Expiratory Muscle Training in Stroke

Abant Izzet Baysal University

Status: Completed

Conditions: Dysphagia; Mastication Disorder; Stroke; Stomatognathic Diseases; Temporomandibular Disorders

Treatments: Other: Expiratory muscle training

Study type: Interventional

Funder types: Other

Identifiers

NCT04569968

BAIBU-FTR-ÖD-01

Details and patient eligibility

About

Stroke affects the vital activities of daily living such as breathing and swallowing. After stroke excursion of the diaphragm reduces about 50%, and also the maximum expiratory pressure of the individual 50% or higher. Dysphagia occurs in 29% to 45% of the acute stroke cases.

Full description

As a third leading cause of death and one of the major causes of disability, stroke still maintain its bad reputation in worldwide. Stroke owes its fame on wide range of symptoms mostly the musculoskeletal system symptoms such as spasticity, equilibrium and gait problems. Although mentioned symptoms keep their popularity devious two dysfunction caused by stroke; stomatognathic system dysfunction and respiratory dysfunction appears to change this equation. Considering the high incidence of dysphagia and the reduced cardiopulmonary capacity of the stroke patients, it seems inevitable. From this perspective aim of this study is to assess the effect of expiratory muscle training on the stomatognathic system in patients with stroke and as mentioned aid to shatter the mentioned equation.

Enrollment: 146 patients

Sex: All

Ages: 55+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Mini mental score is 24 or higher
• 55 years of age or higher
• Currently not taking respiratory muscle training
• Fonseca Questionnaire score is 20 or higher
• Onset of stroke is between 3 months and 5 years

Exclusion criteria

• Developed dysphagia caused by other diseases rather than stroke
• Repetitive stroke story
• Cancer in head and neck region
• Abdominal or thoracic surgery story
• Existence of neurodegenerative disease

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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146 participants in 2 patient groups

Expiratory muscle training group

Experimental group

Description:

Daily expiratory muscle training for four weeks will be applied.

Treatment:

Other: Expiratory muscle training

Control group

No Intervention group

Description:

Nothing will be applied except for the hospital conventional physiotherapy program.