Motor Imagery in Post-Stroke Dysphagia (NCT07656844) | Clinical Trial Compass
CompletedNot Applicable
Motor Imagery in Post-Stroke Dysphagia
Turkey (Türkiye)43 participantsStarted 2025-07-01
Plain-language summary
This study evaluated the effects of motor imagery added to conventional swallowing rehabilitation in patients with dysphagia after stroke. Dysphagia, or swallowing difficulty, is a common problem after stroke and may increase the risk of aspiration, pneumonia, malnutrition, dehydration, and reduced quality of life.
Participants with post-stroke dysphagia were randomly assigned to one of three groups: video-assisted motor imagery, motor imagery alone, or control. All participants received conventional swallowing rehabilitation. In addition, the video-assisted motor imagery group watched videos showing swallowing-related actions and then mentally imagined the observed movement. The motor imagery alone group performed mental imagery of swallowing without visual stimulation. The control group received only conventional swallowing rehabilitation.
The intervention period lasted 4 weeks, with sessions performed twice weekly. Swallowing function was assessed before and after treatment using the Gugging Swallowing Screen, the Penetration-Aspiration Scale based on videofluoroscopic swallowing study, and the Stroke Impact Scale.
The aim of the study was to determine whether motor imagery, especially when supported by video observation, provides additional benefit for swallowing recovery in patients with post-stroke dysphagia.
Who can participate
Age range
18 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Age 18 years or older
* Diagnosis of stroke by a neurologist based on medical history, physical examination, and brain computed tomography and/or magnetic resonance imaging findings
* No progressive or non-progressive neurological disease other than stroke
* No known psychiatric disease
* No sensory dysfunction
* No communication problem
* Mini-Mental State Examination score of 24 or higher and ability to follow commands at a level sufficient to comply with motor imagery practice
* Ability to maintain sitting balance and remain in a sitting position for 30 minutes
* Presence of dysphagia symptoms or need for further evaluation based on dysphagia screening tests, with referral for videofluoroscopic swallowing study
* No serious acute medical condition such as hemodynamic instability during testing
Exclusion Criteria:
* Refusal to participate in the study or withdrawal from the study during the study period
* Inadequate performance of videofluoroscopic swallowing evaluation due to technical, clinical, or patient compliance-related reasons
* Presence of sensory-motor aphasia
* Presence of visual or hearing impairment
* Presence of severe neglect
* Evidence of esophageal dysphagia on videofluoroscopy and/or clinical symptoms
* History of surgery, cancer, or radiotherapy in the head and neck region that may affect swallowing
* Presence of vertebral problems that may restrict cervical movement, such as advanced cervical discopathy, prominent osteophyte form…
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Change in Penetration-Aspiration Scale Score
Timeframe: Baseline and Week 4 (end of intervention)