Effects of Respiratory Training on Respiratory and Functional Performance in Patients With Stroke

NCT ID: NCT02726685

Last Updated: 2018-07-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-01

Study Completion Date

2019-12-31

Brief Summary

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The purpose of the research is to investigate the effects of respiratory training on respiratory and functional performance in patients with stroke.

Detailed Description

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Stroke ranks third in the global cause of death, behind cancer and coronary heart disease. Stroke is also the third largest cause of death in Taiwan in 2014. Stroke patients in the course of exercise are in addition to muscle weakness and reduced endurance, but usually also accompanied by respiratory damage. From past studies have shown that stroke patients whose respiratory function has significant change, such as decreased respiratory muscle strength, reduced respiratory movement of the affected hemithorax, declined in maximum breathing pressure and decreased amplitude of diaphragmatic movements on the paralyzed side. But whether respiratory training can improve respiratory and functional performance of stroke patients, because of the limited research results could not be confirmed.

Conditions

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Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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RT (respiratory training) group

Besides traditional rehabilitation therapy, subjects also receive 12-week respiratory training.

Group Type EXPERIMENTAL

respiratory training.

Intervention Type OTHER

breathing exercise.

Control group

Besides traditional rehabilitation therapy, subjects receive 12-week sham training unrelated to respiratory function.

Group Type SHAM_COMPARATOR

sham training.

Intervention Type OTHER

range of motion (ROM) exercise, stretching exercise or positioning exercise.

Interventions

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respiratory training.

breathing exercise.

Intervention Type OTHER

sham training.

range of motion (ROM) exercise, stretching exercise or positioning exercise.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* first episode of unilateral stroke.
* the definition of stroke was according to the World Health Organization (WHO) criteria (Hatano 1976), confirmed by computerized tomography (CT) or magnetic resonance imaging (MRI).
* older than 20 years.
* had maximum inspiratory pressure (MIP) values lower than 90% of those predicted and adjusted for age and sex.
* facial palsy, which could not prevent proper labial occlusion.
* ability to understand and follow simple verbal instructions.
* no receptive aphasia.
* not undergone thoracic or abdominal surgery.

Exclusion Criteria

* unable to perform the tests.
* impaired level of consciousness and evidence of gross cognitive impairment.
* excluded patients with comorbidities of respiratory system disease (e.g. chronic obstructive pulmonary disease, asthma, cystic fibrosis), or other diseases leading to the impairment of respiratory muscle (e.g. myasthenia gravis).
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chung Shan Medical University

OTHER

Sponsor Role lead

Responsible Party

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Chung-Hao Chuang

Director of Rehabilitation Therapy Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chung-Hao Chuang, PhD study.

Role: PRINCIPAL_INVESTIGATOR

Chung Shan Medical University

Locations

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Chung Shan Medical University Hospital

Taichung, , Taiwan

Site Status

Countries

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Taiwan

Central Contacts

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Chung-Hao Chuang, PhD study.

Role: CONTACT

+886-95253993

Chun-Hou Wang, Professor.

Role: CONTACT

+886-4-24730022 ext. 11015

Facility Contacts

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Chung-Hao Chuang, PhD study.

Role: primary

+886-952539993

Chun-Hou Wang, Professor.

Role: backup

+886-4-24730022 ext. 11015

References

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WHO publishes definitive atlas on global heart disease and stroke epidemic. Indian J Med Sci. 2004 Sep;58(9):405-6. No abstract available.

Reference Type BACKGROUND
PMID: 15902773 (View on PubMed)

Goldstein LB, Bushnell CD, Adams RJ, Appel LJ, Braun LT, Chaturvedi S, Creager MA, Culebras A, Eckel RH, Hart RG, Hinchey JA, Howard VJ, Jauch EC, Levine SR, Meschia JF, Moore WS, Nixon JV, Pearson TA; American Heart Association Stroke Council; Council on Cardiovascular Nursing; Council on Epidemiology and Prevention; Council for High Blood Pressure Research,; Council on Peripheral Vascular Disease, and Interdisciplinary Council on Quality of Care and Outcomes Research. Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011 Feb;42(2):517-84. doi: 10.1161/STR.0b013e3181fcb238. Epub 2010 Dec 2.

