The Effects of Thoracic Joint Mobilization on Pulmonary Functions of Patients With Stroke

NCT04188496 | Completed DMC

• 1 other identifier: RiphahIU Shehla Gul
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke a neurological disorder leads to long term disability and decline in overall quality of life. Pulmonary Functions are usually impaired in individuals with stroke. The common findings associated with pulmonary functions in Stroke patients are Decreased lung volumes, decreased pulmonary perfusion and vital capacity and altered chest wall excursion. For stroke patients, general rehabilitation programs, only aims towards their functional recovery of the body. The main focus of this study was to integrate intervention and implement them in rehabilitation programs that are related to respiration are more effective for improving functional activities.in stroke patients. The study was carried out to determine the effects of thoracic Joint Mobilization on Pulmonary Functions of patients with stroke.

Conditions

Stroke

Keywords

Pulmonary Functions; Stroke

Outcome Measures

Primary Outcomes (2)

• Forced expiratory Volume in one sec (FEV1)

  Pulmonary Functions: Forced expiratory Volume in one sec (FEV1) was measured in litre/sec through digital spirometer

  6 months

• Forced vital capacity (FVC)

  Pulmonary Functions: Forced vital capacity (FVC) was measured in litre through digital spirometer

  6 months

Study Arms (2)

PULMONARY FUNCTION TEST (PFT) GROUP

EXPERIMENTAL

Thoracic joint Mobilization was applied on Experimental group. Thoracic Flexion: Patient sits on the treatment table with arms across the chest and hands on opposite shoulders. Stand facing the patient's left side. Thoracic Extension: Performed by asking sits on a treatment chair with arms folded across the chest and hands on opposite shoulders. Thoracic Segment Rotation: Performed by asking the patient to lie on left side. Place a pillow under patient's waist to assist left side bending. Position the patient's arms are folded across the chest with hands on opposite shoulders to stabilize the shoulder girdle and minimize movement there.

Other: Pulmonary Function Test group

Control Group

OTHER

received conventional Chest physiotherapy Techniques for 30 minutes (including deep breathing, diaphragmatic breathing exercises, Self-stretching exercises for accessory respiratory muscles, Respiratory Resistance training by incentive spirometer) followed by 10 min rest.

Other: Control Group

Interventions

Pulmonary Function Test group OTHER

The interventional group received the same conventional Chest physiotherapy Techniques for 30 minutes followed by 10 minutes rest. The patients then received additional 15 minutes protocol of thoracic joint mobilization

PULMONARY FUNCTION TEST (PFT) GROUP

Control Group OTHER

received conventional Chest physiotherapy Techniques for 30 minutes (including deep breathing, diaphragmatic breathing exercises, Self-stretching exercises for accessory respiratory muscles, Respiratory Resistance training by incentive spirometer) followed by 10 min rest.

Control Group

Eligibility Criteria

• Age: 30 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• A sample of 26 patients with stroke without any history of recent pulmonary involvement
• Diagnosed with stroke by computed tomography (CT) or magnetic resonance imaging (MRI), with disease duration of at least six months after the onset of stoke.
• Score 24 points or higher on MMSE to ensure that they able to understand and follows the researcher's order.

You may not qualify if:

• The subjects having any recent surgery,
• unstable blood pressure and
• having acute infections were excluded from the study.

Sponsors & Collaborators

• Shehla Gul: lead

Study Sites (1)

Shehla Gul

Attock, Punjab Province, 43600, Pakistan

Location

Related Publications (14)

• Susuan B O'Sullivan TJS. Physical Rehabilitation and Medicine. 5 th Edition ed.

  BACKGROUND

• [updated 9/24/14]. Available from: http://www.strokeeducation.info/types/index.htm.

  BACKGROUND

• Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005 Dec;36(12):2756-63. doi: 10.1161/01.STR.0000190056.76543.eb. Epub 2005 Nov 3.

  PMID: 16269630 BACKGROUND

• Jang SH, Bang HS. Effect of thoracic and cervical joint mobilization on pulmonary function in stroke patients. J Phys Ther Sci. 2016 Jan;28(1):257-60. doi: 10.1589/jpts.28.257. Epub 2016 Jan 30.

  PMID: 26957769 BACKGROUND

• Seo K, Hwan PS, Park K. The effects of inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise on chronic stroke patients' respiratory muscle activation. J Phys Ther Sci. 2017 Mar;29(3):465-469. doi: 10.1589/jpts.29.465. Epub 2017 Mar 22.

  PMID: 28356632 BACKGROUND

• Han JM, Kim H, Koo JP, Seo KC. Effects of respiratory muscle activity in stroke patients after feedback breathing exercise. Journal of International Academy of Physical Therapy Research. 2013;4(2):552-6.

  BACKGROUND

• Amarenco P, Bogousslavsky J, Caplan LR, Donnan GA, Hennerici MG. Classification of stroke subtypes. Cerebrovasc Dis. 2009;27(5):493-501. doi: 10.1159/000210432. Epub 2009 Apr 3.

  PMID: 19342825 BACKGROUND

• Lanini B, Bianchi R, Romagnoli I, Coli C, Binazzi B, Gigliotti F, Pizzi A, Grippo A, Scano G. Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med. 2003 Jul 1;168(1):109-13. doi: 10.1164/rccm.200207-745OC. Epub 2003 Apr 24.

  PMID: 12714347 BACKGROUND

• Jung JH, Moon DC. The effect of thoracic region self-mobilization on chest expansion and pulmonary function. J Phys Ther Sci. 2015 Sep;27(9):2779-81. doi: 10.1589/jpts.27.2779. Epub 2015 Sep 30.

  PMID: 26504292 BACKGROUND

• Song GB, Park EC. Effects of chest resistance exercise and chest expansion exercise on stroke patients' respiratory function and trunk control ability. J Phys Ther Sci. 2015 Jun;27(6):1655-8. doi: 10.1589/jpts.27.1655. Epub 2015 Jun 30.

  PMID: 26180292 BACKGROUND

• Colby CKaLA. Therapeutic Exercise Foundations and Techniques. 5th ed.

  BACKGROUND

• Kim J, Park JH, Yim J. Effects of respiratory muscle and endurance training using an individualized training device on the pulmonary function and exercise capacity in stroke patients. Med Sci Monit. 2014 Dec 5;20:2543-9. doi: 10.12659/MSM.891112.

  PMID: 25488849 BACKGROUND

• Mohan V, Aziz KB, Kamaruddin K, Leonard JH, Das S, Jagannathan MG. Effect of intercostal stretch on pulmonary function parameters among healthy males. EXCLI J. 2012 Jun 15;11:284-90. eCollection 2012.

  PMID: 27418905 BACKGROUND

• Hwangbo PN, Hwangbo G, Park J, Lee S. The Effect of Thoracic Joint Mobilization and Self-stretching Exercise on Pulmonary Functions of Patients with Chronic Neck Pain. J Phys Ther Sci. 2014 Nov;26(11):1783-6. doi: 10.1589/jpts.26.1783. Epub 2014 Nov 13.

  PMID: 25435700 BACKGROUND

MeSH Terms

Conditions

Stroke

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: INDIV
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 26, 2019
• First Posted: December 6, 2019
• Study Start: February 1, 2016
• Primary Completion: July 31, 2016
• Study Completion: July 31, 2016
• Last Updated: December 11, 2019

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)