Effects of Respiratory Exercises in Patients With Hemiplegia
NCT ID: NCT03763019
Last Updated: 2020-02-05
Study Results
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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COMPLETED
NA
40 participants
INTERVENTIONAL
2019-05-01
2020-02-01
Brief Summary
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Detailed Description
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Ultrasonography is a non-invasive, practical, low cost utility that may measure the thickness of diaphragm in maximum expiration and inspiration thus examining the functionality of the muscle. Correlation between respiratory functional tests and diaphragm ultrasonography has been proven in recent literature. In this manner, the aim of this study is twofold. First is to determine whether ultrasonography can be used practically to evaluate the respiratory functions of the patients after stroke. Respiratory function tests will be used for the correlation analysis. Second is to evaluate the effectiveness of respiratory exercises via diaphragm ultrasonography and respiratory function tests.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
SCREENING
NONE
Study Groups
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Respiratory rehabilitation
Conventional rehabilitation program aiming to normalize movement patterns and minimize spasticity. Including static and dynamic control of position, balance skills, weight shift, and activities of daily living. 45 minutes, once daily.
Respiratory exercises 30 minutes, once daily, (incentive spirometric trainer, forced expiration, percussion, postural drainage etc.)
Conventional rehabilitation
Static and dynamic control of position, balance skills, weight shift, and activities of daily living.
Respiratory rehabilitation
Forced expiration, forced inspiration (thoracal expansion exercise), coughing exercise, incentive spirometric trainer, diaphragmatic respiration exercise, autogenic drainage, percussion.
Conventional rehabilitation
Conventional rehabilitation program aiming to normalize movement patterns and minimize spasticity. Including static and dynamic control of position, balance skills, weight shift, and activities of daily living. 45 minutes, once daily.
Conventional rehabilitation
Static and dynamic control of position, balance skills, weight shift, and activities of daily living.
Interventions
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Conventional rehabilitation
Static and dynamic control of position, balance skills, weight shift, and activities of daily living.
Respiratory rehabilitation
Forced expiration, forced inspiration (thoracal expansion exercise), coughing exercise, incentive spirometric trainer, diaphragmatic respiration exercise, autogenic drainage, percussion.
Eligibility Criteria
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Inclusion Criteria
* Unilateral hemiplegia
* First stroke episode
* Mini Mental score ≥ 24
Exclusion Criteria
* Chronic cardiac disease
* Pulmonary disease (asthma, restrictive or obstructive pulmonary disease)
* Facial paralysis
* History of thoracic or abdominal surgery
* Being alcoholic
* Using psychotropic drugs
18 Years
90 Years
ALL
No
Sponsors
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Bezmialem Vakif University
OTHER
Responsible Party
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Principal Investigators
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Ozan Volkan Yurdakul, MD
Role: STUDY_DIRECTOR
Bezmialem University
Locations
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Bezmialem Vakıf Univesity
Istanbul, , Turkey (Türkiye)
Countries
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References
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Jung KJ, Park JY, Hwang DW, Kim JH, Kim JH. Ultrasonographic diaphragmatic motion analysis and its correlation with pulmonary function in hemiplegic stroke patients. Ann Rehabil Med. 2014 Feb;38(1):29-37. doi: 10.5535/arm.2014.38.1.29. Epub 2014 Feb 25.
Kim M, Lee K, Cho J, Lee W. Diaphragm Thickness and Inspiratory Muscle Functions in Chronic Stroke Patients. Med Sci Monit. 2017 Mar 11;23:1247-1253. doi: 10.12659/msm.900529.
Cardenas LZ, Santana PV, Caruso P, Ribeiro de Carvalho CR, Pereira de Albuquerque AL. Diaphragmatic Ultrasound Correlates with Inspiratory Muscle Strength and Pulmonary Function in Healthy Subjects. Ultrasound Med Biol. 2018 Apr;44(4):786-793. doi: 10.1016/j.ultrasmedbio.2017.11.020. Epub 2018 Jan 17.
Other Identifiers
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54022451-050.05.04
Identifier Type: -
Identifier Source: org_study_id
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