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After acute ischemic stroke, the muscle strength of the limbs of the patients will decrease. Moreover, the respiratory muscles may also be affected. The respiratory muscle training may improve the respiratory recovery and prevent pulmonary complication.
After acute ischemic stroke, the muscle strength of the limbs of the patients will decrease. Moreover, the respiratory muscles may also be affected. The worsening of the respiratory function is weakened and lung function declines, leading to dysfunction of expectoration and swallowing, and increasing the incidence of pneumonia after stroke. In addition, it will also lead to a decline in activity ability, which in turn affects the quality of life. The respiratory muscle training may improve the respiratory recovery and prevent pulmonary complication.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dofin Breathing Strength Builder | Experimental | Usual post stroke care and respiratory muscle training |
|
| Usual post stroke care | No Intervention | Usual post stroke care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dofin Breathing Strength Builder | Device | If the patient's condition is stable, respiratory muscle training will be performed under Dofin Breathing Strength Builder 7 days after stroke. The patient will receive respiratory muscle training by repetition of 30 times, two courses per day, x 7 days, for three weeks. The initial load was set at 30% of the participants' maximal baseline strength and increased weekly at intervals of 2 cmH2O. |
| Measure | Description | Time Frame |
|---|---|---|
| Respiratory muscle function-1.1 | MEP (maximal expiratory pressure) | Baseline |
| Respiratory muscle function-1.2 | MEP (maximal expiratory pressure) | Within one week after training |
| Respiratory muscle function-1.3 | MEP (maximal expiratory pressure) | Twelve weeks after training |
| Respiratory muscle function-2.1 | MIP (maximal inspiratory pressure) | Baseline |
| Respiratory muscle function-2.2 | MIP (maximal inspiratory pressure) | Within one week after training |
| Respiratory muscle function-2.3 | MIP (maximal inspiratory pressure) | Twelve weeks after training |
| Measure | Description | Time Frame |
|---|---|---|
| Dyspnea.1 | Dyspnea assessed by Modified Borg Dyspnea Scale (MBS). MBS can go from 0-10, 10 is the more severe condition. | Baseline |
| Dyspnea.2 | Dyspnea assessed by Modified Borg Dyspnea Scale (MBS). MBS can go from 0-10, 10 is the more severe condition. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ruey Chen, PhD | Contact | 886-2-2249088 | 8620 | 18622@s.tmu.edu.tw |
| Tzu-Ang Chen, MD | Contact | 886-915855505 | b101103035@tmu.edu.tw |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shuang Ho Hospital, Taipei Medical University | Recruiting | New Taipei City | 235 | Taiwan |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| D020521 | Stroke |
| D053120 | Respiratory Aspiration |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
| Within one week after training |
| Dyspnea.3 | Dyspnea assessed by Modified Borg Dyspnea Scale (MBS). MBS can go from 0-10, 10 is the more severe condition. | Twelve weeks after training |
| Exercise tolerance.1 | Exercise tolerance assessed by six-minute walk test (6MWT). | Baseline |
| Exercise tolerance.2 | Exercise tolerance assessed by six-minute walk test (6MWT). | Within one week after training |
| Exercise tolerance.3 | Exercise tolerance assessed by six-minute walk test (6MWT). | Twelve weeks after training |
| Body composition.1 | Body composition including body fat and muscle mass measured by multi frequency segmental body composition analyzer (TANITA). | Baseline |
| Body composition.2 | Body composition including body fat and muscle mass measured by multi frequency segmental body composition analyzer (TANITA). | Within one week after training |
| Body composition.3 | Body composition including body fat and muscle mass measured by multi frequency segmental body composition analyzer (TANITA). | Twelve weeks after training |
| Life quality.1 | Quality of life assessed by Short-form 12 (SF-12). SF-12 can go from 0-100, 100 is the better life quality. | Baseline |
| Life quality.2 | Quality of life assessed by Short-form 12 (SF-12). SF-12 can go from 0-100, 100 is the better life quality. | Within one week after training |
| Life quality.3 | Quality of life assessed by Short-form 12 (SF-12). SF-12 can go from 0-100, 100 is the better life quality. | Twelve weeks after training |
| Swallowing.1 | Swallowing function assessed by the Functional Oral Intake Scale (FOIS). The score can go from 1-7, 7 is the better oral intake condition. | Baseline |
| Swallowing.2 | Swallowing function assessed by the Functional Oral Intake Scale (FOIS). The score can go from 1-7, 7 is the better oral intake condition. | Within one week after training |
| Swallowing.3 | Swallowing function assessed by the Functional Oral Intake Scale (FOIS). The score can go from 1-7, 7 is the better oral intake condition. | Twelve weeks after training |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |