Evaluating the effectiveness of video-game based swallowing function training in patients with dysphagia: study protocol for a randomized controlled trial

• Published in: Current controlled trials in cardiovascular medicine Vol. 24; no. 1; p. 735
• Main Authors: Zhang, Bohan, Guo, Cai, Hui, Vivian, Wong, Ka Po, Liu, Yue, Liu, Zihan, Xu, Yanan, Xiao, Qian, Chen, Shu-Cheng, Qin, Jing
• Format: Journal Article
• Language: English
• Published: BioMed Central Ltd 16-11-2023; BioMed Central; BMC
• Subjects: Care and treatment; Clinical trials; Computer & video games; Deglutition disorders; Diagnosis; Dysphagia; Exercise; Funding; Game; Health aspects; Hospitals; Informed consent; Intervention; Medical research; Medicine, Physical; Nursing schools; Patient outcomes; Patients; Randomized controlled trial; Rehabilitation; Stroke; Stroke patients; Swallowing; Swallowing function; Video games; China; Hong Kong China; Beijing China
• ISSN: 1745-6215; 1745-6215
• DOI: 10.1186/s13063-023-07738-7

Abstract
Background
Dysphagia can lead to serious complications such as aspiration and aspiration pneumonia, timely and effective rehabilitation training can improve the swallowing function of patients. However, the conventional rehabilitation training methods used in clinical settings have shortcomings such as poor adherence of patients. We present the study design of a randomized controlled trial that evaluated whether video-game based swallowing rehabilitation training can effectively improve swallowing in patients with dysphagia and whether it has additional benefits compared with conventional training methods to improve swallowing function and training compliance among patients with dysphagia.
Methods
A randomized controlled trial with 4 weeks of intervention and 4 weeks of follow-up will be conducted in a rehabilitation center in Beijing, China. We will enroll 78 patients aged 18–80 years with dysphagia. Participants will be randomly assigned to the experimental group (video-game based swallowing function training) and the control group (conventional swallowing function training). All participants will receive 30 min of training per day, 5 times per week, for a total of 4 weeks. The primary outcome is swallowing function. Secondary outcomes include patients' quality of life, training compliance, and training satisfaction. Outcomes are assessed at baseline (pre-treatment), 4 weeks of treatment (post-treatment), and 8 weeks (follow-up), and the assessor is not aware of the participants’ grouping.
Discussion
The protocol describes a new rehabilitation training method for dysphagia, which involves participant eligibility recruitment, recruitment strategies, and data analysis plan. The results of the study will inform the rehabilitation training and clinical care management of swallowing function in patients with dysphagia.
Trial registration
ClinicalTrials.gov, NCT05978700. Registered on 28 July 2023.