The Effect of Proprioceptive Neuromuscular Facilitation on the Ankle-Brachial Index and Haemodynamic Responses in Patients in a Neurological Intensive Care Unit: A Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 24
- 主要终点
- Ankle-Brachial İndex
研究概览
简要总结
Although there are studies examining the effect of actively performed PNF exercises on haemodynamic responses in intensive care patients and healthy individuals, there are no studies investigating their effect on circulation and haemodynamic responses in unconscious patients. Therefore, this study was designed to investigate the acute effects of proprioceptive neuromuscular facilitation (PNF) exercises on peripheral circulation and haemodynamic responses in patients admitted to a neurological intensive care unit.
Hypotheses:
H1-1: Passively administered PNF exercises have beneficial effects on peripheral circulation.
H2-1: Passively administered PNF exercises have beneficial effects on haemodynamic responses.
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
盲法说明
The researcher conducting the measurements will not know which group the patients have been assigned to; this will ensure that the study is as blinded as possible. However, due to the nature of the exercises being performed, it will not be possible for the physiotherapist administering the treatment or the patients themselves to be blinded to the group allocation.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients being monitored in the neurology intensive care unit
- •Aged 18 years or over
- •Haemodynamically stable
- •No orthopaedic condition preventing the performance of passive joint movements in the upper and lower limbs
- •A signed informed consent form from a patient's next of relative for participation in the study
排除标准
- •Presence of haemodynamic instability
- •Fractures, contractures or serious orthopaedic conditions in the upper or lower limbs that restrict movement
- •Diagnosis or suspicion of deep vein thrombosis
- •Severe peripheral arterial disease
- •Serious cardiac arrhythmia that may prevent exercise
研究组 & 干预措施
PNF Group
Patients in the PNF group will undergo proprioceptive neuromuscular facilitation (PNF) exercises. The exercises will be performed with patients in the supine position and the head elevated by 30°.
干预措施: Proprioceptive Neuromuscular Facilitation Exercises (Other)
Control Group
Patients in the control group will undergo passive range of motion (PROM) exercises in the same position.
干预措施: Passive Range of Motion Exercises (Other)
结局指标
主要结局
Ankle-Brachial İndex
时间窗: Baseline and five or ten minutes after exercise
Systolic blood pressure will be measured at the brachial artery (upper limb) and the posterior tibial or dorsalis pedis artery (lower limb) using a Hadesco ES-101EX Doppler device, with patients in a supine resting position. The cuff will be placed at mid-arm and above the malleolus. It will be inflated until the pulse disappears and deflated slowly; the first reappearance of the pulse will be recorded as systolic pressure. Measurements will be taken in order: same-side arm, same-side leg, opposite leg, and opposite arm. The ankle-brachial index will be calculated as the ratio of the highest lower limb systolic pressure to the highest upper limb systolic pressure.
Heart Rate
时间窗: Baseline and five or ten minutes after exercise
Heart rate will be recorded as beats per minute and breaths per minute, respectively, based on data obtained from the patient monitor. Measurement will be taken whilst patients are in the supine position and at rest.
Systolic blood pressure and diastolic blood pressure
时间窗: Baseline and five or ten minutes after exercise
Systolic and diastolic blood pressure measurements will be taken from the patient's upper extremity using an appropriately sized cuff and recorded in millimetres of mercury (mmHg). Measurement will be taken whilst patients are in the supine position and at rest.
Respiratory rate
时间窗: Baseline and five or ten minutes after exercise
respiratory rate will be recorded as beats per minute and breaths per minute, respectively, based on data obtained from the patient monitor. Measurement will be taken whilst patients are in the supine position and at rest.
Peripheral oxygen saturation (SpO₂)
时间窗: Baseline and five or ten minutes after exercise
Peripheral oxygen saturation (SpO₂) will be measured using a pulse oximeter. Measurement will be taken whilst patients are in the supine position and at rest.
次要结局
- Rate Pressure Product(Baseline and five or ten minutes after exercise)
- Quadriceps circumference measurement(Baseline and five or ten minutes after exercise)
- Oxford Acute Severity of Illness Score(Baseline and five or ten minutes after exercise)
研究者
Alp Ozel
Assistant Professor
Abant Izzet Baysal University