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StrokeNCT07184892

Effects of Different Modes of Action Observation Therapy on Swallowing Function After Stroke: a Study Based on fNIRS

A study testing Daily life actual swallowing movement observation therapy, Video swallowing action observation therapy and Traditional swallowing training in people with Stroke, run by Qilu Hospital of Shandong University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Dysphagia is one of the most common symptoms of stroke patients, which seriously affects the quality of life of patients and delays the progress of rehabilitation. At present, the commonly used clinical swallowing treatment methods can achieve certain therapeutic effects, but the treatment effect of some patients is… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Stroke
What is being tested?
Daily life actual swallowing movement observation therapy, Video swallowing action observation therapy and Traditional swallowing training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
1 siteChina
Study dates
6 Jan 2025to 5 Jan 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1: 1.n accordance with the diagnostic criteria formulated by the Fourth National Academic Conference on Cerebrovascular disease;
  • 2: 2.Dysphagia was detected by water swallowing test;
  • 3: 3.First onset, course of disease within 6 months, the condition is stable;
  • 4: 4.Mini-mental state examination (MMSE) score, literacy >=17 points, primary education >=20 points, secondary education >=24 points, can understand and cooperate with treatment;
  • 5: 5.Have a certain degree of sitting balance ability, can maintain a sitting position for 30 minutes;
  • 6: 6.Aged 18-80 years old;
  • 7: 7.The patient was informed and consented to this study, and the patient's family was informed and trained, and could cooperate with the adjuvant treatment of swallowing movement observation therapy in daily life.

Who cannot join

  • 1: Patients with impaired swallowing function due to other reasons;
  • 2: Presence of tumors or other lesions in the mouth or throat;
  • 3: Visual and hearing dysfunction;
  • 4: The presence of agnosia, apraxia or unilateral neglect;
  • 5: Severe cognitive impairment and mental and emotional instability can not cooperate with treatment;
  • 6: Implantation or retention of ferromagnetic metals in the brain.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

艳平 Yanping Ma contact

86-18560083615

1587052536@qq.com

China1 site, 1 recruiting
  • Qilu Hospital

    Jinan, Shandong, 250000

    Yanping Ma, 86-18560083615, 1587052536@qq.com

    Yonghui Wang, 86-18560083581, yonghuiw6606@126.com

    Recruiting

Other trials in China

About this study

Dysphagia is one of the most common symptoms of stroke patients, which seriously affects the quality of life of patients and delays the progress of rehabilitation. At present, the commonly used clinical swallowing treatment methods can achieve certain therapeutic effects, but the treatment effect of some patients is still not ideal. Therefore, we need to explore more and more effective treatment methods to improve the swallowing function of patients. Action observation therapy, which was developed based on the mirror neuron theory, has been widely used in the rehabilitation of limb motor function, and its therapeutic effect has been verified by a large number of clinical trials. There are few clinical studies on action observation therapy in swallowing function rehabilitation, and most of the current studies use swallowing videos to allow patients to observe actions, and then guide patients to imitate actions. Some studies have found that oral mirror neurons can be formed in the context of familiar environment, people and emotional communication. Therefore, this study proposes a new mode of action observation therapy for dysphagia, that is, to observe the real swallowing movement in actual daily life, in order to better improve the swallowing function of stroke patients with dysphagia.

This study was a single-center, assessor-blinded, randomized controlled study. After enrollment, all patients received swallowing assessment, including scale assessment (WST, FOIS, SSA, BMI, SWAL-QOL, VAS satisfaction survey, KVIQ motor imagery assessment, total oral intake/eating time), neck ultrasound and FNIRS brain function assessment. According to the random number table method, the patients were divided into three groups, A: control group, B: video swallowing movement observation therapy group, C: daily actual swallowing movement observation therapy group. All three groups were given routine swallowing function training. In group B, action observation therapy with video was added, that is, watching a video of swallowing action with sound, and then performing simulated swallowing action. Group C added the actual swallowing movement observation therapy in daily life, that is, in actual daily life, to observe the real eating and swallowing movement of relatives, and then imitate the swallowing movement. The training sessions were 30min each time, once a day, 5 days a week, for a total of 3 weeks. After the treatment, the scale assessment, neck ultrasound and FNIRS brain function assessment were performed again.

