-
Study aim
-
The effect of pulmonary rehabilitation, inspiratory muscle training and therapeutic exercise training on the phrenic nerve conduction study and diaphragm muscle ultrasound findings in patients with diaphragm paralysis
-
Design
-
Clinical trial without control group, not blinded, no randomization, phase 3, per 30 patients.
-
Settings and conduct
-
First, the Pulmonary Function Test is performed. The Nerve Conduction Study of the phrenic nerve is then performed. Diaphragm muscle ultrasound is performed. Quality of life questionnaire and six-minute walk test are also performed at the beginning of the study. Pulmonary rehabilitation is taught in the form of training exercises and aerobic and resistance exercises of the limbs to be done at home. Inspiratory muscle training is delivered to the patient and he is taught how to work with this device. The next visits of patients will be three and six months later. In order to prevent human error and ensure the correctness of the exercises, follow-up of patients through telephone calls is on the agenda. At the visit, after six months, all the actions that were initially taken will be reviewed and recorded again.
-
Participants/Inclusion and exclusion criteria
-
Inclusion criteria include a diaphragmatic hernia visible on a chest x-ray or a lung CT scan, age over 12 years. Exclusion criteria include the individual's dissatisfaction with participation in the study and the patient's inability.
-
Intervention groups
-
In the control group, patients with unilateral diaphragmatic dysfunction, pulmonary function test, and nerve conduction studies are performed. The next steps are diaphragm ultrasound, completing a quality of life questionnaire, and a 6-minute walk test. In the intervention group, patients use the inspiratory muscle training device in addition to the measures performed in the control group.
-
Main outcome variables
-
Amplitude and latency of phrenic nerve