Stroke Clinical Trial
Official title:
Diaphragmatic Function Description in Stroke Patients
Stroke is the leading cause of adult disability throughout the world. Motor function deficit
is one of the common consequences. It is usually described for the peripheral muscles that
there is a cortical representation contralaterale with a crossed cortico-spinal route: the
consequence is a contralaterale motor disorder on the brain damage.
The impact of a stroke on diaphragm movements have been described in 6 studies: however, they
were all observational and transversal studies evaluating diaphragm function.
Assessment using diaphragm thickness is another technique described in the literature.
Visualization of diaphragm in the zone of apposition allows to assess diaphragm thickness at
inspiration and expiration. The impact of a stroke on diaphragm thickening has been reported
in only one recent observational study.
It seems that diaphragm would be damaged after a stroke, but unilateral or bilateral
dysfonction is yet to be confirmed. Moreover, only a few measurements were performed in these
studies, and not a diaphragm function follow-up.
To our knowledge, no longitudinal study evaluated diaphragm movements and diaphragm thickness
fraction. This study is a preliminary study which aims to evaluate diaphragm function after a
stroke and its evaluation within the first months.
Starting hypothesis is the following: after a stroke, patients with a unilateral motor
dysfunction have a diaphragm dysfunction predominant on the same side as the motor
dysfunction. After a few months, retrieval is insufficient and they could benefit from a
specific reinforcement program.
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