Addition of Proprioceptive Neuromuscular Facilitation to Cardio Respiratory Training Post Stroke
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-65
SponsorUniversidade Federal do Rio Grande do Norte
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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;
Disqualifiers
None
Trial design
Design model
Parallel
Treatments tested in this trial
Lower limbs CRT
Other interventioncycle ergometer for lower limbs
Upper limbs CRT
Other interventioncycle ergometer for upper limbs
Proprioceptive Neuromuscular Facilitation
Other interventionProprioceptive Neuromuscular Facilitation patterns will be performed in seated, dorsal, ventral and side.
respiration
Other interventionrespiration
Treatment groups
40 Participants
are divided into 4 treatment groupsGroup A: Lower limbs CRT+ PNFExperimental treatment 2 interventions
Group B: Lower limbs CRT + respirationActive comparator 2 interventions
Group C: Upper limbs CRT + PNFExperimental treatment 2 interventions
Group D: Upper limbs CRT + respirationActive comparator 2 interventions
Trial outcomes
Primary outcomes
1
Oxygen uptake
maximum oxygen volume consumed during the 6-minute walk test
Time frame
Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)2
Balance
The scale assesses the balance based on 14 common items of day-to-day.
Time frame
Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)3
Quality of life
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).
Time frame
Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)4
Gait
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.
Time frame
Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)Secondary outcomes
1
Respiratory function
Spirometry: Will be measured slow vital capacity (Measured in liters), Inspiratory capacity (Measured in liters), forced expiratory volume in the first second (Measured in liters), Forced vital capacity (Measured in liters), forced expiratory volume ratio in the first second by forced vital capacity, peak expiratory flow (Measured in liters per minute).
Time frame
Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)2
Inspiratory muscle strength
Manovacuometry: Maximal Inspiratory pressure (MIP), Measured in centimeters of water
Time frame
Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)3
Expiratory muscle strength
Manovacuometry: maximal expiratory pressure (MEP), Measured in centimeters of water
Time frame
Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)4
Diaphragmatic thickness
Measurement of the diaphragmatic thickness from the middle of the pleural line to the middle of the peritoneal line.
Time frame
Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)Sponsors and contacts
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Source ClinicalTrials.gov