The Effect of Neurophysiological Facilitation Techniques on Respiratory in Stroke

NCT05601934 | Completed DMC

• 1 other identifier: Ali Enes YAŞAR
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

Hemiplegia is a disease with many complications in its clinical course. One of these complications is respiratory dysfunction. It is aimed to determine the respiratory function problems of patients with hemiplegia and to eliminate the problems by using neurophysiological facilitation techniques. Restrictive and obstructive pulmonary dysfunction occurs in hemiplegic patients. Decreased movement in the thorax, decreased respiratory muscle strength, changes in muscle tone, and changes in the central nervous system cause restrictive respiratory disorders. A significant decrease is observed in FEV1(Forced Expiratory Volume in One Second), FEV1%, FVC(Forced Vital Capacity), FVC% values. Alveolar ventilation is maintained through the central nervous system. For alveolar ventilation, the brain must transmit the impulse of breathing to the muscles through the spinal cord and peripheral nervous system. Lesions occurring in any part of the central nervous system affect respiratory functions. Hemiplegia is a condition that affects the movement of the diaphragm. During quiet breathing, there is a significant decrease in the movement of the diaphragm. Chest expansion is reduced. In a study, it was reported that neuromuscular facilitation techniques increase short-term ventilation and are reliable techniques for people with neurological damage. When we look at the literature, there is no study showing the effects of neurophysiological facilitation techniques on respiration in hemiplegic patients. The aim of our study; To determine the effects and safety of neurophysiological facilitation techniques in terms of pulmonary function, respiratory muscle strength, functional capacity and quality of life in hemiplegic patients.

Conditions

Hemiplegia,Stroke, Respiratory, Neurophysiological Facilitation Techniques

Keywords

Stroke, Respiratory, Physiotherapy and Rehabilitation, Neurophysiological Facilitation Techniques, Exercise

Outcome Measures

Primary Outcomes (2)

• Inspiratory and/or expiratory muscle strength

  Neurophysiological facilitation techniques increases inspiratory muscle strength and causes decrease in dyspnea especially in the acute period.

  6 months

• Positive Effect of Neurophysiological Facilitation Techniques on Pulmonary Stroke Patients

  Neurophysiological facilitation techniques that have positive effects in patients practice by physiotherapists should be encouraged.

  6 months

Secondary Outcomes (1)

• Complications

  6 months

Study Arms (2)

Neurophysiological Facilitation Techniques

EXPERIMENTAL

Other: Neurophysiological Facilitation Techniques

Respiratory exercises

EXPERIMENTAL

Other: Neurophysiological Facilitation Techniques

Interventions

Neurophysiological Facilitation Techniques OTHER

Increased enlargement of the ribs during inspiration and increased movement in the epigastric region and tone of the abdominal muscles also decreased respiratory rate are some of the changes that occur after these stimuli. In addition to these, involuntary increase in cough, sputum production also decrease in pathological sounds felt on auscultation, decrease in aspiration requirement, rapid return in chest wall stabilization and improvement in respiratory pattern can be observed after application with this application, positive and long-term effective results can be seen in a short time.

Also known as: Respiratory exercises

Neurophysiological Facilitation Techniques; Respiratory exercises

Eligibility Criteria

• Age: 40 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Above 40 years
• Stroke Patients

You may not qualify if:

• Active Smokers
• Thoracal Scoliosis Patients
• Chest Deformity Patients
• Traumatic Injuries in the Chest
• Pneumonia,COPD(Chronic obstructive pulmonary disease)
• Mini-Mental State Under 15 Points

Sponsors & Collaborators

• Istinye University: lead
• Gül Deniz YILMAZ YELVAR: collaborator
• Yasemin Çırak: collaborator
• Serap İNAL: collaborator
• Nurgül DÜRÜSTKAN ELBAŞI: collaborator

Study Sites (1)

Home

Istanbul, Üsküdar, 34674, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Hemiplegia; Stroke; Motor Activity

Interventions

Breathing Exercises

Condition Hierarchy (Ancestors)

Paralysis; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Behavior

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical Therapist

Study Record Dates

• First Submitted: October 24, 2022
• First Posted: November 1, 2022
• Study Start: June 21, 2020
• Primary Completion: June 21, 2021
• Study Completion: June 21, 2022
• Last Updated: November 1, 2022

Record last verified: 2022-10

Locations

TU (1)