Respiratory Muscle Training in Patients With Subacute Ischemic Stroke

Summary

Stroke, which can occur due to many different reasons and is one of the most common neurological conditions, is one of the leading causes of disability worldwide. The most common disorders that occur after stroke are motor disorders. In addition, these patients may be accompanied by respiratory problems such as changes in breathing patterns and decreased ventilation function. Respiratory problems are an important risk factor for the development of long-term mortality for both cardiovascular diseases and stroke. With all these changes, there is a serious decrease in the activity performance of the patients. While stroke rehabilitation focuses on motor function losses, problems in pulmonary functions do not receive the necessary attention. Evaluating and treating patients from every aspect in stroke rehabilitation will further increase the effectiveness of the treatments applied.

Ultrasonography (USG), which has been used in the field of healthcare for more than 40 years, works with a mechanism based on the principle of sound waves traveling and reflecting at different speeds in tissues of different densities. USG is a very useful and effective imaging method used by modern medicine as a part of examination and patient care, based on its advantages such as sound waves being harmless to living beings because they are non-ionizing, the image being real-time and being viewable at the time of the procedure, being a non-invasive method, and being inexpensive. This study will be included in the literature as an original study in terms of examining both the development of the patients and the effectiveness of the treatment in many aspects, with many parameters obtained by ultrasonography in subacute stroke patients who will receive respiratory muscle training.

Conditions

• Subacute Stroke
• Inspiratory Muscle Training

Interventions

DEVICE

PowerBreathe

Primary Outcome Measurement: 1\. Maximal Inspiratory Pressure (MIP) Secondary Outcome Measurements: 1. Chest circumference measurements 2. Diaphragm movements and thickness (ultrasound) 3. Hand grip strength (with a Jamar hand dynamometer) 4. Motor Activity Log 5. 6 Minute Walk Test (6MWT) 6. Canadian Occupational Performance Measure 7. Charlson Comorbidity Index

OTHER

Conventional Physiotherapy

Primary Outcome Measurement: 1\. Maximal Inspiratory Pressure (MIP) Secondary Outcome Measurements: 1. Chest circumference measurements 2. Diaphragm movements and thickness (ultrasound) 3. Hand grip strength (with a Jamar hand dynamometer) 4. Motor Activity Log 5. 6 Minute Walk Test (6MWT) 6. Canadian Occupational Performance Measure 7. Charlson Comorbidity Index

Sponsors & Collaborators

• Saglik Bilimleri Universitesi

  lead OTHER

Principal Investigators

• Arsida Bajrami, M.D. · IAU Medical Park Florya Hospital

• Zuhal Kunduracılar, Prof. Dr. · Saglik Bilimleri University

• Dilber Karagözoğlu Coşkunsu, Ass.Prof. · Fenerbahce University

• Sümeyye Akçay, PT · Saglik Bilimleri University

• Dudu Kübra Akyol, PT · IAU Medical Park Florya Hospital

• Arzu Dinç Yavaş, M.D. · IAU Medical Park Florya Hospital

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-04-20

Primary Completion

2024-09-17

Completion

2024-10-17

Countries

• Turkey (Türkiye)

Study Locations