The Effects of Core Stabilization Exercises With Swissball, Neuromuscular Electrical Stimulation and Kinesiology Taping in Stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 45
- 试验地点
- 2
- 主要终点
- Respiratory Function Tests
研究概览
简要总结
Stroke is often associated with secondary complications such as nutritional and metabolic disorders, endocrine dysfunction, mental problems, and cardiopulmonary disorders caused by neurological and musculoskeletal deficits. The absence of the paretic side muscles and the difficulty of movement together with restrictive pulmonary disorders trigger a secondary decrease in cardiopulmonary function and expose insufficient energy associated with gait resulting in a decrease in asymmetric trunk exercise endurance.
详细描述
Studies have shown that these patients have muscle weakness and delayed activity of trunk muscles, significant loss of trunk position sense, insufficient pressure control center while sitting, decreased trunk performance, and trunk asymmetry during walking. It has been reported that trunk function with balance and walking ability in stroke patients is a useful determinant of daily life activities, balance and walking ability. Balance disorders may be the result of changes in the sensory and integrative aspects of motor control. In the subacute phase, more than 80% of the subjects who have had stroke for the first time have an imbalance in their balance. After a stroke, upper motor neuron damage can cause unconditioned. This results in physical inactivity and decreased cardiorespiratory fitness. Respiratory muscle weakness and changes in thoraco-abdominal motion may be associated with a decrease in tidal volume and lower exercise tolerance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
closed envelope procedure
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unilateral and first time stroke
- •Ability to understand and follow verbal instructions
- •Brunnstrom healing phase being above 3 for lower limbs;
- •Ability to walk 10 m distance independently, with or without a mobility assistant.
- •Patients who can sit on a stable surface for 30 seconds
- •Patients without respiratory diseases or injuries
排除标准
- •Neurological disorders other than stroke that could potentially affect balance and ambulation;
- •Body failure scale score below 10 points
- •Apraxia and hemineglect
- •80 years and older
- •Orthopedic disorders or rib fracture
- •Patients with neglect syndrome
- •A history of seizures or a family history of epilepsy
结局指标
主要结局
Respiratory Function Tests
时间窗: 5 min
Respiratory functions will be measured using portable spirometry.
Maximum inspiratory and expiratory oral pressures
时间窗: 1 min
Respiratory muscle strength will be assessed by measuring maximal inspiratory and expiratory pressures.
Muscle Thickness Measurement With Ultrasound
时间窗: 10 min
Using external oblique (EO), Internal oblique (IO), Transversus abdominis (TrA), rectus abdominis muscles (RA) and diaphragm thickness, ultrasonic imaging system (M-TurboTM, Sono Site Canada, Inc., Markham, ON, Canada) It will be measured. A 5-2 MHz linear probe will be used to measure EO, IO, TrA and RA, and a 5-2 MHz convex probe for diaphragm measurement.
次要结局
- 10 Meter Walk Test(1 min)
- Tinetti Balance Scale(5 min)
- Brunnstrom Evaluation Scale(1 min)
- Stroke Impact Scale(10 min)
- Fatigue Severity Scale(1 min)
- Trunk Impairment Scale(5 min)
- Postural Evaluation Scale for Patients with Stroke(3 min)
- Peak Cough Flow Rate(2 min)
- Timed Up and Go Test(2 min)
- Functional Ambulation Scale(1 min)
研究者
Abdurrahim Yi̇ldi̇z
specialist physiotherapist
Istanbul University - Cerrahpasa