Active, not recruitingNCT07524790ClinicalTrials.gov record

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

Neurologic Disorder

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THE QUICK READ

What this study involves

The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.

Study type: Interventional
Phase: Not applicable
Age range: 18 years - Not specified
Sex eligible: All sexes
Healthy volunteers: Not accepted
Participants: 24 Estimated

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

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.

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

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

Understand screening

Treatment, groups and participation

The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.

Assignment: Random assignment
Masking: No masking

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.

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