Clinical trial Recruiting at 1 site Interventional Ages 18 to 99

Tongue-strengthening exercises for people with ALS

Official title: The Impact of Dysphagia Exercise on Oropharyngeal Swallowing Function in Patients With ALS

Run by Nova Southeastern University · NCT07295990 · Data updated 2026-11-12

This program will test whether daily tongue-strengthening exercises can help people with ALS maintain or improve speech and swallowing.

Quick facts

Study typeInterventional
Ages18 Years to 99 Years
SexAll
Enrollment20 (estimated)
SponsorNova Southeastern University
Academic / other
Locations1 site (Davie, Florida)
StatusRecruiting
StartedMay 1, 2026
Main results expectedDecember 2028
Study endsJanuary 2029
Registry record updatedAugust 12, 2026
Trial IDNCT07295990 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

People with a diagnosis of possible, probable, or definite ALS who have measurable tongue weakness, can generate isometric lingual pressure, are naïve to lingual exercise programs, and can attend two visits in Davie, Florida are the intended candidates.

Probably not a fit

Patients who are anarthric, NPO, have a tracheostomy, cannot generate tongue pressure, or have other excluded neurologic/head and neck conditions are unlikely to benefit from this intervention.

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

What this trial studies

This single-site within-subject trial delivers a five-week lingual isometric resistance training program in which each participant serves as their own control. Participants complete two in-person visits (baseline and post-treatment) and five weekly telehealth sessions with a speech-language pathologist while using a home lingual manometer (Tongueometer) to record strength and support exercises. Outcome measures collected longitudinally include speaking rate (Bamboo Passage), the 3-ounce water swallow screen, TOMASS, lingual strength measures, and patient-reported scales (ETBQ, EAT-10, ALSFRS). Treatment-related changes will be compared to each participant’s baseline to determine safety, feasibility, and functional effects.

Why it matters

Potential benefit: If successful, the exercises could help maintain or improve tongue strength, which may make swallowing safer and speech clearer for people with ALS.

How similar studies have gone: Tongue-strengthening programs have produced improvements in tongue strength and swallowing in stroke and older adults, but direct evidence in ALS is limited and preliminary.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of possible, probable, or definite ALS (El-Escorial Revisited)
* Lingual exercises naïve
* Impaired lingual strength generation compared to normative data
* EAT-10 score \<3

Exclusion Criteria:

* Stroke
* Head injury
* Head and neck cancer
* Tracheostomy
* Other concomitant neurogenic disorder
* Recent oral surgery other than routine dental surgery
* Unable to generate isometric lingual pressure on lingual manometer
* Participation in another clinical trial intervention that may confound results
* NPO (nothing by mouth)
* Anarthric

Where it's running

  • Nova Southeastern University
    Davie, Florida, United States
    Recruiting

Study contacts

  • Principal investigator: Lauren Tabor Gray, Ph.D. — Neuroscience Institute, Cathy J. Husman ALS Center
  • Study coordinator: Raquel Garcia, SLP.D.
  • Email: rw602@nova.edu
  • Phone: 17863994053

Similar studies

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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.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.