Stroke Rehabilitation
Conditions
Keywords
stroke, respiratory muscles, lung, stroke rehabilitation
Brief summary
Assess the effect of inspiratory muscle training on lung function, muscle strength and trunk balance in survivors of stroke in the subacute phase of the disease
Detailed description
Assess the effect of inspiratory muscle training on lung function, muscle strength and trunk balance in survivors of stroke in the subacute phase of the disease. The intervention will be done in a group of patients who will be treated in the rehabilitation service at the Virgen de la Arrixaca Hospital. They will train using a threshold IMT device or a Powerbreathe device, to increase their inspiratory muscle strength in addition to a physical therapy treatment. The intervention will last eigtht weeks and the patients will be evaluated at the beginning and at the end of the intervention.
Interventions
DEVICEIMT
A training protocol of the inspiratory muscles that goes from the 15% of the maximal inspiratory muscle preassure until the 60% of the maximal inspiratory muscle preassure during 8 weeks
Sponsors
Universidad Católica San Antonio de Murcia
Universidad Miguel Hernandez de Elche
Hospital Universitario Virgen de la Arrixaca
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Masking description
The study is blinded so neither the patient, neither the psysical therapist nor the investigator knows in which group the patient is
Intervention model description
There are two groups, the intervention group and the placebo group.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Sroke 6 months before of the beginning of the study * Be able to understand simple commands * Hemiparesis or hemiplegia * Not have serious cardiopulmonary diseases(COPD,asthma,bronchiectasis)
Exclusion criteria
* Associated neurological pathology leading to muscle weakness * Severe respiratory pathology, pulmonary embolism, presence of tracheostomy cannula, * intracranial hypertension * Acute retinal datachment, recent eye surgery * Impossibility of labial occlusion * Unstable heart disease, unstable angina, aortic aneurysm * Recent thoracic or abdominal surgery(6 months) * Uncontrolled arterial hypertension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trunk control test (TCT) | From the first day of evaluation and at Eight weeks of the beginning of the intervention | The change of the trunk control at the beginning and in the end of the intervention. The maximum value is 100 points, and the minimum 0 points. Higher values represents a better outcome |
| Forzed espiratory volume in the first second | From the first day of evaluation and at eight weeks of the beginning of the intervention | The change of the forzed espiratory volumen in the first second beginning and in the end of the intervention using a spirometer |
| Voluntary maximum ventilation | From the first day of evaluation and at eight weeks of the beginning of the intervention | The change of the voluntary maximum ventilation from the beginning and at the end of the intervention using a spirometer |
| The Berg balance scale Test | From the first day of evaluation and at Eight weeks of the beginning of the intervention | The change of the balance at the beginning and in the end of the intervention using the berg balance scale tool. The máximum value of this scale is 56 points, and the mínimum is 0 points. A higher value represents a better outcome. |
| The postural assessment scale for stroke patients (PASS )test | From the first day of evaluation and at Eight weeks of the beginning of the intervention | The change of the balance of the trunk at the beginning and in the end of the intervention using the postural assessment scale for stroke patinents tool. The maximum value of tris scale is 36 points. The minimum is 0 points.Higher values represents a better outcome. |
| Maximum inspiratory pressure | From the first day of evaluation and at eight weeks of the beginning of the intervention | The change of the maximum inspiratory pressure from the beginning, at 4 weeks and At 8 weeks |
| Forzed vital capacity | From the first day of evaluation and at eight weeks of the beginning of the intervention | The change of the forzed vital capacity from the beginning and at the end of the intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional ambulatory classificator Test | From the first day of evaluation and at Eight weeks of the beginning of the intervention | The change of the walking capacity using the functional ambulatory classificator tool at the beginning and in the end of the intervention. The máximum value is 5 and the mínimum 0. Higher values represents a better outcome |
| Functional ambulatory classificator Hospital de Sagunto Test | From the first day of evaluation and at Eight weeks of the beginning of the intervention | The change of the walking capacity using the functional ambulatory classificator hospital de sagunto tool at the beginning and ni the end. The máximum value is 5 and the mínimum 0. Higher valúes represents better outcome |
| SF-36 health survey | From the first day of evaluation and at eight weeks of the beginning of the intervention | The change of the quality of life related to health with the SF-36 health survey at the beginning and in the end of the intervention |
| Quadriceps dynamometry | From the first day of evaluation and at eight weeks of the beginning of the intervention | The change of the quadriceps´s strength with a hand held dynamometer at the beginning and in the end of the intervention. Higher values represents a better outcome |
Countries
Spain
Contacts
Primary ContactALICIA TOVAR ALCARAZ, MS
Backup ContactSILVANA L DE OLIVEIRA SOUSA, PhD
Outcome results
None listed