Ultrasonographic Evaluation of Respiratory Muscles in Stroke Patients
Condition: Respiratory Muscle; Pulmonary Function Test
MeSH terms: Stroke
Study type: Observational [Patient Registry]

Summary: 
      Ultrasonographic evaluation of respiratory muscle thickness in stroke patients, determination
      of its correlation with pulmonary function test (PFT) , and the first evaluation method to
      determine respiratory rehabilitation goals and to use it in the follow-up of the
      effectiveness of the treatment.
    

Detailed description: 
      The study is planned as a cross-sectional prospective study. Healthy volunteers and stroke
      patients who are planned to be hospitalized in the Stroke clinic for rehabilitation in
      Istanbul Physical Medicine Rehabilitation Training and Research Hospital are evaluated and
      included in the study according to the inclusion and exclusion criteria.

      Demographic data of patients (gender, age, height, weight, body mass index, comorbidity
      status, smoking/alcohol use, dominant extremity, stroke etiology, duration, side), functional
      status (Brunnstrom stages, Functional Ambulation Scale (FAS), Daily Living Activity (ADL)
      Index), Pulmonary Function Test (PFT) measurement results and bilateral diaphragm and
      abdominal muscle thicknesses and thickening ratio in ultrasonography, demographic data of
      healthy volunteers (gender, age, height, weight, body mass index, comorbidity status,
      smoking/alcohol use, dominant side), PFT measurement results and the dominant side diaphragm
      and abdominal muscle thicknesses and thickening ratio in ultrasonography is done and included
      in the study.

      In the ultrasonographic evaluation of the participants, using a 7-12 Mhz linear Probe,
      measurements are made of the diaphragm at the end of tidal expiration and forced inspiration,
      abdominal muscles at the end of tidal expiration and at the end of forced expiration, while
      all respiratory muscles are lying in the supine position. Diaphragm thickness is measured
      between the 8th and 9th ribs at the level of the anteroaxillary line, rectus abdominis; 4 cm
      lateral of the umbilicus, transversus abdominis, external oblique, internal oblique muscles'
      measurement is made from the middle of the lowest part of the 12. rib and the highest point
      of the iliac crest and 2.5 cm in front of the midaxillary line. All measurements are repeated
      3 times and the average value will be recorded.

      Vital capacity[VC], forced vital capacity [FVC], forced expiratory volume 1 second [FEV1] ,
      FEV1/FVC, maximal expiratory flow rate [PEF], maximum inspiratory pressure [MIP] maximum
      expiratory pressure [MEP] in patients' PFT ] measurement results are checked.

      Intragroup and intergroup data are compared.
    

Intervention name(s): Spirometry and ultrasonography in stroke group; Spirometry and ultrasonography in healthy group
Intervention type(s): Diagnostic Test; Diagnostic Test
Intervention description(s): Ultrasonographic measurements were performed of the bilateral diaphragm and abdominal muscle thickness and thickening ratio in the supine position in the stroke patient group. The spirometric evaluation was also performed; Ultrasonographic measurements were performed of dominant side diaphragm and abdominal muscle thickness and thickening ratio in the supine position in healthy individuals group. The spirometric evaluation was also performed
Observational model: Case-Control
Time perspective: Cross-Sectional
Sampling method: Probability Sample
Study population: 
        Stroke patients and, healthy volunteers which have close demographic data with stroke
        patients
      
Keywords: stroke; pulmonary function; ultrasound; respiratory muscle thickness