Effect of rTMS on pneumonia in stroke patients with swallowing difficulties

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the impact of adding low-frequency repetitive transcranial magnetic stimulation (rTMS) to conventional physical therapy for patients suffering from dysphagia after an acute ischemic stroke. Seventy patients will be randomly assigned to either a control group receiving sham rTMS or a study group receiving actual rTMS alongside a designed rehabilitation program. The study aims to assess the prevalence of aspiration pneumonia in these patients, utilizing various assessments to confirm dysphagia and pneumonia risk. The intervention consists of 12 sessions over four weeks, focusing on improving swallowing coordination and reducing pneumonia risk.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. All the patients were diagnosed of stroke oropharyngeal dysphagia by a neurologist. Sever to moderate dysphagia (GUSS 0-14).
2. Severity of stroke ranged from mild to moderate according to NIHSS score (NIHSS less than or equal 16).
3. Patients' age ranged from 49 to 65 years old.
4. Patients had the ability to understand and follow instructions.
5. Patients were able to sit in upright position.

Exclusion Criteria:

1. History of previous stroke.
2. History of any swallowing problem.
3. History of any head and neck surgery or tumor that causes swallowing dysfunction.
4. Any lung disease or pneumonia on admission.
5. Patients with cognitive deficits or disturbed conscious level.
6. Patients on mechanical ventilator.
7. Patients with sensory or global aphasia.

Where it's running

• Faculty of Physical Therapy, Cairo University
  Giza, Giza Governorate, Egypt Recruiting

Study contacts

• Principal investigator: Engy B. Moustafa, PhD — Faculty of Physical Therapy, Cairo University, Egypt
• Study coordinator: Engy B. Moustafa, PhD
• Email: engybm.saleh@cu.edu.eg
• Phone: 00201099445112

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.