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Tongue pressure profile training for dysphagia post stroke (TPPT): study protocol for an exploratory randomized
Catriona M Steele1, Mark A Bayley, Melanie Péladeau-Pigeon
1Swallowing Rehabilitation Research Laboratory, Toronto Rehabilitation Institute, University Health Network, 550 University Avenue #12-125, Toronto, ON M5G 2A2, Canada. Catriona.Steele@uhn.ca
Trials
|June 21, 2013
Summary
This study explores a new tongue pressure training protocol for stroke survivors with dysphagia. The tongue pressure profile training (TPPT) may improve thin-liquid swallowing, offering an alternative to feeding tubes and modified diets.
Area of Science:
- Neurology
- Swallowing Disorders
- Rehabilitation
Background:
- Dysphagia affects 50% of stroke survivors, leading to dehydration, malnutrition, and aspiration pneumonia.
- Current management includes feeding tubes or modified diets, which can reduce quality of life.
- Impaired lingual control is a key issue in post-stroke dysphagia, particularly with thin liquids.
Purpose of the Study:
- To investigate the efficacy of a novel tongue pressure training protocol for post-stroke dysphagia.
- To compare tongue pressure profile training (TPPT) with tongue pressure strength-and-accuracy training (TPSAT).
- To explore alternatives to current dysphagia management strategies.
Main Methods:
- Exploratory randomized clinical trial with 60 post-stroke participants (4-20 weeks post-onset).
- Random assignment to either TPPT or TPSAT protocols, each involving 24 sessions over 8-12 weeks.
- Monitoring of tongue pressure, videofluoroscopic swallowing studies, and functional outcome measures.
Main Results:
- Data collection ongoing to determine if TPPT yields better outcomes than TPSAT.
- Focus on improving thin-liquid bolus control in dysphagia patients.
- Assessment of tongue pressure, swallowing function, and functional outcomes post-intervention.
Conclusions:
- This study aims to provide evidence for a new dysphagia treatment approach.
- Successful TPPT could influence clinical practice for neurogenic dysphagia.
- Offers potential for improved swallowing safety and quality of life for stroke survivors.
