ACUTE STROKE. Cerebral infarction
Conditions
Interventions
Intervention 1: Intervention group: Respiratory physiotherapy combined with routine physiotherapy. Bef
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: Definite diagnosis of acute ischemic stroke involving the middle cerebral artery, confirmed by a neurologist based on clinical criteria and CT or MRI findings, with 24 to 72 hours having elapsed since the onset of stroke. Age between 40 and 70 years. Ability to breathe independently without the need for mechanical ventilation. Sufficient level of consciousness to understand and follow verbal commands. Obtained informed consent from the patient or caregiver to participate in the study.
Exclusion criteria
Exclusion criteria: Presence of any condition for which the physician orders cessation of physiotherapy. Severe mobility limitations that prevent participation in exercises. Severe concurrent cardiac or renal diseases. Need for re-admission to ICU and mechanical ventilation. Occurrence of complications such as pneumonia or infection. Recurrence of stroke or other emergency medical conditions. Non-cooperation, unwillingness to continue, or withdrawal of consent by the patient or caregivers for any reason. presence of underlying diseases such as Parkinson’s disease, multiple sclerosis, Guillain-Barre syndrome, and ...
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pulmonary function,Motor control,Gait analysis,Functional independence,Mobility and endurance Fatigue assessment, Respiratory complications,Muscle spasticity evaluation. Timepoint: 24 to 48 hours after admission,At discharge, Three months post-discharge. Method of measurement: Personal and Medical Information: Collected through a questionnaire. Pulmonary Function Data: Assessed using spirometry and evaluated by a pulmonologist.Gait: Evaluated using the Timed Up and Go (TUG) test. Functional Independence: Assessed with the Functional Independence Measure (FIM) questionnaire.Mobility and Endurance:Measured using the 6-Minute Walk Test (6MWT). Fatigue: Evaluated using the Fatigue Severity Scale (FSS). Motor Control:Assessed through voluntary movements of the elbow and wrist (upper limbs) and the knee and ankle (lower limbs) using a goniometer. Respiratory Complications: Pneumonia assessed by a pulmonologist. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNoureddin Nakhshin Ansari
Tehran University of Medical Sciences
Outcome results
None listed