Reference Type BACKGROUND
PMID: 21127304 (View on PubMed)

Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM, Carnethon MR, Dai S, de Simone G, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Greenlund KJ, Hailpern SM, Heit JA, Ho PM, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, McDermott MM, Meigs JB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Rosamond WD, Sorlie PD, Stafford RS, Turan TN, Turner MB, Wong ND, Wylie-Rosett J; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2011 update: a report from the American Heart Association. Circulation. 2011 Feb 1;123(4):e18-e209. doi: 10.1161/CIR.0b013e3182009701. Epub 2010 Dec 15.

Reference Type BACKGROUND
PMID: 21160056 (View on PubMed)

MCKELDEN SMITH. THE EFFECT OF HEMIPLEGIA ON THE DIAPHRAGM. Am Rev Respir Dis. 1964 Mar;89:450-2. doi: 10.1164/arrd.1964.89.3.450. No abstract available.

Reference Type BACKGROUND
PMID: 14129350 (View on PubMed)

Fluck DC. Chest movements in hemiplegia. Clin Sci. 1966 Dec;31(3):383-8. No abstract available.

Reference Type BACKGROUND
PMID: 5927690 (View on PubMed)

Korczyn AD, Leibowitz U, Bruderman I. Involvement of the diaphragm in hemiplegia. Neurology. 1969 Jan;19(1):97-100. doi: 10.1212/wnl.19.1.97. No abstract available.

Reference Type BACKGROUND
PMID: 5813133 (View on PubMed)

De Troyer A, Zegers De Beyl D, Thirion M. Function of the respiratory muscles in acute hemiplegia. Am Rev Respir Dis. 1981 Jun;123(6):631-2. doi: 10.1164/arrd.1981.123.6.631.

Reference Type BACKGROUND
PMID: 7271058 (View on PubMed)

Przedborski S, Brunko E, Hubert M, Mavroudakis N, de Beyl DZ. The effect of acute hemiplegia on intercostal muscle activity. Neurology. 1988 Dec;38(12):1882-4. doi: 10.1212/wnl.38.12.1882.

Reference Type BACKGROUND
PMID: 3194067 (View on PubMed)

Cohen E, Mier A, Heywood P, Murphy K, Boultbee J, Guz A. Diaphragmatic movement in hemiplegic patients measured by ultrasonography. Thorax. 1994 Sep;49(9):890-5. doi: 10.1136/thx.49.9.890.

Reference Type BACKGROUND
PMID: 7940429 (View on PubMed)

Lanini B, Bianchi R, Romagnoli I, Coli C, Binazzi B, Gigliotti F, Pizzi A, Grippo A, Scano G. Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med. 2003 Jul 1;168(1):109-13. doi: 10.1164/rccm.200207-745OC. Epub 2003 Apr 24.

Reference Type BACKGROUND
PMID: 12714347 (View on PubMed)

Teixeira-Salmela LF, Parreira VF, Britto RR, Brant TC, Inacio EP, Alcantara TO, Carvalho IF. Respiratory pressures and thoracoabdominal motion in community-dwelling chronic stroke survivors. Arch Phys Med Rehabil. 2005 Oct;86(10):1974-8. doi: 10.1016/j.apmr.2005.03.035.

Reference Type BACKGROUND
PMID: 16213241 (View on PubMed)

Xiao Y, Luo M, Wang J, Luo H. Inspiratory muscle training for the recovery of function after stroke. Cochrane Database Syst Rev. 2012 May 16;2012(5):CD009360. doi: 10.1002/14651858.CD009360.pub2.

Reference Type BACKGROUND
PMID: 22592740 (View on PubMed)

Pollock RD, Rafferty GF, Moxham J, Kalra L. Respiratory muscle strength and training in stroke and neurology: a systematic review. Int J Stroke. 2013 Feb;8(2):124-30. doi: 10.1111/j.1747-4949.2012.00811.x. Epub 2012 May 9.

Reference Type BACKGROUND
PMID: 22568454 (View on PubMed)

Efremidis G, Tsiamita M, Manolis A, Spiropoulos K. Accuracy of pulmonary function tests in predicted exercise capacity in COPD patients. Respir Med. 2005 May;99(5):609-14. doi: 10.1016/j.rmed.2004.08.018.

Reference Type BACKGROUND
PMID: 15823459 (View on PubMed)

Macko RF, Smith GV, Dobrovolny CL, Sorkin JD, Goldberg AP, Silver KH. Treadmill training improves fitness reserve in chronic stroke patients. Arch Phys Med Rehabil. 2001 Jul;82(7):879-84. doi: 10.1053/apmr.2001.23853.

