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Effect of expiratory muscle strength training on cough strength in subacute stroke patients : A randomized double-blinded controlled trial

Phase 3
Conditions
Subacute stroke patients
Expiratory muscle strength training&#44
Cough&#44
Stroke&#44
Rehabilitation
Registration Number
TCTR20200924004
Lead Sponsor
Ratchadapiseksompotch Fund, Faculty of Medicine, Chulalongkorn University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending (Not yet recruiting)
Sex
All
Target Recruitment
24
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

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

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
voluntary peak cough flow 0, 6 weeks peak flow meter,voluntary peak cough flow 0, 6 weeks peak flow meter
Secondary Outcome Measures
NameTimeMethod
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
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