Neuromuscular Electrical Stimulation (NMES) for Dysphagia in Neonates
| Status: | Terminated |
|---|---|
| Conditions: | Gastrointestinal |
| Therapuetic Areas: | Gastroenterology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/19/2017 |
| Start Date: | November 2013 |
| End Date: | July 2016 |
Randomized Treatment of Neuromuscular Electrical Stimulation (NMES) for Dysphagia in Neonates
The purpose of this study is to evaluate if the use of Neuromuscular Electrical Stimulation
(NMES) will provide a more efficient method of treating neonates with dysfunctional oral
feeding such as dysphagia. This study will attempt to determine if NMES applied to neonates
at 36-42 weeks post-conception age (PCA) will decrease the need for nasogastric tubes (NG)
and gastrostomy tubes (G-TUBE). Increase the rate at which these neonates complete full oral
feeds, improve their swallowing skills, increase oral intake of calories, and gain weight.
(NMES) will provide a more efficient method of treating neonates with dysfunctional oral
feeding such as dysphagia. This study will attempt to determine if NMES applied to neonates
at 36-42 weeks post-conception age (PCA) will decrease the need for nasogastric tubes (NG)
and gastrostomy tubes (G-TUBE). Increase the rate at which these neonates complete full oral
feeds, improve their swallowing skills, increase oral intake of calories, and gain weight.
Inclusion Criteria:
- Male or female.
- Meet diagnostic criteria for dysphagia symptoms using the NOMAS and a VFSS.
- Infants with intraventricular hemorrhage (IVH) and hypoxic events can be included.
- Infants taking less than 5-10% of target volume by mouth between the ages of 36-42
weeks PCA.
- Multiple swallows to clear bolus following suck that includes a desaturation <80% and
bradycardia <80 bpm.
- Apnea spells during feeds.
- Aspiration or penetration by VFSS
Exclusion Criteria:
- Known neurologic or neurodegenerative disorders.
- Chromosomal anomalies and syndromes.
- Cleft lip or palate.
- Birth defects.
- Unresolved cutaneous rash at the area of electrode placement.
- Medical condition that is a contraindication to NMES.
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