Augmenting a Post-Stroke Wellness Program With Respiratory Muscle Training

Description

The goal of this clinical trial is to test the hypothesis that combined Respiratory Muscle Training and a Stroke Wellness Program is more effective than a Stroke Wellness Program alone for stroke survivors with and without a smoking exposure history. Participants will participant in a Stroke Wellness Program consisting of strengthening, cardiovascular and flexibility training program plus respiratory exercise for 24 sessions (3x/week for 8 weeks). Researchers will compare outcomes to those randomized to a respiratory strengthening program compared to a relaxation training program to see if those who received respiratory strengthening had improved maximal respiratory pressure, improved physical activity and improved quality of life compared to those who received relaxation training.

Conditions

Stroke

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Study Overview

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Study Details

Study overview

The goal of this clinical trial is to test the hypothesis that combined Respiratory Muscle Training and a Stroke Wellness Program is more effective than a Stroke Wellness Program alone for stroke survivors with and without a smoking exposure history. Participants will participant in a Stroke Wellness Program consisting of strengthening, cardiovascular and flexibility training program plus respiratory exercise for 24 sessions (3x/week for 8 weeks). Researchers will compare outcomes to those randomized to a respiratory strengthening program compared to a relaxation training program to see if those who received respiratory strengthening had improved maximal respiratory pressure, improved physical activity and improved quality of life compared to those who received relaxation training.

Augmenting a Post-Stroke Wellness Program With Respiratory Muscle Training: A Randomized Controlled Trial

Augmenting a Post-Stroke Wellness Program With Respiratory Muscle Training

Condition
Stroke
Intervention / Treatment

-

Contacts and Locations

Jacksonville

Brooks Rehabilitation Hospital, Jacksonville, Florida, United States, 32216

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Diagnosis of stroke
  • * Greater than 6 months post-stroke
  • * Signed letter of medical approval from primary care physician to participate in this research study
  • * Community dwelling
  • * Ability to attend the wellness program 3x/week for eight weeks
  • * Ability to follow instructions or mimic exercises
  • * Ability to communicate adverse effects such as pain or fatigue or the need for assistance
  • * Able to ambulate 20 feet with no more than contact guard assist, with or without an assistive device or orthotic device
  • * Able to access exercise equipment independently or with caregiver assist
  • * Greater than 18 years of age
  • * Neurologic condition other than stroke, i.e. Parkinson's Disease, multiple sclerosis
  • * Severe, functional limiting arthritis
  • * Orthopedic condition that limits mobility
  • * Severe weight-bearing pain
  • * Current participation in other physical rehabilitation services or exercise programs
  • * Serious cardiac conditions (hospitalization for myocardial infarction or heart surgery within the past year, history of congestive heart failure, documented serious and unstable cardiac arrhythmias, hypertrophic cardiomyopathy, severe aortic stenosis, angina or dyspnea at rest or during activities of daily living). Anyone meeting New York Heart Association criteria for Class 3 or Class 4 heart disease will be excluded
  • * Severe hypertension: with systolic \> 200 mmHg and diastolic \> 110 mmHg at rest, that cannot be medically controlled into the resting range of 180/100 mmHg
  • * Use of supplemental oxygen at baseline
  • * Severe obstructive pulmonary disease (Classification of Global Initiative for Chronic Obstructive Lung Disease (GOLD)39 3 or higher, indicating FEV1\<50% predicted)
  • * Treatment for pneumonia or lower respiratory infection within the past month
  • * Able to run one-quarter mile without stopping

Ages Eligible for Study

18 Years to 95 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Florida,

Study Record Dates

2025-05-21