Immediate Effects of Thoracolumbar Fascia Release on Pulmonary Function in Stroke Patients: a Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Pulmonary Function
研究概览
简要总结
This study looks at how thoracolumbar fascia release affects breathing in people who had a stroke. After a stroke, many people have trouble breathing well because their muscles become stiff. We want to see if releasing the thoracolumbar fascia (a big sheet of tissue in the lower back) can help improve lung function.
Participants will be divided into three groups:
Control group - Receives standard stroke rehabilitation. Breathing exercise group - Gets standard rehabilitation plus breathing exercises.
Thoracolumbar fascia release group - Gets standard rehabilitation plus thoracolumbar fascia release therapy.
We will measure lung function right after a single session to see if this therapy makes breathing easier.
Our primary outcome is to check if thoracolumbar fascia release improves lung function compared to the other groups.
This study hopes to find new ways to help stroke survivors breathe better and feel more comfortable.
详细描述
This randomized controlled study investigates the immediate effects of thoracolumbar fascia (TLF) release on pulmonary function in stroke patients. Post-stroke impairments often lead to respiratory dysfunction due to musculoskeletal restrictions and altered neuromuscular control. Given the biomechanical connections between the thoracolumbar fascia and the respiratory system, we hypothesize that TLF release may enhance pulmonary mechanics by improving respiratory functions, in single session.
Participants randomly assigned into three groups:
Control group - Receives standard post-stroke rehabilitation. Respiratory exercise group - Undergoes standard rehabilitation combined with structured breathing exercises.
TLF release group - Receives standard rehabilitation along with thoracolumbar fascia release.
The primary outcome measure is the immediate change in spirometric parameters, including forced vital capacity (FVC%), forced expiratory volume in one second (FEV₁%), FEV₁/FVC (tiffeneu index) and peak expiratory flow (PEF%).
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
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Eligible participants were male patients aged 18-65 years, diagnosed with monohemispheric ischemic stroke above the brainstem, confirmed through computed tomography or magnetic resonance imaging and a stroke diagnosis at least six months prior to the study.
排除标准
- •Severe cardiorespiratory or neuromuscular disease, tracheostomy, obesity (BMI ≥30 kg/m²), rib cage deformity, cognitive impairment (Mini-Mental State Examination score ≤ 20), and severe dysphagia, aphasia or confusion.
研究组 & 干预措施
Traditional stroke rehabilitation
Traditional personalized stroke rehabilitation
干预措施: Traditional stroke rehabilitation (Other)
Thoracolumbar fascia release
Traditional personalized stroke rehabilitation plus thorakolumbar fascia release
干预措施: Thoracolumbar fascia release (Other)
Respiratory exercise
Traditional personalized stroke rehabilitation plus respiratory exercise
干预措施: Respiratory exercise (Other)
结局指标
主要结局
Pulmonary Function
时间窗: From enrollment to the immediately after one session of treatment in all groups
Spirometric measurements were performed by respiratory physical therapist using COSMED Pony FX spirometer (Elsa Medical Ltd., Rome, Italy) portable device. FEV1(%), FVC (%) and FEV1/FVC and PEF (%) were taken to assess the pulmonary functions.
次要结局
未报告次要终点