About this trial
The aim of the present project is to use transcutaneous auricular vagus nerve stimulation (t-VNS) for the treatment of dysphagia in acute stroke patients to improve swallowing function and reduce mortality and disability related to this condition.
30 patients will be randomized into one of the two arms of the study:
* REAL: real t-VNS + speech therapy * SHAM: t-VNS placebo + speech therapy. The experimental treatment consists in the association between t-VNS (real or placebo) and speech therapy exercises to improve swallowing functionality. Each patient will undergo a speech therapy rehabilitation session lasting approximately 40 minutes a day for 3 consecutive days, simultaneously with t-VNS on left ear.
Swallowing function and clinical conditions will be evaluated before the intervention (baseline, T0), immediately after the intervention (T1) and 3 months after the intervention (T2).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Acute ischemic or hemorrhagic stroke (within 7 days of onset)
Dysphagia diagnosed by FEES with a Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS) score between 3 and 5
Disqualifiers
Pre-existing stroke dysphagia
Dementia or other medical conditions that may interfere with the study
Trial design
Parallel
Treatments tested in this trial
Non Invasive vagus nerve stimulation
DeviceTranscutaneous Auricular Vagus Nerve Stimulation
Treatment groups
Trial outcomes
Primary outcomes
Swallowing function
Swallowing video fluoroscopic will be used to measure swallowing function
Secondary outcomes
Disability
Disability will be measured by mRS and the necessity of nasogastric tube/gastrostomy.
Mortality
Number of deaths
Morbidity
Number of aspiration pneumonia
Swallowing function
Swallowing video fluoroscopic will be used to measure swallowing function
Sponsors and contacts
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