[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"physical-therapy-modalities\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:physical-therapy-modalities":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,3,0,[8,46,72],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":45},"100563081","positive-pressure-therapy-to-optimize-lung-function-after-heart-surgery-100563081",false,"NCT06611527","Positive Pressure Therapy to Optimize LUNG Function After Heart Surgery","Comparison Between Two Methods of Positive Pressure Therapy in the Prevention of Pulmonary Complications in the Immediate Postoperative Period of Cardiac Surgery: a Prospective, Randomized Clinical Trial","PRO-LUNGHS","Inclusion Criteria:\n\n* Immediate postoperative period of myocardial revascularization and\u002For valve replacement or plastic surgery;\n* Patients in the preoperative period at risk of developing pulmonary complications, characterized by the presence of at least 2 of the following risk factors: age ≥ 70 years, productive cough, diabetes, history of smoking, chronic obstructive pulmonary disease (COPD) defined by forced expiratory volume in 1 second (FEV1) lower than 75% of predicted, body mass index (BMI) ≥ 27 kg\u002Fm2, or only FEV1 lower than 80% and FEV1\u002Fforced vital capacity (FVC) ratio lower than 70% of predicted; OR patients in the postoperative period (up to 12 hours after extubation) with mild to moderate complications characterized by a pulmonary complication score lower than 3.\n\nExclusion Criteria:\n\n* Hemodynamic instability characterized by mean arterial pressure (MAP) lower than 60mmHg and\u002For acute arrhythmia of any etiology;\n* Need for intra-aortic balloon;\n* Duration of invasive mechanical ventilation exceeding 24 hours after surgery;\n* Pulmonary complication score ≥ grade 3;\n* Presence of signs of acute respiratory failure, such as respiratory rate (f) ≥ 25 breaths\u002Fmin and use of accessory muscles;\n* Chest tube with air leak;\n* Use of a pacemaker or implantable or external cardioverter-defibrillator.","ALL","18 Years",{"count":20,"type":21},156,"ESTIMATED","INTERVENTIONAL",[24],"NA","The most common cardiac surgeries are myocardial revascularization and valve replacement or plastic surgery. In the postoperative period of cardiac surgeries, the incidence of pulmonary complications ranges from 30% to 50% and is associated with increased length of hospital stay and morbidity and mortality. To reduce or minimize the occurrence of these complications, respiratory physiotherapy employs positive pressure reexpansion therapies, such as continuous positive airway pressure (CPAP) and positive pressure support with positive end-expiratory pressure (PS+PEEP).\n\nThe goal of this clinical trial is to compare the effects of two positive pressure therapies, CPAP versus PS+PEEP, on the incidence of pulmonary complications in patients in the postoperative period of myocardial revascularization and valve replacement or plastic surgery, with mild to moderate pulmonary dysfunction.\n\nThe main question it aims to answer is: Do patients in the immediate postoperative period of myocardial revascularization or valve replacement\u002Fplastic surgery, exhibiting mild to moderate pulmonary dysfunction, experience a comparable reversal of pulmonary conditions when treated with PS+PEEP versus CPAP?\n\nParticipants will undergo the following assessments: spirometry, respiratory muscle strength testing, handgrip strength testing, and electrical impedance tomography.\n\nIn the immediate postoperative period, participants will be randomized into two treatment groups: • Control Group PS+PEEP - application of 4 sets of 20 repetitions with PS to provide a tidal volume equal to 10ml\u002Fkg of predicted body weight, PEEP equal to 10 cmH2O, and inspired oxygen fraction (FiO2) to achieve peripheral oxygen saturation (SpO2) between 92-94%; • Experimental Group CPAP - application of CPAP at 10 cmH2O with FiO2 to achieve SpO2 between 92-94% for 30 minutes.",[27,28,29,30,31,32],"Postoperative Period","Physical Therapy Modalities","Continuous Positive Airway Pressure","Respiratory Function Tests","Pulmonary Atelectasis","Heart Surgery","RECRUITING","2025-04-08",{"date":36,"type":37},"2025-04-10","ACTUAL",{"date":39,"type":37},"2025-01-08",{"date":41,"type":21},"2027-12",{"name":43,"class":44},"Federal University of São Paulo","OTHER",1,{"id":47,"slug":48,"hasResults":11,"nctId":49,"briefTitle":50,"officialTitle":51,"acronym":4,"eligibilityCriteria":52,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":53,"enrollmentInfo":54,"targetDuration":4,"studyType":22,"phases":56,"briefSummary":57,"conditions":58,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":63,"lastUpdatePostDateStruct":64,"startDateStruct":66,"completionDateStruct":68,"leadSponsor":70,"locationsCount":45},"100544194","physiotherapy-vs-telerehabilitation-after-volar-plating-of-distal-radius-fracture-100544194","NCT06365710","Physiotherapy vs Telerehabilitation After Volar Plating of Distal Radius Fracture","A Randomized Controlled Trial Comparing Traditional