{"id":"https://openalex.org/W7225733499","doi":"https://doi.org/10.7860/jcdr/2026/84772.24792","title":"Effect of Neuromuscular Electrical Stimulation of Rectus Abdominis and Transversus Abdominis on the Respiratory Parameters in Stroke Survivors: A Randomised Controlled Trial","display_name":"Effect of Neuromuscular Electrical Stimulation of Rectus Abdominis and Transversus Abdominis on the Respiratory Parameters in Stroke Survivors: A Randomised Controlled Trial","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225733499","doi":"https://doi.org/10.7860/jcdr/2026/84772.24792"},"language":"en","primary_location":{"id":"doi:10.7860/jcdr/2026/84772.24792","doi":"https://doi.org/10.7860/jcdr/2026/84772.24792","is_oa":true,"landing_page_url":"https://doi.org/10.7860/jcdr/2026/84772.24792","pdf_url":null,"source":{"id":"https://openalex.org/S2737465529","display_name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","issn_l":"0973-709X","issn":["0973-709X","2249-782X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-40"],"host_organization":"https://openalex.org/P4310318655","host_organization_name":"JCDR Research and Publications Private Limited","host_organization_lineage":["https://openalex.org/P4310318655"],"host_organization_lineage_names":["JCDR Research and Publications Private Limited"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.7860/jcdr/2026/84772.24792","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161410154","display_name":"Adriana Maria Dsouza","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Adriana Maria Dsouza","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5020704690","display_name":"Jayesh Chandran","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jayesh Chandran","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":275,"currency":"USD","value_usd":275},"apc_paid":{"value":275,"currency":"USD","value_usd":275},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.9907000064849854,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10510","display_name":"Stroke Rehabilitation and Recovery","score":0.9907000064849854,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10322","display_name":"Respiratory Support and Mechanisms","score":0.0032999999821186066,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11358","display_name":"Dysphagia Assessment and Management","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8780999779701233},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.5515000224113464},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.4659999907016754},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4562999904155731},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.4413999915122986},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.43720000982284546},{"id":"https://openalex.org/C75603125","wikidata":"https://www.wikidata.org/wiki/Q1877462","display_name":"Pulmonary function testing","level":2,"score":0.4253000020980835},{"id":"https://openalex.org/C2777766275","wikidata":"https://www.wikidata.org/wiki/Q1327643","display_name":"Functional electrical stimulation","level":3,"score":0.4154999852180481},{"id":"https://openalex.org/C200457457","wikidata":"https://www.wikidata.org/wiki/Q584049","display_name":"Ventilation (architecture)","level":2,"score":0.392300009727478},{"id":"https://openalex.org/C2781167935","wikidata":"https://www.wikidata.org/wiki/Q795090","display_name":"Palpation","level":2,"score":0.36000001430511475},{"id":"https://openalex.org/C55520419","wikidata":"https://www.wikidata.org/wiki/Q660995","display_name":"Vital capacity","level":5,"score":0.3513999879360199},{"id":"https://openalex.org/C2780328615","wikidata":"https://www.wikidata.org/wiki/Q25099899","display_name":"Functional Independence Measure","level":3,"score":0.31119999289512634},{"id":"https://openalex.org/C8213797","wikidata":"https://www.wikidata.org/wiki/Q754250","display_name":"Respiratory rate","level":4,"score":0.28369998931884766},{"id":"https://openalex.org/C163498912","wikidata":"https://www.wikidata.org/wiki/Q472287","display_name":"Respiratory physiology","level":3,"score":0.2808000147342682},{"id":"https://openalex.org/C24998067","wikidata":"https://www.wikidata.org/wiki/Q4114622","display_name":"Stimulation","level":2,"score":0.2773999869823456},{"id":"https://openalex.org/C80461066","wikidata":"https://www.wikidata.org/wiki/Q1698533","display_name":"Stroke volume","level":4,"score":0.2752000093460083},{"id":"https://openalex.org/C2908933175","wikidata":"https://www.wikidata.org/wiki/Q1719529","display_name":"Peak flow meter","level":3,"score":0.2700999975204468},{"id":"https://openalex.org/C117437137","wikidata":"https://www.wikidata.org/wiki/Q5038720","display_name":"Cardiorespiratory fitness","level":2,"score":0.26249998807907104},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.26190000772476196},{"id":"https://openalex.org/C2777080012","wikidata":"https://www.wikidata.org/wiki/Q3766250","display_name":"Mechanical ventilation","level":2,"score":0.26179999113082886},{"id":"https://openalex.org/C65409693","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Statistical