K01 Impacts of Lingual Endurance Exercise
Part of paid clinical trials in Cincinnati, Ohio.
- Sponsor
- University of Cincinnati
- Study ID
- NCT06072924
- Status
- Recruiting
Conditions
- Dysphagia
- Dysphagia, Oropharyngeal
- Ischemic Stroke
- Stroke
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Isotonic Endurance Exercise — BEHAVIORALPressing tongue against a pressure sensor at the set number of repetitions per session (individualized per participant) 3 times per day
- Sham Exercise — BEHAVIORALPressing tongue against pressure sensor at a low threshold (1-15kPa) 30x/day
Study Details
The goal of this clinical trial is to learn whether a tongue endurance exercise program can improve swallowing function in adults with dysphagia after a stroke. It also aims to explore how this exercise may affect brain structure and connectivity involved in swallowing. The main questions it aims to answer are: Primary Aim: Does lingual endurance exercise improve swallowing function compared to a sham therapy? Secondary Aim: Does lingual endurance exercise lead to changes in brain structure or neuroplasticity, as measured by MRI? Researchers will compare a group receiving tongue endurance exercises to a sham therapy group to see whether the treatment improves tongue function, swallowing. Participants will: * Complete a baseline swallowing assessment and MRI * Be randomly assigned to either the lingual exercise or sham therapy group * Complete 8 weeks of home-based tongue exercise therapy * Return for follow-up swallowing assessments * A subgroup of participants will complete a pre-treatment and post-treatment MRI.
Key Dates
- Start date
- Sep 1, 2023
- Status verified
- Dec 2025
- Primary completion
- Aug 31, 2027
- Completion
- Aug 31, 2028
Study Design
- Enrollment
- 70 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Lingual Endurance ExerciseThe experimental exercise group will participate in 3 training sessions per day for 8 weeks. Endurance exercise will include completing isotonic endurance repetitions 3 times a day. Number of repetitions per session will be determined during baseline testing, and re-evaluated every 2 weeks, for each participant.
- Sham Comparator: Sham ExerciseThe sham control group will be instructed to press the lingual sensor 30 times at a very low-pressure threshold (approximately 1-15 kPa), which will be monitored weekly via device output sent to the study team to avoid use of excessive force that would qualify as exercise.
Primary Outcome Measure
Modified Barium Swallow Study Impairment Profile Oral Total (MBSImP OT Score) [ Time Frame: Change from Baseline (at the end of 8 weeks) ]
Central Contacts
- Anna Hopkins, MS+1 513 558 4152
- Rebecca Reinert+1 513 558 1719
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| University of Cincinnati | Cincinnati | Ohio | 45220 | Brittany Krekeler, PhD (PRINCIPAL_INVESTIGATOR) |
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