Stroke, Ischemic
Conditions
Brief summary
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
Interventions
1. Resistive Diaphragmatic breathing exercise 2. Pursed lips breathing exercise 3. Conventional stroke physiotherapy
1. Diaphragmatic breathing exercise 2. Pursed lips breathing exercise 3. Conventional stroke physiotherapy
Conventional stroke physiotherapy
Sponsors
Study design
Eligibility
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pulmonary function | 4 weeks | The pulmonary functions Spirometer measure can be expressed as Forced Expiratory Volume in 1 second (FEV1) and Force Vital Capacity (FVC) . |
| Trunk Control | 4weeks | Trunk performance and coordination by static and dynamic sitting balance was measured by TIS.TIS comprises 17 items, measures dynamic and static sitting balance and trunk co-ordination. The TIS total score is 0-23 points, higher scores show better performance. It takes about 6 to 16 minutes in applying TIS |
| Functional Capacity | 4weeks | 6 MWT is used for functional capacity of participants, by walking for 6 minutes. Participant walk between the point marked, as numerous periods as can in 6 minutes. The 6-minute walk (6mw) test is a reliable and valid measure of for assessing functional capacity. |
Countries
Pakistan