Effect of Thoracic Manual Therapy in Hemiplegic Patients

NCT ID: NCT04503499

Last Updated: 2023-11-03

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 47 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-09-15
• Study Completion Date: 2019-08-15

Brief Summary

Neurological problems both lead to many respiratory problems primarily and events secondary to neurological diseases or symptoms can be the cause of respiratory failure. The addition of respiratory failure will adversely affect the course of the neurological picture, making treatment more difficult.

The cardiopulmonary functions of hemiplegia patients decrease due to the decrease in the expansion of the thoracic part on the hemiplegic side and insufficient respiratory muscles. In addition, common symptoms in stroke patients, including limited use of ankylosis and muscle movements, cause oxygen deficiency and increased metabolic demands. After stroke, thoracic expansion is reduced upon paralysis of the diaphragm and respiratory muscles. Continuation of this condition can lead to muscle fibrosis. As a result, the level of thoracic expansion decreases during breathing.

A decrease in thoracic spine mobility correlates with a decrease in forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1). The increase in the rigidity of the chest wall affects the ventilator pumping mechanism, reducing the level of rigidity (increasing the mobility of the chest wall) is recommended as a way to improve lung function.

Conditions

Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: SINGLE

Study Groups

Study Group

The group to which the manuel therapy will be applied.

Group Type: EXPERIMENTAL

Manuel Therapy

Intervention Type: OTHER

The manual therapy protocol will consist of 45-60 minutes and the following techniques;

• suboccipital decompression
• cervical mobilization (in the posterior-anterior direction)
• sternocleidomastoid release
• scalene release
• trapezoidal release
• scalene release
• pectoralis tractus
• sternoclavicular joint mobilization
• sternum mobilization
• parasternal circumference intercostal and paravertebral release
• diaphragm release
• rib reasing
• scapulothoracic joint mobilization
• thoracic vertebra mobilization

Myofascial release techniques will be applied for 3-5 minutes each.

Mobilization techniques were applied in each joint for 30 seconds and 5 times.

Control Group

The control group where only the evaluations will be made.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Manuel Therapy

The manual therapy protocol will consist of 45-60 minutes and the following techniques;

• suboccipital decompression
• cervical mobilization (in the posterior-anterior direction)
• sternocleidomastoid release
• scalene release
• trapezoidal release
• scalene release
• pectoralis tractus
• sternoclavicular joint mobilization
• sternum mobilization
• parasternal circumference intercostal and paravertebral release
• diaphragm release
• rib reasing
• scapulothoracic joint mobilization
• thoracic vertebra mobilization

Myofascial release techniques will be applied for 3-5 minutes each.

Mobilization techniques were applied in each joint for 30 seconds and 5 times.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Being between 45-65 years old
• Stage 4-6 according to Brunnstrom
• According to Modified Ashworth, the upper extremity is at most two values
• Sufficient to answer the level of consciousness survey
• No smoking
• No hearing or vision loss

Exclusion Criteria

• Not being able to read and write
• Having cognitive impairment
• Hearing difficulties and vision loss
• Having any acute pain
• Acute Bronchitis

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istinye University

OTHER

Sponsor Role: lead

Responsible Party

Yasemin Çırak

Physiotherapist, PhD, Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Istanbul Okan University

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

0002

Identifier Type: -

Identifier Source: org_study_id