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Trunk Rotation And Lateral Flexion Exercises In Stroke Patients

Not Applicable
Recruiting
Conditions
Stroke, Acute
Interventions
Other: chest physiotherapy
Other: trunk rotation exercises,deep diaphragmatic also chest physiotherapy
Registration Number
NCT06379854
Lead Sponsor
Riphah International University
Brief Summary

In this study we want to introduce the beneficiary combine effects of chest mobilization and chest physiotherapy exercises by using cough peak flow meter and chest expansion in stroke patients. by using theses combine exercises physiotherapist can develop target rehabilitation strategies for stroke survivors.

Detailed Description

Stroke is a neurological deficit and acute focal injury of the by a vascular cause, including cerebral infarction, intracerebral hemorrhage and subarachnoid hemorrhage and is a major cause of disability and death worldwide. 2nd most deadly cause of death and disability in patients. This disease have long lasting effect on human body and also cause complication of lung function like pneumonia and respiratory distress function syndrome for this purpose to reduce chest complication and neurological defect use of chest physiotherapy and chest mobilization exercises are introduce so that hospital stay of patients reduces and recovery at high speed according to previous studies there is very strong relationship between trunk muscles and respiratory muscle with pulmonary function and physiotherapist can develop target rehabilitation strategies for stroke survivors.however in previous studies age group of patients acute subacute or chronic and diaphragmatic breathing are not included for the improvement of effective cough.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
54
Inclusion Criteria
  • Both gender
  • Age > 50
  • Right or left hemiplegic acute stroke patients
  • Diagnosed cases of stroke patient
  • Duration: 4 weeks being diagnosed
  • Can sit with at least 10sec
  • Can perform exercises with Active Assistance
  • Patients who easily perform exercises
  • Patients who response to commands
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Exclusion Criteria
  • Patients with serious comorbidities like cancer
  • Uncontrolled hypertension SBP > 140mmhg and DBP > 90mmhg
  • Vitally unstable patient's
  • Red flags for physiotherapy i.e. sudden dizziness, unexplained pain during exercise, chest pain.
  • DVT Deep Vein Thrombosis
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
chest physiotherapychest physiotherapywe take 2 groups in one group only chest physiotherapy introduce
trunk rotation exercises,deep diaphragmatic also chest physiotherapytrunk rotation exercises,deep diaphragmatic also chest physiotherapyBut in 2nd group chest physiotherapy with trunk rotation exercises and deep diaphragmatic breathing exercises alo introduce.
Primary Outcome Measures
NameTimeMethod
Trunk Impairment Scale:4th week

Changes from baseline this scale is used to assess motor impairment of the trunk after stroke through the evaluation of static and dynamic sitting balance as well as coordination of trunk movement. The initial static sitting balance score 0 means overall total score is O. and full score is 23. This tool is also used to assess progress of trunk movement.

Peak Flow Meter4th week

Changes from baseline Peak flow meter is used to access the peak cough flow in stroke patient's pre and post intervention. Cough peak flow (CPF) measures the maximum expiratory flow during the phase of a cough just after instant opening of the glottis, but peak expiratory flow rate (PEFR) measures maximum expiratory flow, after a full deep inspiration, through an open glottis Normal peak cough flow is about greater than or equal to 270L/min. And the ineffective cough is about less than 160L/min.

Chest Expansion:4th week

A tape measure is used to evaluate the both upper and lower chest expansion in stroke patients. These chest expansions were performed three time and mean value of these are taken. By using tape measure, we determine the difference between rib cage circumference at the end of forced inspiration and at the end of forced expiration. The reliability score for chest expansion is about (0.99)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Shahida Khaliq Health Centre

🇵🇰

Islamabad, Pakistan

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