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This prospective, assessor-blind, randomized controlled trial included 33 patients with post-stroke dysphagia. The study group performed the Mendelsohn maneuver and effortful swallow using game-based EMG-biofeedback, while the control group performed the same tasks with only verbal feedback for 30\u00a0min across a total of 15 sessions. In addition, both groups received oral motor exercises and thermal-tactile stimulation for equal durations. Patients were evaluated immediately before and after the treatment using clinical swallowing assessments, including the Functional Oral Intake Scale (FOIS), Penetration-Aspiration Scale (PAS), Dysphagia Outcome and Severity Scale (DOSS), and Dysphagia Handicap Index (DHI). Statistically significant improvements were observed in FOIS scores (p\u2009=\u20090.038), PAS-Liquid scores (p\u2009=\u20090.026), and DOSS scores (p\u2009=\u20090.003) in the study group, while no significant changes were noted in the control group. PAS-Semisolid scores improved in both groups (study group, p\u2009=\u20090.002; control group, p\u2009=\u20090.023); however, post-treatment scores were significantly higher in the study group compared to the control group (p\u2009=\u20090.031). Although significant improvements in DHI total, physical, emotional, and functional scores were observed in both groups at the end of treatment (all p\u2009&lt;\u20090.05), post-treatment DHI scores were significantly higher in the study group compared to the control group (all p\u2009&lt;\u20090.05). The addition of game-based EMG-biofeedback to conventional therapy improved clinical and radiological outcomes, as evidenced by improvements in FOIS, PAS-Liquid, and DOSS scores, and led to statistically significant improvements in PAS-Semisolid and DHI scores. In conclusion, the inclusion of game-based EMG-biofeedback therapy in swallowing rehabilitation programs may have a positive impact on treatment outcomes.<\/jats:p>","DOI":"10.1007\/s00455-025-10819-1","type":"journal-article","created":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T01:25:12Z","timestamp":1741137912000},"page":"1289-1301","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Efficacy of Game-Based EMG-Biofeedback Therapy in Post-Stroke Dysphagia: A Randomized Controlled Trial"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4295-4286","authenticated-orcid":false,"given":"B\u00fclent","family":"Alyanak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9162-7129","authenticated-orcid":false,"given":"Murat","family":"\u0130nan\u0131r","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9004-8248","authenticated-orcid":false,"given":"Selime Ilg\u0131n","family":"Sade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4812-4494","authenticated-orcid":false,"given":"Serkan","family":"Kablano\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,5]]},"reference":[{"key":"10819_CR1","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","volume":"20","author":"VL Feigin","year":"2021","unstructured":"Feigin VL, Stark BA, Johnson CO, Roth GA, Bisignano C, Abady GG, et al. 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