Effect of Thoracic Manual Therapy in Hemiplegic Patients

Istinye University

Status: Completed

Conditions: Stroke

Treatments: Other: Manuel Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04503499

0002

Details and patient eligibility

About

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.

Enrollment: 47 patients

Sex: All

Ages: 45 to 65 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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47 participants in 2 patient groups

Study Group

Experimental group

Description:

The group to which the manuel therapy will be applied.

Treatment:

Other: Manuel Therapy

Control Group

No Intervention group

Description:

The control group where only the evaluations will be made.