Subacute stroke patients Expiratory muscle strength training,
Conditions
Interventions
5 sets of 5 breaths per day,
6 weeks of EMST150 at 60% of maximal expiratory pressure ,5 sets of 5 breaths per day,
6 weeks of EMST150 at 10% of maximal expiratory pressure
Experimental Device,Experimental Device
EMST150 at 60% of maximal expiratory pressure ,EMST150 at 10% of maximal expiratory pressure
Sponsors
Ratchadapiseksompotch Fund, Faculty of Medicine, Chulalongkorn University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. age more tha 18 years 2. First episode stroke with imaging confirmed 3. Unilateral weakness 4. 2 weeks – 6 months of stroke onset 5. screening peak cough flow less than 470 L/min 6. Ability to follow instructions and engage in study procedures 7. Can sit in chair with backseat for more than 30 mins
Exclusion criteria
Exclusion criteria: 1. Unstable neurological condition or vital signs 2. Severe communication problem or unable to follow command 3. Poorly controlled hypertension, defined as BP higher than 180/110 mmHg 4. Myocardial infarction or acute heart failure in the preceding 3 months 5. Pulmonary conditions e.g. COPD, asthma 6. Neurologic conditions (other than stroke) 7. History of radiation to the head and neck 8. Had used respiratory muscle training before 9. Have tracheostomy 10. Can't used mouth piece of EMST 9.Prengant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| voluntary peak cough flow 0, 6 weeks peak flow meter,voluntary peak cough flow 0, 6 weeks peak flow meter | — |
Secondary
| Measure | Time frame |
|---|---|
| maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP) 0, 6 weeks respiratory pressure meter ,forced vital capacity (FVC), forced expiratory volume in one second (FEV1) 0, 6 weeks spirometer | — |
Countries
Thailand
Contacts
Public ContactRati Kaewsonthi
Faculty of Medicine, Chulalongkorn University
Outcome results
None listed