Diaphragm Injury, Stroke, Tracheostomy
Conditions
Keywords
The stroke patients with tracheotomy, Diaphragm excursion, Diaphragm thickness, Ultrasonography
Brief summary
The purpose of this study was to examine whether if the effect of standing with assistance of the tilt table on diaphragm excursion and thickness in the stroke patients with tracheotomy.
Detailed description
40-45 stroke patients with tracheotomy were passive tilting (α=0°, 30°, 60°) by an electric tilt table in the random order. The diaphragm excursion and thickness were measured by ultrasonography on three tilting during the quiet breathing. Besides, the intraclass correlation coefficient (ICC) were calculated to assess the reliability of the diaphragm ultrasonography in this population.
Interventions
OTHERtilt table
The tilt table provides passive standing for the stroke patients with tracheotomy
Sponsors
Shenzhen Second People's Hospital
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. currently diagnosed with ischemic or hemorrhagic stroke by CT or MRI; 2. right unilateral or bilateral limb with hemiparesis; 3. age over 18 years; 4. BMI\<35 kg/m2; 5. within 2 weeks to 12 months； 6. the tracheotomy tube replacement; 7. non first time standing assisted with tilt table.
Exclusion criteria
1. undergoing mechanical ventilation; 2. postural hypotension; 3. myocardial infarction in the first 3 months; 4. deep vein thrombosis; 5. angina or acute heart failure; 6. complicated with other primary pulmonary diseases, such as tuberculosis,；pneumothorax, and chronic obstructive pulmonary disease and so on; 7. a past episode of abdominal or chest surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diaphragm excursion | Half an hour | The measurement of the diaphragm dome excursion following the M-mode approach during quiet breathing could provide indirect information about inspiratory volume. |
| Diaphragm thickness | Half an hour | The diaphragm thickness was measured by B-mode approach providing clear visualization of the diaphragm morphology at the zone of apposition at the quiet breathing on the three tilting. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The intraclass correlation coefficient (ICC) | Within-24h | For the ultrasonography assessment, the intraclass correlation coefficient (ICC) was analyzed by using the two-way mixed-effects ICC \[2.1\] model with 95% confidence intervals (CIs). |
Countries
China
Outcome results
None listed