Effects of Respiratory Exercises in Patients With Hemiplegia

Bezmialem Vakif University

Status: Completed

Conditions: Respiratory Abnormality; Hemiplegia

Treatments: Procedure: Respiratory rehabilitation; Procedure: Conventional rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT03763019

54022451-050.05.04

Details and patient eligibility

About

This study evaluates the effects of respiratory exercises on respiratory function test parameters and ultrasonographic diaphragmatic measurements. Half of the hemiplegic patients will receive respiratory and neurophysiological exercises, while other half will receive only neurophysiological exercises.

Full description

After stroke, diaphragm, the most important muscle of respiration, is wasted as well as the other muscles of the affected side.

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.

Enrollment: 40 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Stroke confirmed radiologically
• Unilateral hemiplegia
• First stroke episode
• Mini Mental score ≥ 24

Exclusion criteria

• Unable to consent and understand
• Chronic cardiac disease
• Pulmonary disease (asthma, restrictive or obstructive pulmonary disease)
• Facial paralysis
• History of thoracic or abdominal surgery
• Being alcoholic
• Using psychotropic drugs

Trial design

Primary purpose: Screening

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups, including a placebo group

Respiratory rehabilitation

Active Comparator group

Description:

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.)

Treatment:

Procedure: Respiratory rehabilitation

Procedure: Conventional rehabilitation

Conventional rehabilitation

Placebo Comparator group

Description:

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.

Treatment:

Procedure: Conventional rehabilitation