About this trial
This study is designed to explore the effects of a 4-week protocol of inspiratory muscle training (IMT) at 50% maximum inspiratory pressure (MIP) on respiratory function, diaphragm thickness, balance control, exercise capacity, and quality of life in people after stroke. To ascertain the effect of IMT on the relationship between diaphragm muscle contraction and activation of other trunk muscles, this study also explores whether any effect of the 4-week IMT protocol on balance control is associated with changes in the anticipatory posture adjustments (APAs) time - the onset time of postural muscles during a required task (e.g., the rapid shoulder flexion test).
Eligibility criteria
Qualifiers
Age ≥ 40 years and < 80 years;
breathing spontaneously;
clinically diagnosed with ischemic and/or haemorrhagic stroke;
duration of stroke from onset falls within 1 month to 12 months after diagnosis;
Disqualifiers
acute myocardial infarction or acute heart failure;
acute pain in any part of the body;
with respiratory illness or positive clinical signs of impaired respiratory function (such as shortness of breath, hypoxemia, chronic cough and sputum retention);
with chronic cardiovascular dysfunction;
Trial design
Treatments tested in this trial
- sham IMT
- IMT-stable group (sitting on a stable surface)
- IMT-unstable group (sitting on an unstable surface)
- Conventional treatment