Addition of Proprioceptive Neuromuscular Facilitation to Cardio Respiratory Training Post Stroke

Not yet recruiting

Phase N/A Results N/A

Trial Description

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.

Detailed 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.

Conditions

Interventions

  • Lower limbs CRT Other
    Intervention Desc: cycle ergometer for lower limbs
    ARM 1: Kind: Experimental
    Label: Lower limbs CRT+ PNF
    Description: Lower Limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation
    ARM 2: Kind: Experimental
    Label: Lower limbs CRT + respiration
    Description: Lower limbs Cardiorespiratory training associated with respiration
  • Upper limbs CRT Other
    Intervention Desc: cycle ergometer for upper limbs
    ARM 1: Kind: Experimental
    Label: Upper limbs CRT + PNF
    Description: Upper limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation
    ARM 2: Kind: Experimental
    Label: Upper limbs CRT + respiration
    Description: Upper limbs Cardiorespiratory training associated with respiration
  • Proprioceptive Neuromuscular Facilitation Other
    Intervention Desc: Proprioceptive Neuromuscular Facilitation patterns will be performed in seated, dorsal, ventral and side.
    ARM 1: Kind: Experimental
    Label: Lower limbs CRT+ PNF
    Description: Lower Limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation
    ARM 2: Kind: Experimental
    Label: Upper limbs CRT + PNF
    Description: Upper limbs Cardiorespiratory training associated with Proprioceptive Neuromuscular Facilitation
  • Respiration Other
    Intervention Desc: respiration
    ARM 1: Kind: Experimental
    Label: Lower limbs CRT + respiration
    Description: Lower limbs Cardiorespiratory training associated with respiration
    ARM 2: Kind: Experimental
    Label: Upper limbs CRT + respiration
    Description: Upper limbs Cardiorespiratory training associated with respiration

Outcomes

Type Measure Time Frame Safety Issue
Primary Oxygen uptake Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Primary Balance Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Primary Quality of life Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Primary Gait Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Secondary Respiratory function Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Secondary Respiratory muscle strength Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Secondary Diaphragmatic thickness Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Secondary Mobility diaphragmatic Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Secondary 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 Inspiratory muscle strength Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Secondary Expiratory muscle strength Three months total: After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)
Secondary Oxygen Uptake Ef´Čüciency Slope Three months total:After 20 sessions of intervention(2 months) and after 1 months without treatment (follow-up)

Sponsors