Effects of Resistive Diaphragmatic Training on Chronic Stroke

Study Overview
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Brief Summary
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To determine the effects of resistive diaphragmatic training on pulmonary function of chronic stroke patients. And also assessing their compromised respiratory functions

Detailed Description
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This study is to examine the effects of Diaphragmatic breathing exercises with resistance and Digital spirometer training for improving pulmonary functions in chronic stroke patients. Diaphragmatic Resistance training is based on the same principal as for the any other Skeletal Muscle training. The selection of 20 subjects divided equally and placed into an experimental group and a control group and the interventions would applied three times per week for 4 weeks. In each session, both groups receive Digital spirometer training for 15 minutes. In addition, experimental group receive diaphragm breathing exercises with resistance for 30 minutes. Resistance is Applied through Different thera bands and then performing the Breathing Exercises. First of all resistance applied through yellow band(1-6 pounds of resistance) and then red, Green and black which give (4-18 Pounds of resistance) The patient is asked to breath in deeply and slowly while not to move upper chest .Weight increased weekly as per patient's tolerance. Further Digital spirometer training Perform to determine the Pulmonary Functions FVC,FEV1,FVC/FEV1,PEF,VC. in both Control and Experimental Groups

Official Title
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Effects of Resistive Diaphragmatic Training on Pulmonary Functions in Patients With Chronic Stroke

Conditions
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Stroke (CVA) or TIA

Intervention / Treatment
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* Other: Incentive spirometer training
* Other: diaphragmatic resistance exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age limit 40-50yrs both genders. Stroke patients with compromised pulmonary functions. Chronic stroke patients with impaired Breathing Exclusion Criteria: Patients having any systemic illness Patients who have a damage accompanying orthopedic disease such as thoracic deformation or rib fracture. Patients with stroke (less than 6 months duration)

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Incentive spirometer training<br>Incentive spirometer training | Other: Incentive spirometer training<br>* Incentive spirometer training 5 sessions a week, each session of 15 minutes, for 4 weeks<br>|
| Experimental: diaphragmatic resistance exercises<br>Incentive spirometer training with diaphragm breathing with resistance exercises. Resistance is applied through the different Thera bands and then performing the pursed lip breathing exercise. Resistance increased weekly as per tolerance by the patient | Other: diaphragmatic resistance exercises<br>* Incentive spirometer with diaphragmatic resistance exercises. Resistance is applied through the different Thera bands and then performing the pursed lip breathing exercise. Resistance increased weekly as per tolerance by the patient. Digital spirometer training for 15 minutes. diaphragm breathing exercises with resistance for 30 minutes. 5 sessions a week, for 4 weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| FEV1 | FEV1 is the amount of air you can force from your lungs in one second. It's measured during a spirometry test, also known as a pulmonary function test, which involves forcefully breathing out into a mouthpiece connected to a spirometer machine. | 4th week | 
| FVC | Forced vital capacity (FVC) is the total amount of air exhaled during the FEV test. Forced expiratory volume and forced vital capacity are lung function tests that are measured during spirometry. Forced expiratory volume is the most important measurement of lung function. | 4th week | 
| Oxygen level in blood | Pulse oximetry is a test used to measure the oxygen level (oxygen saturation) of the blood | 4th week | 
| Heart Rate | Pulse oximetry is a test used to measure the heart rate | 4th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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stroke, resistive diaphragmatic training, pulmonary function