Effect of Body Tilting on Diaphragm Excursion and Thickness in the Stroke With Tracheotomy : Assessment by Ultrasonography
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 41
- 试验地点
- 1
- 主要终点
- Diaphragm excursion
研究概览
简要总结
The purpose of this study was to examine whether if the effect of standing with assistance of the tilt table on diaphragm excursion and thickness in the stroke patients with tracheotomy.
详细描述
40-45 stroke patients with tracheotomy were passive tilting (α=0°, 30°, 60°) by an electric tilt table in the random order. The diaphragm excursion and thickness were measured by ultrasonography on three tilting during the quiet breathing. Besides, the intraclass correlation coefficient (ICC) were calculated to assess the reliability of the diaphragm ultrasonography in this population.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
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
- •currently diagnosed with ischemic or hemorrhagic stroke by CT or MRI;
- •right unilateral or bilateral limb with hemiparesis;
- •age over 18 years;
- •BMI<35 kg/m2;
- •within 2 weeks to 12 months；
- •the tracheotomy tube replacement;
- •non first time standing assisted with tilt table.
排除标准
- •undergoing mechanical ventilation;
- •postural hypotension;
- •myocardial infarction in the first 3 months;
- •deep vein thrombosis;
- •angina or acute heart failure;
- •complicated with other primary pulmonary diseases, such as tuberculosis,；pneumothorax, and chronic obstructive pulmonary disease and so on;
- •a past episode of abdominal or chest surgery.
结局指标
主要结局
Diaphragm excursion
时间窗: Half an hour
The measurement of the diaphragm dome excursion following the M-mode approach during quiet breathing could provide indirect information about inspiratory volume.
Diaphragm thickness
时间窗: Half an hour
The diaphragm thickness was measured by B-mode approach providing clear visualization of the diaphragm morphology at the zone of apposition at the quiet breathing on the three tilting.
次要结局
- The intraclass correlation coefficient (ICC)(Within-24h)