Effect of Compressed Tongue Range of Motion Exercises on Dysphagia Following Cerebrovascular Accident

Effect of compressed tongue range of motion exercises on dysphagia following cerebrovascular accident

A randomized, blinded, sham controlled clinical trial with a parallel group design of 24 patients

24 patients will be divided into two control and experimental groups and Both groups will receive traditional dysphagia treatment for 6 weeks (3 sessions per week). The control group, they will receive the range of motion exercises of the tongue extracted from the traditional dysphagia treatment in the form of a set of 10 exercises in each session while, The experimental group receives the same exercises in each session in a set of 20 exercises (twice as much as the control group). Before starting treatment, after the end of the third week of treatment and after the end of six weeks of treatment, evaluation is done.

Inclusion criteria: 1. No history of any disease associated with dysphagia such as Parkinson's disease, cervical spinal cord injury, TBI, myasthenia gravis, and amyotrophic lateral sclerosis in the patient's medical history 2. The patient does not have cognitive disorders such as dementia 3. Suffering from dysphagia based on water test 4. Suffering from dysphagia in the oral and oral preparation phase 5. The patient has not yet undergone any treatment program to improve swallowing 6. The patient should be at least 20 years old 7. At least 3 months have passed since the stroke Exclusion criteria: 1. pregnancy 2. Dysphagia due to drug poisoning 3. Brain stem strokes 4. abandoning the treatment process by the patient 5. The patient's unwillingness to continue the treatment process

Control group Experimental group

Subcategories of Mann assessment of swallowing ability that contains: Alertness; Cooperation; Auditory comprehension; Dyspraxia; Dysphasia; Dysarthria and etc

Stratified randomization is used for this study. In this type of randomization, the number of 24 sample individuals based on the severity of the disease, they are placed in three classes (severe, moderate, mild). Then randomization in each floor by Swap block randomization method is done with block size 2. It is important to mention that the number of people in each floor must be pair numbers. Intervention and control groups called A or B It is assigned that this work is done by a person outside the research team and without the knowledge of the research team. Then randomization is done in each floor like this patient couple (2 patients) has been selected and Using a binary block previously prepared by a person outside the research team (the person doing the concealment) one is assigned to group A and the other to group B. This work continues until the end of patients on each floor. This process is done in all three floors

Patients and researcher blinding