NCT04503499

Effect of Thoracic Manual Therapy in Hemiplegic Patients

Acute Effect of Thoracic Manual Therapy on Respiratory Capacity in Hemiplegic Patients

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 47 (actual)
• Sponsor: Istinye University · Academic / Other
• Sex: All
• Age: 45 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

Neurological problems both lead to many respiratory problems primarily and events secondary to neurological diseases or symptoms can be the cause of respiratory failure. The addition of respiratory failure will adversely affect the course of the neurological picture, making treatment more difficult. The cardiopulmonary functions of hemiplegia patients decrease due to the decrease in the expansion of the thoracic part on the hemiplegic side and insufficient respiratory muscles. In addition, common symptoms in stroke patients, including limited use of ankylosis and muscle movements, cause oxygen deficiency and increased metabolic demands. After stroke, thoracic expansion is reduced upon paralysis of the diaphragm and respiratory muscles. Continuation of this condition can lead to muscle fibrosis. As a result, the level of thoracic expansion decreases during breathing. A decrease in thoracic spine mobility correlates with a decrease in forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1). The increase in the rigidity of the chest wall affects the ventilator pumping mechanism, reducing the level of rigidity (increasing the mobility of the chest wall) is recommended as a way to improve lung function.

Conditions

• Stroke

Interventions

Type	Name	Description
OTHER	Manuel Therapy	The manual therapy protocol will consist of 45-60 minutes and the following techniques; * suboccipital decompression * cervical mobilization (in the posterior-anterior direction) * sternocleidomastoid release * scalene release * trapezoidal release * scalene release * pectoralis tractus * sternoclavicular joint mobilization * sternum mobilization * parasternal circumference intercostal and paravertebral release * diaphragm release * rib reasing * scapulothoracic joint mobilization * thoracic vertebra mobilization Myofascial release techniques will be applied for 3-5 minutes each. Mobilization techniques were applied in each joint for 30 seconds and 5 times.

Timeline

• Start date: 2018-09-15
• Primary completion: 2019-07-15
• Completion: 2019-08-15
• First posted: 2020-08-07
• Last updated: 2023-11-03

Locations

1 site across 1 country: Turkey (Türkiye)