The Effect of Proprioceptive Neuromuscular Facilitation on Haemodynamic Responses in a Neurological Intensive Care
Neurologic Disorder
De qué trata este estudio
El registro no identifica actualmente este estudio como reclutando. Consulta su estado antes de planificar una evaluación.
- Tipo de estudio
- De intervención
- Fase
- No aplica
- Rango de edad
- 18 años - No especificado
- Sexo admitido
- Todos los sexos
- Voluntarios sanos
- No aceptados
- Participantes
- 24 Estimado
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Las explicaciones y la navegación están en español. Los textos proporcionados por el registro, incluidos títulos, resúmenes y criterios, se conservan en su idioma original. Puedes pedir orientación en español a WCR.
Acerca de la investigación
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.
¿Quién podría participar?
La lista siguiente contiene el texto del patrocinador. Puede incluir condiciones, tratamientos previos, resultados de pruebas y otros requisitos. Aparecer en tu búsqueda no significa que califiques.
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
Tratamiento, grupos y participación
El registro puede describir tratamientos y duración sin incluir un calendario completo. Pide al equipo las visitas, procedimientos, riesgos, costos y alternativas. Mantén tu atención habitual salvo que tu médico te indique un cambio.
- Asignación
- Asignación al azar
- Enmascaramiento
- Sin enmascaramiento
PNF Group
Patients in the PNF group will undergo proprioceptive neuromuscular facilitation (PNF) exercises. The exercises will be performed with patients in the supine position and the head elevated by 30°.
Other: Proprioceptive Neuromuscular Facilitation Exercises
Control Group
Patients in the control group will undergo passive range of motion (PROM) exercises in the same position.
Other: Passive Range of Motion Exercises
Proprioceptive Neuromuscular Facilitation Exercises OTHER
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 - abduction - internal rotation All exercises will be performed passively by the physiotherapist. Each movement will be performed in sets of 10-12 repetitions, with a 30-second rest period between sets.
Passive Range of Motion Exercises OTHER
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 will be performed in sets of 10-12 repetitions, with a 30-second rest period between sets.
Qué evalúan los investigadores
Estas medidas indican qué se estudia. No prueban que un tratamiento funcione.
Medidas principales
Ankle-Brachial index
Plazo: Baseline and five or ten minutes after exercise
Systolic blood pressure will be measured at the brachial artery (upper limb) and the posterior tibial or dorsalis pedis artery (lower limb) using a Automatic oscillometric device OMRON-M3 (HEM-7200-E-Omron Healthcare, Kyoto, Japan) with a pressure cuff of 146 x 446 mm (arm circumference: 22-32 cm) device, with patients in a supine resting position.
Measurements will be taken in order: same-side arm, same-side leg, opposite leg, and opposite arm. The ankle-brachial index will be calculated as the ratio of the highest lower limb systolic pressure to the highest upper limb systolic pressure.
Heart Rate
Plazo: Baseline and five or ten minutes after exercise
Heart rate will be recorded as beats per minute and breaths per minute, respectively, based on data obtained from the patient monitor. Measurement will be taken whilst patients are in the supine position and at rest.
Systolic blood pressure and diastolic blood pressure
Plazo: Baseline and five or ten minutes after exercise
Systolic and diastolic blood pressure measurements will be taken from the patient's upper extremity using an appropriately sized cuff and recorded in millimetres of mercury (mmHg). Measurement will be taken whilst patients are in the supine position and at rest.
Respiratory rate
Plazo: Baseline and five or ten minutes after exercise
respiratory rate will be recorded as beats per minute and breaths per minute, respectively, based on data obtained from the patient monitor. Measurement will be taken whilst patients are in the supine position and at rest.
Peripheral oxygen saturation (SpO₂)
Plazo: Baseline and five or ten minutes after exercise
Peripheral oxygen saturation (SpO₂) will be measured using a pulse oximeter. Measurement will be taken whilst patients are in the supine position and at rest.
Medidas secundarias
Rate Pressure Product
Plazo: Baseline and five or ten minutes after exercise
Rate Pressure Product is calculated by dividing the product of heart rate and systolic blood pressure by 1,000
Quadriceps circumference measurement
Plazo: Baseline and five or ten minutes after exercise
Measurements will be taken whilst patients are in the supine position or, where appropriate, in a seated position. During the measurement, a non-elastic tape measure will be used to measure the circumference at the widest part of the thigh. The tape measure will be placed parallel to the thigh circumference, and the measurement result will be recorded in centimetres (cm).
To enhance the reliability of the measurement, two separate measurements will be taken for each patient, and the average of the obtained values will be used in the analyses.
Oxford Acute Severity of Illness Score
Plazo: Baseline and five or ten minutes after exercise
Oxford Acute Severity of Illness Score comprises a total of 10 parameters: age, heart rate, mean arterial pressure, respiratory rate, body temperature, Glasgow Coma Scale, urine output, mechanical ventilation status, length of stay in intensive care, and the presence of elective surgery. Each parameter is assessed according to specific score ranges, and the total score indicates the severity of the illness. Higher scores indicate a higher risk of mortality.
Revisa las tablas completas y sus limitaciones en el registro oficial.
Abrir resultados oficiales ↗Centros de investigación (1)
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1 centros
Bolu Abant Izzet Baysal UniversityBolu, Merkez, Turkey (Türkiye)Estado desconocido
Equipo y fechas
- Patrocinador principal
- Abant Izzet Baysal University
- Inicio del estudio
- 15 may 2026 Real
- Finalización primaria
- 15 ene 2027 Estimado
- Finalización del estudio
- 15 may 2027 Estimado
- Primera publicación
- 13 abr 2026 Real
- Última actualización
- 9 nov 2026 Real
Contactos oficiales del estudio
No hay un contacto central indicado. Revisa los centros y el registro oficial.
Título oficial del estudio
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
Consulta a Wellness Clinical Research
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Fuente: API v2 de ClinicalTrials.gov. Patrocinadores e investigadores envían la información. La NLM no aprueba la seguridad ni la ciencia de todos los estudios registrados. Aviso del registro.
Consultado: 12 nov 2026 · Última actualización del registro: 9 nov 2026