Physiotherapy vs Telerehabilitation After Volar Plating of Distal Radius Fracture: a Study Protocol","Inclusion Criteria:\n\n* Distal radius fracture, which applies the surgical requirements\n* age between 18 to 65 years\n* Non concomitant injuries including ligament injuries and distal ulna fractures, however ulnar styloid avulsion is accepted\n* No significant comorbidities\n* No previous problems with the examined hand\n* Ability to understand Finnish fluently\n\nExclusion Criteria:\n\n* High energy or multiple injuries\n* Open fractures\n* Injury of both upper extremities\n* Other operative injury on the same side\n* Rheumatoid arthritis of other inflammatory joint disease\n* Heavy smoker (over 20 cigarettes per day)\n* Disease of medication slowing ossification\n* Alcohol or drug abuse\n* Psychiatric disorder with poor treatment balance\n* Neurological disorder which affects the function of the injured extremity\n* Fixation material other than a volar locking plate\n* Fracture fixation is not stable enough to start rehabilitation after 14 days","65 Years",{"count":55,"type":21},84,[24],"Trial purpose is to research the outcome comparing traditional physiotherapy vs telerehabilitation after volar plating of distal radius fracture.\n\nPatients with distal radius fracture that meet the operative criteria set by the Finnish Current Care guidelines are randomized (1:1 computer generated sequence with random block size) to two parallel groups and will undergo operative treatment and traditional physiotherapy vs telerehabilitation.\n\nBaseline data is collected preoperatively and patients are followed at 1, 3 and 12 months after enrollment. The primary end-point is 3 months and the primary outcome is the Patient-Rated Wrist Evaluation (PRWE).",[59,28,60,61,62],"Orthopedic Procedures","Postoperative Care","Rehabilitation","Wrist Fractures","2024-10-29",{"date":65,"type":37},"2024-10-31",{"date":67,"type":37},"2022-11-24",{"date":69,"type":21},"2026-01-31",{"name":71,"class":44},"Töölö Hospital",{"id":73,"slug":74,"hasResults":11,"nctId":75,"briefTitle":76,"officialTitle":77,"acronym":78,"eligibilityCriteria":79,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":80,"enrollmentInfo":81,"targetDuration":4,"studyType":22,"phases":83,"briefSummary":84,"conditions":85,"keywords":87,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":91,"lastUpdatePostDateStruct":92,"startDateStruct":94,"completionDateStruct":96,"leadSponsor":98,"locationsCount":45},"100464147","comprehensive-intensive-stroke-rehabilitation-100464147","NCT05323916","Comprehensive Intensive Stroke Rehabilitation","Motor Recovery Following the Comprehensive Intensive Rehabilitation Program After Stroke Implementing the International Classification of Functioning, Disability and Health Model: A Randomized Controlled Trial Protocol","COMIRESTROKE","Inclusion Criteria:\n\n* adults\n* after first ischemic stroke\n* early sub-acute phase\n* slight to moderately severe disability \\[2 - 4 on the Modified Rankin Scale\\]\n* 0 - 2 on the Pre-Stroke Modified Rankin Score\n* potential to accept 4 hours of comprehensive rehabilitation per day and to profit from physiotherapy\n* minimal or moderate motor deficit of upper or lower extremities (on NIHSS Item 5 or 6 scores 1-3 points)\n* able to perform activities of daily living prior to stroke event (0 - 2 on the Pre-Stroke Modified Rankin Score)\n* Czech is participants' native language or its knowledge is at the level of the mother tongue\n\nExclusion Criteria:\n\n* low level of consciousness (vegetative state and\u002For minimally conscious state); severe cognitive decline that would interfere with administration of the tests, premorbid illiteracy, severe visual and\u002For auditory deficit that would prevent proper completion of the tests\n* behavioural disorders and\u002For lack of cooperation with therapist\n* severe medical problems with a poor prognosis, (e.g., severe frailty, advanced and incurable cancer, fracture, cardiovascular disorders as chronic heart failure NYHA III, IV, symptomatic coronary artery disease Angina Severity Class III, IV, respiratory insufficiency as chronic obstructive pulmonary disease GOLD IV, and other severe disease)","85 Years",{"count":82,"type":21},280,[24],"In this study, the investigators aim to assess the effectiveness of the Comprehensive Intensive Rehabilitation Program After Stroke implementing the International Classification of Functioning, Disability and Health model, and to compare it with two cohorts receiving Comprehensive Intensive Rehabilitation Program After Stroke of the same length but different in physical therapy content (program implementing modern technological approach and neuroproprioceptive \"facilitation and inhibition\"). Moreover, control group will undergo standard care.",[86,61,28],"Stroke",[88,89,90],"Technology","Goals","Neuroproprioceptive \"facilitation and inhibition\"","2024-08-19",{"date":93,"type":37},"2024-08-20",{"date":95,"type":37},"2022-05-01",{"date":97,"type":21},"2026-01-15",{"name":99,"class":44},"Charles University, Czech Republic"]