Conditions
Stroke
Being tested
Daily life actual swallowing movement observation therapy, Video swallowing action observation therapy, Traditional swallowing training
Keywords
stroke, action observation, mirror neurons, Dysphagia, swallowing function
Medical subject headings
Stroke, Deglutition Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Daily life actual swallowing movement observation therapyBehavioural

    This group adds the therapy of observing actual swallowing movements in daily life, that is, in real daily life, observing the real eating and swallowing movements of relatives. They select meals that the patient likes or those that are complete in color, aroma and taste and look appetizing. The swallowing movements should be as slow and exaggerated as possible, and a look of savoring and enjoying the food should be shown, so that the patient can better observe the movements of the mouth and larynx during swallowing. Then, the patient imitates the swallowing movements.

  • Video swallowing action observation therapyBehavioural

    Video swallowing action observation therapy

  • Traditional swallowing trainingBehavioural

    Traditional swallowing training

Study groups in NCT07184892
Study groupRoleWhat they receive
Video swallowing action observation therapyActive comparatorOn the basis of traditional swallowing training, this group adds video-assisted movement observation therapy, that is, watching swallowing movement videos with sound and then performing simulated swallowing movements.
Receives: Behavioral: Video swallowing action observation therapy
Daily life actual swallowing action observation therapyExperimentalOn the basis of traditional swallowing training, this group adds the practice of observing the real eating and swallowing actions of relatives in actual daily life, and then imitating those swallowing actions.
Receives: Behavioral: Daily life actual swallowing movement observation therapy
Traditional swallowing trainingActive comparatorRoutine swallowing function training includes indirect training (basic training) and direct training (feeding training). Indirect training includes but is not limited to training for the muscle strength and range of motion of swallowing muscles, training for inducing swallowing reflexes, breathing training, compensatory swallowing training, and airway protection training. Direct training involves the eating environment, body position, food selection, the amount and speed of each mouthful of food, as well as the compensatory skills commonly used during the eating process.
Receives: Behavioral: Traditional swallowing training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Functional Oral Intake Scale(FOIS)

    This scale is divided into 7 levels in total, which is used to assess the oral feeding ability of the subjects. The higher the level, the better the function.

    Level 1: Unable to take food orally; Level 2: Dependent on tube feeding, able to attempt very small amounts of food or liquids orally; Level 3: Dependent on tube feeding, able to take food or liquids of a single texture orally; Level 4: Completely able to take food of a single texture orally; Level 5: Completely able to take food of multiple textures orally, but requiring special preparation or compensatory measures; Level 6: Completely able to take food orally without special preparation, but with specific food restrictions; Level 7: Completely able to take food orally without any restrictions.

    Measured: Assessment before intervention and 3 weeks after intervention after enrollment.

Secondary outcomes (8)
  1. Body Mass Index(BMI)

    Calculation method for the weight (kg) divided by the square of height (meters).

    Measured: Assessments will be conducted after enrollment but before intervention, and three weeks after the intervention.

  2. Through the mouth eating/total time of food intake

    The time required for patients to eat a given amount of food was recorded.

    Measured: Assessments will be conducted after enrollment but before intervention, and three weeks after the intervention.

  3. The neck ultrasound

    The probe of ultrosound will be placed in the middle of the neck, paralled to the sagittal line. Record the video of participant drinking 1ml water, the distance between hyoid and chin at rest minus distance during hyoid and chin are nerest. Repeated three times, and the mean value is further into analysis.

    Measured: Assessments will be conducted after enrollment but before intervention, and three weeks after the intervention.

  4. Score of Water swallow test

    The patient sat in a upright position and drank 30 ml of warm water. The time required and cough were observed. On a scale of 1-5, the higher the rating, the worse the function.

    Measured: Assessments will be conducted after enrollment but before intervention, and three weeks after the intervention.

