EMST and TMS for Treatment of Dysphagia in Parkinson's Disease
NCT02461082 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 53
Last updated 2018-09-24
Summary
The purpose of the study is to examine the effectiveness of different methods for the treatment of dysphagia in Parkinson's disease (PD). More than 80% of patients suffering from PD develop dysphagia during the course of their disease leading to malnutrition, loss of life quality, weight loss and pneumonia, which is the leading cause of death in these patients. So far, only a few specific treatment approaches have been investigated in PD patients with swallowing disorders. The investigator want to compare a 4-week expiratory muscle strength training (EMST), transcranial magnetic stimulation (TMS), and combination of both with a sham therapy. Dysphagia severity before and after intervention is measured by flexible endoscopic evaluation of swallowing (FEES). For the evaluation of changes in cortical swallowing processing the investigators apply magnetoencephalography (MEG).
Conditions
Interventions
- DEVICE
-
Expiratory muscle strength training (EMST)
The EMST is performed 4 weeks, 5 days per week, for 20 minutes per day, using a calibrated or sham, handheld device (EMST 150, Aspire Products, Gainesville, FL).
- OTHER
-
Transcranial magnetic stimulation (TMS)
A sham or active transcranial magnetic stimulation is performed at the last 5 days of EMST training.
Sponsors & Collaborators
-
Deutsche Parkinson Vereinigung
collaborator OTHER -
University Hospital Muenster
lead OTHER
Principal Investigators
-
Tobias Warnecke, MD · Universität Münster
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-05-31
- Primary Completion
- 2018-04-06
- Completion
- 2018-08-28
Countries
- Germany
Study Locations
More Related Trials
-
Effect of Deep Brain Stimulation on Gastrointestinal (GI) Motility
NCT01081457 ·Status: COMPLETED ·Phase: NA
-
Temporal Interference Stimulation on Motor Symptoms in Parkinson's Disease
NCT07309198 ·Status: RECRUITING ·Phase: NA
-
The Motor Network in Essential Tremor: Mechanisms of Therapy
NCT02712515 ·Status: COMPLETED
-
High-frequency Alternating Current Stimulation for Tremor in Parkinson's Disease.
NCT06247423 ·Status: COMPLETED ·Phase: NA
-
Deep Brain Stimulation Therapy in Movement Disorders
NCT02119611 ·Status: RECRUITING ·Phase: NA
-
Study of Motor Inhibition in Parkinson's Disease and Focal Hand Dystonia
NCT05209516 ·Status: UNKNOWN ·Phase: NA
-
Combined Subthalamic and Nucleus Basalis Meynert Deep Brain Stimulation for Parkinson's Disease With Dementia
NCT02589925 ·Status: UNKNOWN ·Phase: NA
-
STEM-Parkinson's Disease
NCT04797611 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Stellate Ganglion Block in Patients Diagnosed With Parkinson's Disease
NCT06319625 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Motor Network Physiology
NCT04957095 ·Status: RECRUITING ·Phase: NA
-
Efficacy of Repetitive Trans-spinal Magnetic Stimulation on Axial Motor Symptoms in PD
NCT05271513 ·Status: COMPLETED ·Phase: NA
-
Facial Expression Recognition of Emotion and Categorization of Emotional Words in Parkinson's Disease. Impact of L-Dopa and Deep Brain Stimulation of Subthalamic Nucleus
NCT00664157 ·Status: COMPLETED ·Phase: NA
-
Investigating the Causal Role of preSMA in Levodopa-induced Dyskinesia in Parkinson's Disease
NCT03354455 ·Status: COMPLETED ·Phase: NA
-
Cerebellar Transcranial Alternating Current Stimulation (tACS) to Modulate Parkinson's Disease Tremor
NCT06993571 ·Status: RECRUITING ·Phase: NA
-
Thalamic Deep Brain Stimulation for Secondary Dystonia in Children and Young Adults
NCT03078816 ·Status: COMPLETED ·Phase: NA
-
Effect of Intermittent Oro-esophageal Tube Feeding on Dysphagic Patients With Parkinson Disease
NCT06206122 ·Status: WITHDRAWN ·Phase: NA
-
The Effectiveness of Alternating Stimulation in Preventing Tolerance in Essential Tremor Patients
NCT02947841 ·Status: COMPLETED ·Phase: NA
-
Motor Activation in Multiple System Atrophy and Parkinson Disease: a Positron Emission Tomography (PET) Study
NCT01044992 ·Status: COMPLETED ·Phase: NA
-
ExAblate Transcranial MRgFUS for Unilateral Pallidotomy for the Treatment of Parkinson's Disease
NCT02347254 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Combined Stimulation of STN and SNr for Resistant Freezing of Gait in Parkinson's Disease
NCT02588144 ·Status: UNKNOWN ·Phase: NA
-
Elucidating the Temporality of Structural and Functional Connectivity Changes in Essential Tremor After Successful Deep Brain Stimulation to the Dentato-rubro-thalamic Tract
NCT04758624 ·Status: RECRUITING ·Phase: NA
-
Neuroimaging of Dystonia
NCT02046447 ·Status: COMPLETED
-
Transcutaneous Magnetic Spinal Cord Stimulation for Freezing of Gait in Parkinson's Disease
NCT04783493 ·Status: UNKNOWN ·Phase: NA
-
Study of Magnetic Fields for Treatment of Parkinson's Disease
NCT00779155 ·Status: COMPLETED ·Phase: PHASE2
-
ExAblate Transcranial MRgFUS of the Subthalamic Nucleus for Treatment of Parkinson's Disease
NCT02246374 ·Status: COMPLETED ·Phase: NA