NCT03240965

Changes in Sensitivity, Taste and Smell in Stroke Patients

Changes in Sensitivity of Swallowing-relevant Structures, Taste and Smell in Stroke Patients

• Status: Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 200 (estimated)
• Sponsor: University of Giessen · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This study evaluates changes in swallowing using endoscopic swallowing studies and measuring of pharyngeal sensitivity, taste and smell in stroke patients. Younger (\<60 years) and older (\>60 years) volunteers will serve as control.

Detailed description

Stroke is the second leading cause of death. At least 50% of stroke patients develop dysphagia, leading to aspiration pneumonia, which is the main cause of death in stroke \[2\]. It is assumed that normal sensitivity is vital for aspiration-free swallowing and for the triggering of the swallowing reflex. Ali et al. demonstrated aspiration-free swallowing in healthy volunteers who underwent local anaesthesia of oral and pharyngeal structures \[1\]. Power et al. showed a reduced sensitivity of pharyngeal structures in stroke patients prone to aspiration \[3\]. By combining measuring sensitivity and flexible endoscopic swallowing studies, this study further investigates the role of sensitivity in swallowing Neuropsychological deficits of swallowing, such as swallowing apraxia or buccal hemineglect, is assessed by neuropsychological testing. Additionally, there is no systematic research investigating the change in smell and taste in correlation with changes in stroke patients

Conditions

• Dysphagia
• Stroke

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	FEES (flexible endoscopic evaluation of swallowing)	Endoscopical swallowing study in stroke patients only
OTHER	Sensitivity threshold	Determining sensitivity threshold using a pudendal electrode
DIAGNOSTIC_TEST	Taste-/smell-test	Taste-/smell-test
DIAGNOSTIC_TEST	Neuropsychological testing	Neuropsychological testing for neglect, agnosia

Timeline

• Start date: 2017-10-01
• Primary completion: 2025-02-01
• Completion: 2026-12-01
• First posted: 2017-08-07
• Last updated: 2023-12-01

Locations

1 site across 1 country: Germany