Reference Type BACKGROUND
PMID: 11441372 (View on PubMed)

Foster JE, Maciewicz RA, Taberner J, Dieppe PA, Freemont AJ, Keen MC, Watt I, Waterton JC. Structural periodicity in human articular cartilage: comparison between magnetic resonance imaging and histological findings. Osteoarthritis Cartilage. 1999 Sep;7(5):480-5. doi: 10.1053/joca.1999.0243.

Reference Type BACKGROUND
PMID: 10489321 (View on PubMed)

Teresi JA, Holmes D. Should MDS data be used for research? Gerontologist. 1992 Apr;32(2):148-9. doi: 10.1093/geront/32.2.148. No abstract available.

Reference Type BACKGROUND
PMID: 1577305 (View on PubMed)

Derrickson J, Ciesla N, Simpson N, Imle PC. A comparison of two breathing exercise programs for patients with quadriplegia. Phys Ther. 1992 Nov;72(11):763-9. doi: 10.1093/ptj/72.11.763.

Reference Type BACKGROUND
PMID: 1409873 (View on PubMed)

American College of Sports Medicine. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2009 Mar;41(3):687-708. doi: 10.1249/MSS.0b013e3181915670.

Reference Type BACKGROUND
PMID: 19204579 (View on PubMed)

Morris SL, Dodd KJ, Morris ME. Outcomes of progressive resistance strength training following stroke: a systematic review. Clin Rehabil. 2004 Feb;18(1):27-39. doi: 10.1191/0269215504cr699oa.

Reference Type BACKGROUND
PMID: 14763717 (View on PubMed)

Taylor NF, Dodd KJ, Damiano DL. Progressive resistance exercise in physical therapy: a summary of systematic reviews. Phys Ther. 2005 Nov;85(11):1208-23.

Reference Type BACKGROUND
PMID: 16253049 (View on PubMed)

Lee MJ, Kilbreath SL, Singh MF, Zeman B, Davis GM. Effect of progressive resistance training on muscle performance after chronic stroke. Med Sci Sports Exerc. 2010 Jan;42(1):23-34. doi: 10.1249/MSS.0b013e3181b07a31.

Reference Type BACKGROUND
PMID: 20010133 (View on PubMed)

Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J; ATS/ERS Task Force. General considerations for lung function testing. Eur Respir J. 2005 Jul;26(1):153-61. doi: 10.1183/09031936.05.00034505. No abstract available.

Reference Type BACKGROUND
PMID: 15994402 (View on PubMed)

Daley K, Mayo N, Wood-Dauphinee S. Reliability of scores on the Stroke Rehabilitation Assessment of Movement (STREAM) measure. Phys Ther. 1999 Jan;79(1):8-19; quiz 20-3.

Reference Type BACKGROUND
PMID: 9920188 (View on PubMed)

Ashburn A. A physical assessment for stroke patients. Physiotherapy. 1982 Apr;68(4):109-13. No abstract available.

Reference Type BACKGROUND
PMID: 7111465 (View on PubMed)

Wang CH, Hsieh CL, Dai MH, Chen CH, Lai YF. Inter-rater reliability and validity of the stroke rehabilitation assessment of movement (stream) instrument. J Rehabil Med. 2002 Jan;34(1):20-4. doi: 10.1080/165019702317242668.

Reference Type BACKGROUND
PMID: 11900258 (View on PubMed)

Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a stroke-specific quality of life scale. Stroke. 1999 Jul;30(7):1362-9. doi: 10.1161/01.str.30.7.1362.

Reference Type BACKGROUND
PMID: 10390308 (View on PubMed)

Teixeira-Salmela LF, Neto MG, Magalhaes LC, Lima RC, Faria CD. Content comparisons of stroke-specific quality of life based upon the international classification of functioning, disability, and health. Qual Life Res. 2009 Aug;18(6):765-73. doi: 10.1007/s11136-009-9488-9. Epub 2009 May 21.

Reference Type BACKGROUND
PMID: 19459067 (View on PubMed)

Duncan PW, Wallace D, Lai SM, Johnson D, Embretson S, Laster LJ. The stroke impact scale version 2.0. Evaluation of reliability, validity, and sensitivity to change. Stroke. 1999 Oct;30(10):2131-40. doi: 10.1161/01.str.30.10.2131.

Reference Type BACKGROUND
PMID: 10512918 (View on PubMed)

Duncan PW, Bode RK, Min Lai S, Perera S; Glycine Antagonist in Neuroprotection Americans Investigators. Rasch analysis of a new stroke-specific outcome scale: the Stroke Impact Scale. Arch Phys Med Rehabil. 2003 Jul;84(7):950-63. doi: 10.1016/s0003-9993(03)00035-2.

