Academic Journal
Fostering eating after stroke (FEASt) trial for improving post-stroke dysphagia with non-invasive brain stimulation
| العنوان: | Fostering eating after stroke (FEASt) trial for improving post-stroke dysphagia with non-invasive brain stimulation |
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| المؤلفون: | Sandeep Kumar, Sarah Marchina, Susan Langmore, Joseph Massaro, Joseph Palmisano, Na Wang, David Eric Searls, Vasileios Lioutas, Jessica Pisegna, Cynthia Wagner, Anant Shinde, Gottfried Schlaug |
| المصدر: | Scientific Reports, Vol 12, Iss 1, Pp 1-12 (2022) |
| بيانات النشر: | Nature Portfolio, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Medicine LCC:Science |
| مصطلحات موضوعية: | Medicine, Science |
| الوصف: | Abstract Dysphagia is a serious stroke complication but lacks effective therapy. We investigated safety and preliminary efficacy of anodal transcranial direct current stimulation (atDCS) paired with swallowing exercises in improving post-stroke dysphagia from an acute unilateral hemispheric infarction (UHI). We conducted a double-blind, early phase-2 randomized controlled trial, in subjects (n = 42) with moderate-severe dysphagia [Penetration and Aspiration Scale (PAS) score ≥ 4], from an acute-subacute UHI. Subjects were randomized to Low-Dose, High-Dose atDCS or Sham stimulation for 5 consecutive days. Primary safety outcomes were incidence of seizures, neurological, motor, or swallowing function deterioration. Primary efficacy outcome was a change in PAS scores at day-5 of intervention. Main secondary outcome was dietary improvement at 1-month, assessed by Functional Oral Intake (FOIS) score. No differences in pre-defined safety outcomes or adjusted mean changes in PAS, FOIS scores, between groups, were observed. Post-hoc analysis demonstrated that 22 /24 subjects in the combined atDCS group had a clinically meaningful dietary improvement (FOIS score ≥ 5) compared to 8 /14 in Sham (p = 0.037, Fisher-exact). atDCS application in the acute-subacute stroke phase is safe but did not decrease risk of aspiration in this early phase trial. The observed dietary improvement is promising and merits further investigation. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2045-2322 |
| Relation: | https://doaj.org/toc/2045-2322 |
| DOI: | 10.1038/s41598-022-14390-9 |
| URL الوصول: | https://doaj.org/article/e65a874937bd4d45afb1614ff78bb284 |
| رقم الانضمام: | edsdoj.65a874937bd4d45afb1614ff78bb284 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20452322 |
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| DOI: | 10.1038/s41598-022-14390-9 |