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Not yet recruiting NCT07524790

The Effect of Proprioceptive Neuromuscular Facilitation on Haemodynamic Responses in a Neurological Intensive Care

No phase Interventional Neurologic Disorder

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Proprioceptive Neuromuscular Facilitation Exercises, Passive Range of Motion Exercises.
Who it may be relevant to
Registry conditions: Neurologic Disorder. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Official title

The Effect of Proprioceptive Neuromuscular Facilitation on the Ankle-Brachial Index and Haemodynamic Responses in Patients in a Neurological Intensive Care Unit: A Randomised Controlled Trial

Overview

Although there are studies examining the effect of actively performed PNF exercises on haemodynamic responses in intensive care patients and healthy individuals, there are no studies investigating their effect on circulation and haemodynamic responses in unconscious patients. Therefore, this study was designed to investigate the acute effects of proprioceptive neuromuscular facilitation (PNF) exercises on peripheral circulation and haemodynamic responses in patients admitted to a neurological intensive care unit. Hypotheses: H1-1: Passively administered PNF exercises have beneficial effects on peripheral circulation. H2-1: Passively administered PNF exercises have beneficial effects on haemodynamic responses.

Interventions

  • Other Proprioceptive Neuromuscular Facilitation Exercises
    The following PNF patterns will be applied to the upper extremity: * flexion - abduction - external rotation → extension - adduction - internal rotation * extension - abduction - internal rotation → flexion - adduction - external rotation The following PNF patterns will be applied to the lower extremities: * flexion - adduction - external rotation (with the knee extended) → extension - abduction - internal rotation * extension - adduction - external rotation (with the knee extended) → flexion
  • Other Passive Range of Motion Exercises
    Exercises for the upper extremities: * shoulder flexion - extension * shoulder abduction - adduction * shoulder internal - external rotation * elbow flexion - extension * wrist flexion - extension * finger flexion - extension Exercises for the lower extremities: * hip flexion - extension * hip abduction - adduction * hip internal - external rotation * knee flexion - extension * ankle dorsiflexion - plantar flexion All exercises will be performed passively by the physiotherapist. Each movement

Primary outcome measures

  • Ankle-Brachial İndex [Time frame: Baseline and five or ten minutes after exercise]
  • Heart Rate [Time frame: Baseline and five or ten minutes after exercise]
  • Systolic blood pressure and diastolic blood pressure [Time frame: Baseline and five or ten minutes after exercise]
  • Respiratory rate [Time frame: Baseline and five or ten minutes after exercise]
  • Peripheral oxygen saturation (SpO₂) [Time frame: Baseline and five or ten minutes after exercise]
Secondary outcome measures (3)
  • Rate Pressure Product [Time frame: Baseline and five or ten minutes after exercise]
  • Quadriceps circumference measurement [Time frame: Baseline and five or ten minutes after exercise]
  • Oxford Acute Severity of Illness Score [Time frame: Baseline and five or ten minutes after exercise]

Eligibility criteria

Inclusion criteria

  • Patients being monitored in the neurology intensive care unit
  • Aged 18 years or over
  • Haemodynamically stable
  • No orthopaedic condition preventing the performance of passive joint movements in the upper and lower limbs
  • A signed informed consent form from a patient's next of relative for participation in the study

Exclusion criteria

  • Presence of haemodynamic instability
  • Fractures, contractures or serious orthopaedic conditions in the upper or lower limbs that restrict movement
  • Diagnosis or suspicion of deep vein thrombosis
  • Severe peripheral arterial disease
  • Serious cardiac arrhythmia that may prevent exercise

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Treatment

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT07524790 · AIBU-FTR-BS-002

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