Resistive Diaphragmatic Breathing Exercise With Pursed Lips Breathing Exercise in Sub-acute Stroke Patients

Riphah International University

Status: Completed

Conditions: Stroke, Ischemic

Treatments: Other: Resistive Diaphragmatic breathing exercise; Other: Conventional stroke physiotherapy; Other: Diaphragmatic breathing exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT06326801

REC/014220 Muhammad Iqbal

Details and patient eligibility

About

To determine whether resistive diaphragmatic breathing exercise with pursed lips breathing exercise improve pulmonary function in sub-acute ischemic stroke, To determine whether resistive diaphragmatic breathing exercise with pursed lips breathing exercise improve Trunk Control in sub-acute ischemic stroke, To determine whether resistive diaphragmatic breathing exercise with pursed lips breathing exercise improve Functional Capacity in sub-acute ischemic stroke

Enrollment: 27 patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Age 40-65 years
• Onset of ischemic stroke in first two week
• First episode of unilateral stroke with hemiparesis during previous 12 months
• Patient with no serious cognitive deficits i-e mini-mental state examination (score >22) ability to understand, perform and follow simple verbal instructions
• Functional ambulation category (FAC) >3
• 6 min walk test distance should be >200 m

Exclusion Criteria:

• Known case of cardiopulmonary disease, BP > 180/100 mmHg twice in 24 hours
• Known case of neurological disease other than stroke, Known case of orthopedic disease i-e funnel chest, rib fractures or any other orthopedic deformity
• Medication that would influence metabolic or cardiorespiratory responses to exercise Impaired level of consciousness, Evidence of gross cognitive impairment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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27 participants in 3 patient groups

Treatment A

Active Comparator group

Description:

1. Resistive Diaphragmatic breathing exercise 2. Pursed lips breathing exercise 3. Conventional stroke physiotherapy

Treatment:

Other: Resistive Diaphragmatic breathing exercise

Other: Conventional stroke physiotherapy

Other: Diaphragmatic breathing exercise

Treatment B

Active Comparator group

Description:

1. Diaphragmatic breathing exercise 2. Pursed lips breathing exercise 3. Conventional stroke physiotherapy

Treatment:

Other: Resistive Diaphragmatic breathing exercise

Other: Conventional stroke physiotherapy

Other: Diaphragmatic breathing exercise

Control group

Active Comparator group

Description:

a) Conventional stroke physiotherapy

Treatment:

Other: Resistive Diaphragmatic breathing exercise

Other: Conventional stroke physiotherapy

Other: Diaphragmatic breathing exercise