Proprioceptive Neuromuscular Facilitation Repercussions Associated With Cardiorespiratory Training in Postal Individuals Stroke to the Functions Motor, Respiratory and Quality of Life: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Compartmental volumes of the rib cage
研究概览
简要总结
Post-stroke hemiparesis causes sequelae in the limbs and also in the trunk and abdomen structures. The level of physical activity decreases and cardiorespiratory training(CRT) is indicated to this population to improve the functions of several systems (respiratory, cardiovascular, muscular). The application of Proprioceptive Neuromuscular Facility(PNF) would imply in the awareness and greater harmony of the functions performed by the trunk of this individual. The objective of this study is to evaluate the effects of respiratory and trunk characteristics of the PNF associated with Cardiorespiratory training in quality of life, gait, distance traveled, peak oxygen consumption, respiratory muscle strength, thoracic cavity volumes, mobility and diaphragmatic thickness of individuals with post stroke.
详细描述
Clinical, randomized, blind and allocation. Forty individuals post-stroke will be randomized into four groups: Experimental Lower Limbs(submitted to LL's CRT associated with PNF); Group control Lower Limbs (submitted LL's CRT associated with respiration). Experimental Upper Limbs (submitted to UP's CRT associated with PNF) and Group control Upper Limbs (submitted to UP's CRT associated with respiration). Individuals will be assessed before and immediately after 20 program sessions and one month after the end of treatment. Outcome measures shall be measured by: Stroke Specific Quality of Life Scale; Inertial gear sensor; Maximum volume of oxygen; Spirometry and manovacuometry; Ultrasound of mobility and thickness diaphragmatic; compartmental volumes of the rib cage with opto plethysmography electronics.
For the four groups, the treatment program will have the total duration of one hour including: ten minutes of stretching (five minutes before and five minutes after the therapeutic intervention), ten minutes of rest and 40 minutes of aerobic treatment associated to PNF or to respiration, being performed in 20 Sessions three times a week. The order of application of the techniques will be random, being held until the end of the intervention period. For therapy with the CRT used the cycle ergometer for lower or upper limbs, Based on the criteria of the American College of Sports Medicine and monitoring constant blood pressure, oxygen saturation and perceived exertion. The PNF patterns will be performed in seated, dorsal, ventral and side. The breathing exercises will be performed at the same time and in the positions of the PNF. To analyze the data and to achieve the objectives appropriate statistical tests shall be used, according to the normality of and characteristics of the variables.
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
- Double (Participant, Investigator)
盲法说明
Randomization will be by randomization.com software, where a third person, who will not participate in the other stages of the survey, execute the process and deliver the opaque and numbered envelopes to the researcher responsible for the training, thus ensuring the confidentiality of the allocation. The patient may be allocated to the LL's CRT + PNF group, LL's CRT + Breathing, UL's CRT + PNF or UL's CRT + Breathing.
入排标准
- 年龄范围
- 21 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Have clinical diagnosis of ischemic or hemorrhagic stroke,
- •primary for more than six months resulting in hemiparesis;
- •Have mental competence assessed through the Mini-Exam of the Mental State-MMSE;
- •Be able to walk 10 meters independently, with or without assistive device;
- •Absence of other neurological or orthopedic deficiencies unrelated to stroke;
- •Without report of associated pulmonary pathology and not be smoker or ex-smoker.
排除标准
- 未提供
研究组 & 干预措施
Upper limbs CRT + respiration
Upper limbs Cardiorespiratory training associated with respiration
干预措施: Upper limbs CRT (Other)
Lower limbs CRT+ PNF
Lower Limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation
干预措施: Lower limbs CRT (Other)
Lower limbs CRT+ PNF
Lower Limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation
干预措施: Proprioceptive Neuromuscular Facilitation (Other)
Lower limbs CRT + respiration
Lower limbs Cardiorespiratory training associated with respiration
干预措施: Lower limbs CRT (Other)
Upper limbs CRT + PNF
Upper limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation
干预措施: Upper limbs CRT (Other)
Upper limbs CRT + PNF
Upper limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation
干预措施: Proprioceptive Neuromuscular Facilitation (Other)
Upper limbs CRT + respiration
Upper limbs Cardiorespiratory training associated with respiration
干预措施: respiration (Other)
Lower limbs CRT + respiration
Lower limbs Cardiorespiratory training associated with respiration
干预措施: respiration (Other)
结局指标
主要结局
Compartmental volumes of the rib cage
时间窗: Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Analysis of the kinematics of the thoracic wall through the optical-electronic plethysmograph
Oxygen uptake
时间窗: Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
maximum oxygen volume consumed during the 6-minute walk test
Balance
时间窗: Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
The scale assesses the balance based on 14 common items of day-to-day.
Quality of life
时间窗: Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
12 domains: Energy (3 items); Family Relationships (3 items); Language (5 items); Mobility (6 items); Mood (5 items); Personality (3 items); Self-Care (5 items), Superior Member Function (5 items), Social Relations (5 items), Memory / Concentration (3 items), Vision (3 items) and Work / Productivity (3 items).
Gait
时间窗: Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Wireless system consisting of an inertial sensor, consisting of a 3-axis accelerometer, a magnetic sensor and a 3-axis gyroscope, which positioned in L5 allows a functional gait analysis. The system calculates from the data obtained all the temporal and spatial gait parameters required to perform a diagnosis or to define a training strategy. The distance traveled, time of support and balance, step size.
次要结局
- Respiratory function(Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up))
- Inspiratory muscle strength(Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up))
- Expiratory muscle strength(Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up))
- Diaphragmatic thickness(Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up))
- Mobility diaphragmatic(Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up))
- Oxygen Uptake Efficiency Slope(Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up))
研究者
Renata Janaína Pereira de Souza
Principal Investigator
Universidade Federal do Rio Grande do Norte
