Swallowing activity in the oral phase is regulated by the cortical swallowing network, and the functional connectivity pattern of the cortical swallowing network is related to swallowing activity. The structural damage of the cortical swallowing network and abnormal activation of brain areas related to swallowing in post-stroke dysphagia affect swallowing activity. The recovery of dysphagia after stroke is related to the compensation of swallowing network in the contralateral hemisphere and different connectivity patterns of diseased brain areas, and the integrity of cortical swallowing network connectivity affects the sequence of oral swallowing activities. However, it is not clear how the functional connectivity patterns and interactions of brain regions of the cortical swallowing network related to oral swallowing activity change in patients with oral dysphagia after stroke.
Patients with dysphagia after first stroke, meeting the diagnostic criteria of stroke, and confirmed by brain CT or brain MRI;
Oral dysphagia caused by stroke;
FOIS level ≤ 5; WST level ≥3;
Those who can understand and carry out the simple instructions of the treatment staff and are willing to accept the examination and treatment;
Dysphagia not caused by stroke or non-oral dysphagia;
History of cerebral trauma, stroke, brain tumor, cerebrovascular, intracranial infection, Parkinson's disease, epilepsy, or other neurological or psychiatric diseases;
Symptoms of severe aphasia, neglect, visual field defect and other cortical lesions; Patients with severe cognitive impairment or depression;
Taking or within 2 weeks of taking drugs that affect the nervous system or psychoses;
Fujian University of Traditional Chinese Medicine
Lead sponsor
Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science
Collaborator