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Ultrasonographic Evaluation of Respiratory Muscles in Stroke Patients

30. januar 2022 oppdatert av: Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Ultrasonographic Evaluation of Respiratory Muscles in Stroke Patients and Correlation With Pulmonary Function Tests

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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

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.

Studietype

Observasjonsmessig

Registrering (Faktiske)

70

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Tyrkia
      • Istanbul, Tyrkia
        • İstanbul physical medicine rehabilitation training &research hospital

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

30 år til 90 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Sannsynlighetsprøve

Studiepopulasjon

Stroke patients and, healthy volunteers which have close demographic data with stroke patients

Beskrivelse

Inclusion Criteria:

  • Ischemic or Hemorrhagic stroke patients
  • Stroke duration >6 months
  • Mini-mental test score >24

Exclusion Criteria:

  • Individuals with acute or chronic lung disease
  • Patients with a history of thoracic or abdominal surgery
  • Patients with other neuromuscular diseases
  • Aphasia type with impaired understanding
  • Facial paralysis

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Observasjonsmodeller: Case-Control
  • Tidsperspektiver: Tverrsnitt

Kohorter og intervensjoner

Gruppe / Kohort
Intervensjon / Behandling
Stroke patients
Ultrasonographic measurements were performed of the bilateral diaphragm and abdominal muscle thickness and thickening ratio of stroke patients. Spirometry evaluation was performed by another investigator. Diagnostic Test: Bilaterally diaphragm and abdominal muscle thickness and thickening ratio with ultrasonography
Diagnostisk test: Spirometry and ultrasonography in stroke group
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
Healthy individuals
Ultrasonographic measurements were performed of dominant side diaphragm and abdominal muscle thickness and thickening ratio. Spirometry evaluation was performed by another investigator. Diagnostic Test: Dominant side diaphragm and abdominal muscle thickness and thickening ratio with ultrasonography
Diagnostisk test: Spirometry and ultrasonography in healthy group
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

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Diaphragma and Abdominal Muscle Thickness and thickening ratio
Tidsramme: 1 day (a single point in time)
Diaphragma and Abdominal Muscle ultrasonographic millimetric measurement
1 day (a single point in time)
Forced vital capacity [FVC]
Tidsramme: 1 day (a single point in time)
>%80 is normal results
1 day (a single point in time)
Forced expiratory volume 1 second [FEV1]
Tidsramme: 1 day (a single point in time)
>%80 is normal results
1 day (a single point in time)
FEV1/FVC
Tidsramme: 1 day (a single point in time)
>%80 is normal results
1 day (a single point in time)
Maximal expiratory flow rate [PEF]
Tidsramme: 1 day (a single point in time)
>%80 is normal results
1 day (a single point in time)
Maximum inspiratory pressure [MIP],
Tidsramme: 1 day (a single point in time)
>80cmH2O is normal results
1 day (a single point in time)
Maximum expiratory pressure [MEP]
Tidsramme: 1 day (a single point in time)
>95cmH2O is normal results
1 day (a single point in time)

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Brunnstrom stages
Tidsramme: 1 day (a single point in time)
min 1 max 6, bigger values mean better results,
1 day (a single point in time)
Functional Ambulation Scale (FAS)
Tidsramme: 1 day (a single point in time)
min 0 max 5, bigger values mean better results,
1 day (a single point in time)
Daily Living Activity (ADL) Index
Tidsramme: 1 day (a single point in time)
min 0 max 100, bigger values mean better results,
1 day (a single point in time)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Etterforskere

  • Hovedetterforsker: Yunus Emre Dogan, MD, Istanbul Physical Medicine Rehabilitation Training and Research Hospita
  • Studiestol: Kadriye Ones, Prof, Istanbul Physical Medicine Rehabilitation Training and Research Hospita

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

25. desember 2020

Primær fullføring (Faktiske)

25. desember 2021

Studiet fullført (Faktiske)

28. januar 2022

Datoer for studieregistrering

Først innsendt

20. september 2021

Først innsendt som oppfylte QC-kriteriene

13. oktober 2021

Først lagt ut (Faktiske)

26. oktober 2021

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

1. februar 2022

Siste oppdatering sendt inn som oppfylte QC-kriteriene

30. januar 2022

Sist bekreftet

1. januar 2022

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • FTRTEZDOGAN

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

Nei

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

produkt produsert i og eksportert fra USA

Nei

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