[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100652481":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":24,"centralContacts":25,"locations":24,"responsibleParty":31,"collaborators":24,"id":35,"slug":36,"hasResults":37,"nctId":38,"briefTitle":39,"officialTitle":40,"acronym":41,"eligibilityCriteria":42,"healthyVolunteers":37,"sex":43,"minAge":44,"maxAge":24,"enrollmentInfo":45,"targetDuration":24,"studyType":48,"phases":49,"briefSummary":51,"conditions":52,"keywords":55,"overallStatus":58,"whyStopped":24,"lastUpdateSubmitDate":59,"lastUpdatePostDateStruct":60,"startDateStruct":63,"completionDateStruct":65,"leadSponsor":67,"locationsCount":24},{"fullName":5,"class":6},"University of Alberta","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Immediate Intervention","EXPERIMENTAL","Participants assigned to this arm will begin the 4-week effortful swallow exercise program after baseline assessment. The program is delivered remotely by a speech-language pathologist. Participants will practise swallowing exercises at home and will use a tongue pressure device during practice. Participants will complete swallowing assessments and questionnaires during the study and follow-up period.",[13],"Behavioral: Effortful swallow",{"label":15,"type":6,"description":16,"interventionNames":17},"Delayed Intervention","Participants assigned to this arm will wait about 4 weeks before beginning the 4-week effortful swallow exercise program. During the waiting period, participants will continue usual clinical care as recommended by their health care team. After the waiting period, participants will receive the same remotely delivered effortful swallow exercise program as the immediate intervention group, including use of a tongue pressure device during practice.",[13],[19],{"type":20,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"BEHAVIORAL","Effortful swallow","A 4-week remotely supervised swallowing exercise program delivered by a speech-language pathologist. Participants will practise effortful swallows at home using saliva and mildly thick liquids, according to study instructions. Participants will use a tongue pressure device during practice to support measurement and feedback. Participants may also complete home practice logs.",[15,9],null,[26],{"name":27,"role":28,"phone":29,"phoneExt":24,"email":30},"Pooja Gandhi, PhD, R.SLP, SLP(C)","CONTACT","7804920596","pooja.gandhi@ualberta.ca",{"type":32,"investigatorFullName":33,"investigatorTitle":34,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"PRINCIPAL_INVESTIGATOR","Pooja Gandhi","Assistant Professor","100652481","exploring-the-efficacy-of-the-effortful-swallow-maneuver-for-improving-swallowing-in-people-with-pd-100652481",false,"NCT07773025","Exploring the Efficacy of the Effortful Swallow Maneuver for Improving Swallowing in People With PD","EFFORT-PD: Exploring the Efficacy of the Effortful Swallow Maneuver for Improving Swallowing in People With Parkinson Disease","EFFORT-PD","Inclusion Criteria:\n\n* Age 18 years or older\n* Neurologist-confirmed diagnosis of Parkinson disease\n* Self-report of one or more swallowing symptoms, such as difficulty managing secretions, coughing during meals, choking on food, or respiratory infection other than COVID-19 in the past 6 months\n* Baseline videofluoroscopic swallowing assessment showing prolonged time to laryngeal vestibule closure and\u002For poor pharyngeal area at maximum constriction on regular-effort swallows with thin or mildly thick liquid stimuli, relative to healthy reference values\n\nExclusion Criteria:\n\n* History of head and neck cancer\n* History of radical neck dissection, anterior cervical spine surgery, or neck\u002Foropharyngeal surgery, except tonsillectomy or adenoidectomy\n* History of any neurological disease other than Parkinson disease\n* Cognitive or receptive communication difficulties that preclude the ability to follow English-language study instructions\n* History of brain surgery, including deep brain stimulation","ALL","18 Years",{"count":46,"type":47},74,"ESTIMATED","INTERVENTIONAL",[50],"NA","The goal of this clinical trial is to learn whether a 4-week effortful swallow exercise program helps adults with Parkinson disease who have swallowing problems. The effortful swallow is a swallowing exercise where a person swallows with extra effort.\n\nResearchers will compare adults who start the exercise program right away with adults who start the program after a 4-week waiting period. All participants who remain eligible will have the opportunity to receive the exercise program.\n\nParticipants will have swallowing assessments, including video X-ray swallowing tests called videofluoroscopy. They will also complete questionnaires and take part in a remotely supervised swallowing exercise program with a speech-language pathologist. Participants who remain eligible and take part in the exercise program will use a tongue pressure device during practice. The main study period lasts about 10 weeks. Participants will also complete brief follow-up questionnaires at 6 months and 12 months.",[53,54],"Dysphagia","Parkinson Disease (PD)",[53,56,57],"Parkinson disease","effortful swallow","NOT_YET_RECRUITING","2026-08-14",{"date":61,"type":62},"2026-08-19","ACTUAL",{"date":64,"type":47},"2027-01-01",{"date":66,"type":47},"2030-08-31",{"name":5,"class":6}]