Addition of Proprioceptive Neuromuscular Facilitation to Cardio Respiratory Training Post Stroke
Keywords
Abstract
Description
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.
Dates
Last Verified: | 08/31/2018 |
First Submitted: | 05/22/2017 |
Estimated Enrollment Submitted: | 05/24/2017 |
First Posted: | 05/30/2017 |
Last Update Submitted: | 08/29/2019 |
Last Update Posted: | 09/02/2019 |
Actual Study Start Date: | 06/18/2017 |
Estimated Primary Completion Date: | 11/30/2020 |
Estimated Study Completion Date: | 05/31/2021 |
Condition or disease
Intervention/treatment
Other: Lower limbs CRT
Other: Upper limbs CRT
Other: Proprioceptive Neuromuscular Facilitation
Other: respiration
Phase
Arm Groups
Arm | Intervention/treatment |
---|---|
Experimental: Lower limbs CRT+ PNF Lower Limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation | |
Active Comparator: Lower limbs CRT + respiration Lower limbs Cardiorespiratory training associated with respiration | |
Experimental: Upper limbs CRT + PNF Upper limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation | |
Active Comparator: Upper limbs CRT + respiration Upper limbs Cardiorespiratory training associated with respiration |
Eligibility Criteria
Ages Eligible for Study | 21 Years To 21 Years |
Sexes Eligible for Study | All |
Accepts Healthy Volunteers | Yes |
Criteria | Inclusion Criteria: - 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. Exclusion Criteria: - |
Outcome
Primary Outcome Measures
1. Oxygen uptake [Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
2. Balance [Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
3. Quality of life [Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
4. Gait [Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
5. Compartmental volumes of the rib cage [Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
Secondary Outcome Measures
1. Respiratory function [Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
2. Inspiratory muscle strength [Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
3. Expiratory muscle strength [Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
4. Diaphragmatic thickness [Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
5. Mobility diaphragmatic [Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]
6. Oxygen Uptake Efficiency Slope [Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)]