Reference Type BACKGROUND
PMID: 12881816 (View on PubMed)

Carod-Artal FJ, Coral LF, Trizotto DS, Moreira CM. The stroke impact scale 3.0: evaluation of acceptability, reliability, and validity of the Brazilian version. Stroke. 2008 Sep;39(9):2477-84. doi: 10.1161/STROKEAHA.107.513671. Epub 2008 Jul 17.

Reference Type BACKGROUND
PMID: 18635846 (View on PubMed)

Aubuchon JP, Herschel L, Roger J, Dumont L, Murphy S, Slichter SJ, Whitley P, Snyder E, Goodrich RP. Comparison of computerized formulae for determination of platelet recovery and survival. Transfusion. 2005 Jul;45(7):1237-9. doi: 10.1111/j.1537-2995.2005.00187.x. No abstract available.

Reference Type BACKGROUND
PMID: 15987377 (View on PubMed)

Kosak M, Smith T. Comparison of the 2-, 6-, and 12-minute walk tests in patients with stroke. J Rehabil Res Dev. 2005 Jan-Feb;42(1):103-7. doi: 10.1682/jrrd.2003.11.0171.

Reference Type BACKGROUND
PMID: 15742254 (View on PubMed)

Gauthier AP, Verbanck S, Estenne M, Segebarth C, Macklem PT, Paiva M. Three-dimensional reconstruction of the in vivo human diaphragm shape at different lung volumes. J Appl Physiol (1985). 1994 Feb;76(2):495-506. doi: 10.1152/jappl.1994.76.2.495.

Reference Type BACKGROUND
PMID: 8175555 (View on PubMed)

Ueki J, De Bruin PF, Pride NB. In vivo assessment of diaphragm contraction by ultrasound in normal subjects. Thorax. 1995 Nov;50(11):1157-61. doi: 10.1136/thx.50.11.1157.

Reference Type BACKGROUND
PMID: 8553271 (View on PubMed)

Jung JH, Shim JM, Kwon HY, Kim HR, Kim BI. Effects of Abdominal Stimulation during Inspiratory Muscle Training on Respiratory Function of Chronic Stroke Patients. J Phys Ther Sci. 2014 Jan;26(1):73-6. doi: 10.1589/jpts.26.73. Epub 2014 Feb 6.

Reference Type BACKGROUND
PMID: 24567679 (View on PubMed)

Kulnik ST, Birring SS, Moxham J, Rafferty GF, Kalra L. Does respiratory muscle training improve cough flow in acute stroke? Pilot randomized controlled trial. Stroke. 2015 Feb;46(2):447-53. doi: 10.1161/STROKEAHA.114.007110. Epub 2014 Dec 11.

Reference Type BACKGROUND
PMID: 25503549 (View on PubMed)

Harms H, Prass K, Meisel C, Klehmet J, Rogge W, Drenckhahn C, Gohler J, Bereswill S, Gobel U, Wernecke KD, Wolf T, Arnold G, Halle E, Volk HD, Dirnagl U, Meisel A. Preventive antibacterial therapy in acute ischemic stroke: a randomized controlled trial. PLoS One. 2008 May 14;3(5):e2158. doi: 10.1371/journal.pone.0002158.

Reference Type BACKGROUND
PMID: 18478129 (View on PubMed)

Barnard CN. Heart transplantation in the treatment of cardiomyopathy. Recent Adv Stud Cardiac Struct Metab. 1973;2:827-8. No abstract available.

Reference Type BACKGROUND
PMID: 4619914 (View on PubMed)

Messaggi-Sartor M, Guillen-Sola A, Depolo M, Duarte E, Rodriguez DA, Barrera MC, Barreiro E, Escalada F, Orozco-Levi M, Marco E. Inspiratory and expiratory muscle training in subacute stroke: A randomized clinical trial. Neurology. 2015 Aug 18;85(7):564-72. doi: 10.1212/WNL.0000000000001827. Epub 2015 Jul 15.

Reference Type BACKGROUND
PMID: 26180145 (View on PubMed)

Kulnik ST. Should we train respiratory muscles after stroke? Neurology. 2015 Aug 18;85(7):560-1. doi: 10.1212/WNL.0000000000001846. Epub 2015 Jul 15. No abstract available.

Reference Type BACKGROUND
PMID: 26180138 (View on PubMed)

Other Identifiers

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CSH-2016-A-006

Identifier Type: -

Identifier Source: org_study_id

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