significance","level":2,"score":0.25589999556541443},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.25450000166893005}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.7860/jcdr/2026/84772.24792","doi":"https://doi.org/10.7860/jcdr/2026/84772.24792","is_oa":true,"landing_page_url":"https://doi.org/10.7860/jcdr/2026/84772.24792","pdf_url":null,"source":{"id":"https://openalex.org/S2737465529","display_name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","issn_l":"0973-709X","issn":["0973-709X","2249-782X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-40"],"host_organization":"https://openalex.org/P4310318655","host_organization_name":"JCDR Research and Publications Private Limited","host_organization_lineage":["https://openalex.org/P4310318655"],"host_organization_lineage_names":["JCDR Research and Publications Private Limited"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.7860/jcdr/2026/84772.24792","doi":"https://doi.org/10.7860/jcdr/2026/84772.24792","is_oa":true,"landing_page_url":"https://doi.org/10.7860/jcdr/2026/84772.24792","pdf_url":null,"source":{"id":"https://openalex.org/S2737465529","display_name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","issn_l":"0973-709X","issn":["0973-709X","2249-782X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-40"],"host_organization":"https://openalex.org/P4310318655","host_organization_name":"JCDR Research and Publications Private Limited","host_organization_lineage":["https://openalex.org/P4310318655"],"host_organization_lineage_names":["JCDR Research and Publications Private Limited"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"Stroke":[1],"is":[2,10],"a":[3,148,265],"major":[4],"cause":[5],"of":[6,26,78,118,241],"long-term":[7],"disability":[8],"and":[9,22,34,42,60,85,94,103,155,182,209,214,230,234,258,282,304,320,334],"frequently":[11],"associated":[12],"with":[13,163,238],"respiratory":[14,61,92,318],"muscle":[15,58],"weakness,":[16],"leading":[17],"to":[18,39,56,81,127,136,300,313],"reduced":[19],"pulmonary":[20,194,256],"function":[21,195,319],"functional":[23,95,215,259,270,321],"dependence.":[24],"Weakness":[25],"abdominal":[27,66],"muscles":[28,67,88,307],"such":[29],"as":[30,52,309],"the":[31,76,82,116,189,219,235,239,273,288,301,335],"rectus":[32,83,302],"abdominis":[33,36,84,87,303,306],"transversus":[35,86,305],"contributes":[37],"significantly":[38],"impaired":[40],"ventilation":[41],"ineffective":[43],"coughing.":[44],"Neuromuscular":[45],"Electrical":[46],"Stimulation":[47],"(NMES)":[48],"has":[49],"been":[50],"proposed":[51],"an":[53,156,310],"adjunct":[54,312],"intervention":[55],"enhance":[57],"activation":[59],"performance;":[62],"however,":[63],"evidence":[64],"targeting":[65],"in":[68,97,120,204,253,269,279,287,316,323,332],"stroke":[69,324],"survivors":[70],"remains":[71],"limited.":[72],"Aim:":[73],"To":[74],"evaluate":[75],"effectiveness":[77],"NMES":[79,166,274,289,298],"applied":[80,299],"on":[89,139],"chest":[90,184,186,254,280],"expansion,":[91,185,255],"parameters,":[93],"independence":[96,216,260,271,322],"individuals":[98],"recovering":[99],"from":[100,133],"stroke.":[101],"Materials":[102],"Methods:":[104],"The":[105],"present":[106],"single-blinded,":[107],"parallelgroup,":[108],"Randomised":[109],"Controlled":[110],"Trial":[111],"(RCT)":[112],"was":[113,167],"conducted":[114],"at":[115,244],"Department":[117],"Medicine":[119],"KS":[121],"Hegde":[122],"Charitable":[123],"Hospital,":[124],"NITTE":[125],"(Deemed":[126],"be":[128],"university),":[129],"Mangaluru,":[130],"Karnataka,":[131],"India,":[132],"October":[134],"2024":[135],"February":[137],"2025":[138],"34":[140],"post-stroke":[141],"participants":[142],"who":[143],"were":[144,224,285,293,330],"randomly":[145],"allocated":[146],"into":[147],"control":[149],"group":[150,158,275],"(Group":[151,159],"A)":[152],"(conventional":[153],"physiotherapy)":[154],"experimental":[157],"B)":[160],"(NMES":[161],"combined":[162],"conventional":[164,314],"physiotherapy).":[165],"administered":[168],"for":[169,174],"20":[170],"minutes":[171],"per":[172],"day":[173],"five":[175],"consecutive":[176],"days.":[177],"Outcome":[178],"measures":[179],"included":[180],"upper":[181],"lower":[183],"symmetry":[187],"using":[188,218,226],"Palpation":[190],"Meter":[191],"(PALM)":[192],"device,":[193],"parameters":[196,284],"{Forced":[197],"Vital":[198],"Capacity":[199],"(FVC),":[200],"Forced":[201],"Expiratory":[202,211],"Volume":[203],"one":[205],"second":[206],"(FEV1)/FVC":[207],"ratio,":[208],"Peak":[210],"Flow":[212],"(PEF)},":[213],"assessed":[217],"Barthel":[220],"Index":[221],"(BI).":[222],"Data":[223],"analysed":[225],"descriptive":[227],"statistics,":[228],"paired":[229],"independent":[231],"sample":[232],"t-tests,":[233],"Chi-square":[236],"test,":[237],"level":[240],"significance":[242],"set":[243],"p<0.05.":[245],"Results:":[246],"Both":[247],"groups":[248],"demonstrated":[249],"significant":[250,267,328],"within-group":[251],"improvements":[252,278],"function,":[257],"(p<0.05).":[261],"Between-group":[262],"analysis":[263],"revealed":[264],"statistically":[266,295],"improvement":[268],"favouring":[272],"(p=0.022).":[276],"Although":[277],"expansion":[281],"spirometric":[283],"greater":[286],"group,":[290],"these":[291],"differences":[292],"not":[294],"significant.":[296],"Conclusion:":[297],"serves":[308],"effective":[311],"physiotherapy":[315],"improving":[317],"survivors.":[325],"However,":[326],"no":[327],"changes":[329],"observed":[331],"FVC":[333],"FEV1":[336],"/FVC":[337],"ratio.":[338]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}