  5. functional near - infrared spectroscopy(fNIRS)

    Subjects were calm fNIRS tests 10 ~ 15 minutes rest again, the subjects keep head motionless, resting state, task state data.

    Measured: Assessments will be conducted after enrollment but before intervention, and three weeks after the intervention.

  6. Kinesthetic and Visual Imagery Questionnaire(KVIQ) score

    Subjects were seated and, as requested by the examiner, actually performed motor movements: forward shoulder flexion, finger opposition, forward trunk flexion, hip abduction, and foot tapping. The subject returned to the starting position and imagined the motor action that had actually been performed, but without moving the body. Visual imagery was assessed first, followed by motor imagery. The minimum score of KVIQ-10 is 10 points, and the maximum score is 50 points.

    Measured: Assessments will be conducted after enrollment but before intervention, and three weeks after the intervention.

  7. Visual analogue scale(VAS)satisfaction survey score

    VAS is mainly used to evaluate the degree of pain of patients, and the principle of VAS score can be used for reference when using VAS score for satisfaction investigation. Prepare a 10cm straight line with one end marked "0" to indicate dissatisfaction; The other end is marked with a "10", indicating great satisfaction.

    Measured: Assessments will be conducted after enrollment but before intervention, and three weeks after the intervention.

  8. swallowing-quality of life(SWAL-QOL)scale score

    A total of 44 questions were classified into 11 dimensions: psychological burden, eating time, appetite, food choice, language communication, fear of eating, mental health, social interaction, fatigue, sleep and swallowing symptoms. Each item is scored by Likert 5-level scoring method (1-5 points correspond to 1-5 points), with a total score of 44 to 220 points. The higher the score, the better the quality of life.

    Measured: Assessments will be conducted after enrollment but before intervention, and three weeks after the intervention.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Sep 2025
  2. Study start6 Jan 2025
  3. Primary completion5 Jan 2027 (estimated)
  4. Study completion5 Jan 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
90 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07184892
Sponsor's protocol ID
KYLL-202406-003-1
Status last verified
Jul 2025
First submitted
20 Jul 2025
Last updated
22 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Zhang C, Li X, Wang H. Application of action observation therapy in stroke rehabilitation: A systematic review. Brain Behav. 2023 Aug;13(8):e3157. doi: 10.1002/brb3.3157. Epub 2023 Jul 21.

    PubMed 37480161
  • Zeng M, Wang Z, Chen X, Shi M, Zhu M, Ma J, Yao Y, Cui Y, Wu H, Shen J, Xie L, Fu J, Gu X. The Effect of Swallowing Action Observation Therapy on Resting fMRI in Stroke Patients with Dysphagia. Neural Plast. 2023 Apr 21;2023:2382980. doi: 10.1155/2023/2382980. eCollection 2023.

    PubMed 37124873
  • Ferrari PF, Gerbella M, Coude G, Rozzi S. Two different mirror neuron networks: The sensorimotor (hand) and limbic (face) pathways. Neuroscience. 2017 Sep 1;358:300-315. doi: 10.1016/j.neuroscience.2017.06.052. Epub 2017 Jul 4.

    PubMed 28687313
  • Jing YH, Lin T, Li WQ, Wu C, Li X, Ding Q, Wu MF, Xu GQ, Lan Y. Comparison of Activation Patterns in Mirror Neurons and the Swallowing Network During Action Observation and Execution: A Task-Based fMRI Study. Front Neurosci. 2020 Aug 21;14:867. doi: 10.3389/fnins.2020.00867. eCollection 2020.

    PubMed 32973431

Questions about this trial

What is this clinical trial studying?

A study testing Daily life actual swallowing movement observation therapy, Video swallowing action observation therapy and Traditional swallowing training in people with Stroke, run by Qilu Hospital of Shandong University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 22 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact 艳平 Yanping Ma (86-18560083615, 1587052536@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Functional Oral Intake Scale(FOIS) (time frame: Assessment before intervention and 3 weeks after intervention after enrollment.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07184892, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Sep 2025.

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