Effects of Respiratory Physiotherapy on Postural Control, Balance, Respiratory Functions and Respiratory Muscle Strength
Stroke Patients
About this trial
This is an interventional treatment trial for Stroke Patients focused on measuring respiratory rehabilitation, balance, Postural Control, Respiratory Functions, Respiratory Muscle Strength
Eligibility Criteria
Inclusion Criteria:
- Being over 40 years old,
- Stroke diagnosis,
- The Mini-mental test score is above 23
Exclusion Criteria:
- Other neurological or orthopedic problems that affect functionality and balance, other than stroke
- High blood pressure, heart disease which may prevent rehabilitation
- Patients with pulmonary disease (COPD)
- Have undergone thoracic or cardiovascular surgery
- Agnosia or a person with visual impairment,
- Patients with epilepsy,
- The medical condition is not stable,
- Patients with reluctance towards treatment,
- Patients with communication problem,
- An area under 23 points from the Minimental Test,
- Patients with peripheral nerve injury before stroke
Sites / Locations
- Kırıkkale University
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Experimental
Experimental
Neurodevelopmental treatment program group
diaphragmatic breathing
respiratory muscle training with the THRESHOLD IMT device
When applying NGT, which is described as a problem solving approach, the treatment program appropriate for their functional levels will be determined for each patient, taking into account the individual needs and wishes of the patient. Principles to be considered while applying the treatment program: Inhibition of normal / ineffective movements Facility of normal / effective movements Sensory-motor stimulation Correct placement of body segments Neurodevelopmental treatment physiotherapy session for 5-days in a week, over 6-week. Each physiotherapy sessions will consist of range of motion exercises, strengthening exercises, exercises such as activities of daily living, mobility and transfer activities.
The group will have a neurodevelopmental treatment program (BOBATH treatment approach) and diaphragmatic breathing exercises. Diaphragmatic breathing; To give the patient a supine position, a pillow is placed under his knees and head. The patient is asked to place his right hand on the upper abdomen and his left hand on the upper part of his chest. The patient is told to take a slow and deep breath through the nose until four counts, and to hold the air in for the time it has inhaled, and then the patient shrinks her lips like a whistle and exhales from using her breath for a long time. Exercises are performed two hours after meals, in short, 2-3 minutes in the beginning, in 10 of the patients, on average 30 minutes per day.
The group will have a neurodevelopmental treatment program (BOBATH treatment approach) and respiratory muscle training with the THRESHOLD IMT device. T-IMT is an instrument that provides the same pressure in each breath for the strength and endurance of the inspiratory muscles, regardless of the patient's rapid or slow breathing. This device provides a constant pressure in inspiration with its flow-free one-way valve. It also has an adjustable device pressure. The tool consists of pressure section, mouthpiece and nose clip. During application, constant pressure is applied to the inspiration phase. The training group is started from 40% of MIP and inspiratory muscle training is given. In practice, patients are asked to sit in a loose position on the upper chest and shoulders. After eight breathing cycles, 1-2 respiratory controls are requested