Resistive Diaphragmatic Breathing Exercise With Pursed Lips Breathing Exercise in Sub-acute Stroke Patients

Effect of Resistive Diaphragmatic Breathing Exercise With Pursed Lips Breathing Exercise on Pulmonary Function, Trunk Control and Functional Capacity in Sub-acute Stroke Patients

To determine whether resistive diaphragmatic breathing exercise with pursed lips breathing exercise improve pulmonary function in sub-acute ischemic stroke, To determine whether resistive diaphragmatic breathing exercise with pursed lips breathing exercise improve Trunk Control in sub-acute ischemic stroke, To determine whether resistive diaphragmatic breathing exercise with pursed lips breathing exercise improve Functional Capacity in sub-acute ischemic stroke

Inclusion Criteria

• Age 40-65 years
• Onset of ischemic stroke in first two week
• First episode of unilateral stroke with hemiparesis during previous 12 months
• Patient with no serious cognitive deficits i-e mini-mental state examination (score >22) ability to understand, perform and follow simple verbal instructions
• Functional ambulation category (FAC) >3
• 6 min walk test distance should be >200 m

Exclusion Criteria:

• Known case of cardiopulmonary disease, BP > 180/100 mmHg twice in 24 hours
• Known case of neurological disease other than stroke, Known case of orthopedic disease i-e funnel chest, rib fractures or any other orthopedic deformity
• Medication that would influence metabolic or cardiorespiratory responses to exercise Impaired level of consciousness, Evidence of gross cognitive impairment.