Innovative Swallowing Pressure Measurement Ball Combined With CTAR Training: Participants receive Chin Tuck Against Resistance (CTAR) swallowing training combined with an innovative swallowing pressure measurement ball intervention twice daily for 12 weeks.
Conventional Swallowing Rehabilitation: Participants receive conventional swallowing rehabilitation including tongue resistance exercise and oral motor control training.
Study summary
This study aims to investigate the effectiveness of resistance swallowing rehabilitation using Chin Tuck Against Resistance (CTAR) exercises combined with an innovative swallowing pressure ball in improving swallowing function and swallowing-related quality of life among home-based older stroke patients with dysphagia.
Participants will receive a 12-week swallowing rehabilitation program conducted in the home-care setting. Outcome measures include swallowing function assessments, swallowing-related quality of life, and rehabilitation adherence. The study is designed as a randomized controlled trial to explore the feasibility and clinical benefits of resistance-based swallowing rehabilitation in community and home-care environments.
Eligibility
Sex
ALL
Min age
65 Years
Max age
90 Years
Healthy volunteers
No
Inclusion Criteria:
* Age between 65 and 90 years.
* Diagnosed with ischemic or hemorrhagic stroke more than 6 months prior to enrollment.
* Receiving home care services from participating home care agencies.
* Able to follow instructions and participate in swallowing training.
* MMSE score ≥24, or adjusted according to education level.
* Passed the second stage of the 3-step swallowing screening test.
* Presence of post-stroke dysphagia symptoms.
Exclusion Criteria:
* History of head and neck cancer or head and neck radiotherapy.
* History of cervical spine surgery or tracheostomy.
* Severe neurological or neuromuscular diseases affecting swallowing function.
* Severe unstable medical conditions.
* Current use of medications significantly affecting swallowing function or muscle tone.
* Unable to complete the intervention or follow-up assessments.
* Receiving tube feeding without oral intake ability.
Primary outcome measure(s)
Swallowing Quality of Life Questionnaire (SWAL-QOL) Total Score — Baseline to Week 12 Swallowing-related quality of life assessed using the Swallowing Quality of Life Questionnaire (SWAL-QOL). The total score ranges from 44 to 220 points, with higher scores indicating better swallowing-related quality of life.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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