Evidence map›Paper›PMID 40908833›Full record

Trial reportJournal of rehabilitation medicine2025

Pharyngeal electrical stimulation to treat dysphagia in acute stroke: learnings from cases in the PhEED clinical trial.

Richard L Harvey, Richard Smith, Rajaram Bathula, Lisa Everton, Nicole Rup, Jeff Saver, Bonnie Martin-Harris, Rainer Dziewas, Satish Mistry, Shaheen Hamdy and 1 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of rehabilitation medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Swallowing therapy for dysphagia in acute and subacute stroke.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Richard L Harvey *Brain Innovation Center, Shirley Ryan Ability Lab, Chicago, Illinois USA. rharvey@sralab.org.
Richard SmithStroke Neurorehabilitation, St Anthony Hospital, CommonSpirit, Lakewood, Colorado USA.
Rajaram BathulaStroke, London Northwest University Healthcare NHS Trust, Northwick Park Hospital, Harrow UK.
Lisa EvertonAdult Speech & Language Therapy Department, Nottingham University Hospitals NHS Trust, Nottingham UK.
Nicole RupCarolinas Rehabilitation NorthEast, Atrium Health, Concord, North Carolina USA.
Jeff SaverDepartment of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, California USA.
Bonnie Martin-HarrisSchool of Communication, Feinberg School of Medicine, Northwestern University, Evanston, Illinois USA.
Rainer DziewasDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrueck, Osnabrueck, Germany.
Satish MistryPhagenesis Ltd, Manchester, UK.
Shaheen HamdyPhagenesis Ltd, Manchester, UK; Division of Diabetes, Endocrinology and Gastroenterology, School of Medical Sciences, University of Manchester, Manchester UK.
Philip Bath *Stroke, Nottingham University Hospitals NHS Trust, Nottingham UK; Stroke Trials Unit, Mental Health & Clinical Neuroscience, University of Nottingham, Nottingham UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the efficacy of pharyngeal electrical stimulation in improving dysphagia post-stroke.

designA randomized, sham-controlled, blinded multicentre clinical trial. SUBJECTS/PATIENTS: Seventeen patients with acute ischaemic or haemorrhagic stroke experiencing dysphagia, indicated by a penetration aspiration scale score of 4-8 on videofluoroscopy.

methodsSites enrolled 3 open-label roll-in participants and then randomized subsequent participants to either stimulation or sham treatment. Study interventions were delivered for 10 min daily over 3 consecutive days. Prior to data lock the primary outcome was modified to the change in dysphagia severity rating scale from pre-treatment to end of follow-up period. Secondary outcomes included penetration-aspiration scale score assessed via videofluoroscopy 48 h after final treatment and functional oral intake scale, measured at 7, 14, and 83 days post-randomization.

resultsThe trial was halted early due to low recruitment, with 15 participants receiving active stimulation and 2 receiving sham treatment. Active stimulation significantly reduced dysphagia severity at day 83 (difference: -4, p = 0.027). Improvements were observed in diet and supervision subscales, and functional oral intake scores. Of those treated, 67% were discharged home, with no serious adverse events attributable to the intervention noted in either group.

conclusionPharyngeal electrical stimulation was safe and associated with reduced dysphagia severity in stroke patients, warranting further validation in larger studies.

Indexed as

Deglutition DisordersElectric Stimulation TherapyPharynxStrokeStroke RehabilitationAgedFemaleHumansMaleMiddle AgedSeverity of Illness IndexTreatment Outcome

Identifiers

PMID40908833
PMCPMC12427991

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.