke frequently present phonation difficulties. An intervention combining myofunctional and respiratory training is presented to improve phonation outcomes. Myofunctional therapy is based on exercise training program for the muscles around your face, mouth, and tongue. Respiratory muscle strength training focuses on increasing the force-generating capacity of the inspiratory and expiratory muscles. A combination of both may be of interest to improve phonation parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Myofunctional and respiratory training | Experimental | Patients with chronic stroke receiving an exercise training program for the muscles around the face, mouth, and tongue and a respiratory training focused on inspiratory and expiratory muscle strengthening. |
|
| Range of motion and stimulation exercises | Active Comparator | Standard treatment focused mainly on range of motion, such as opening and closing the mouth and stimulation exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Myofunctional and respiratory training program | Other | The patients will receive exercises included in a myofunctional approach and a respiratory training focused on inspiratory and expiratory muscles using a device. |
| Measure | Description | Time Frame |
|---|---|---|
| Volume during monologue | The volumen during a monologue of basic activities of daily living assessed in decibels. | Baseline, 6 weeks |
| Frequency during monologue | The frequency during a monologue of basic activities of daily living expressed in hertz. | Baseline, 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Volumen during sustained phonation of /s/ sound | The decibels during the maximum sustained phonation of s. | Baseline, 6 weeks |
| Communication effectiveness Index | This is a questionnaire with the scores ranging from 0 to 100, with lower scores meaning more difficulties associated to effectiveness in communication. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Irene Cabrera Martos | Contact | 958248763 | 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 |
|---|---|
| D016059 | Range of Motion, Articular |
| ID | Term |
|---|---|
| D010808 | Physical Examination |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D009142 | Musculoskeletal Physiological Phenomena |
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| Range of motion and thermal and mechanical stimulation exercising | Other | The patients will receive the standard treatment of speech and language therapy including range of motion exercises (open and close the mouth) and thermal and mechanical stimulation in the orofacial region. |
|
| Baseline, 6 weeks |
| Frequency during sustained phonation of /s/ sound | The Hertzs during the maximum sustained phonation of s. | Baseline, 6 weeks |
| Volumen during sustained phonation of /a/ sound | The decibels during the maximum sustained phonation of a. | Baseline, 6 weeks |
| Frequency during sustained phonation of /a/ sound | The Hertzs during the maximum sustained phonation of a | Baseline, 6 weeks |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |