Evidence map›Paper›PMID 41331673›Full record

ArticleTrials2025

Comparing online and face-to-face Liuzijue training in stroke survivors with respiratory dysfunction: study protocol for a randomized controlled non-inferiority trial.

Yaqi Ma, Yongyang Huo, Jie Yan, Zhihui Hu, Ruixue Ye, Jiao Luo, Xinyue Zhou, Ying Xu, Zeyu Yang, Jia Wang and 2 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yaqi Ma *School of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.ORCID http://orcid.org/0009-0000-7961-5638
Yongyang Huo *Department of Community Rehabilitation, Dapeng New District Nan'ao People's Hospital, Shenzhen, China.
Jie YanDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.
Zhihui HuDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.
Ruixue YeDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.
Jiao LuoDepartment of Rehabilitation Medicine, Dapeng New District Nan'ao People's Hospital, Shenzhen, China.
Xinyue ZhouSchool of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Ying XuSchool of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Zeyu YangSchool of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Jia WangSchool of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Anqun YangDapeng New District Nan'ao People's Hospital, Shenzhen, China. 1279854969@qq.com.
Yulong WangDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China. ylwang668@163.com.ORCID http://orcid.org/0000-0002-0947-6967

Funding

Sanming Project of Medicine in Shenzhen No. SZSM202111010
6 · The paper itself

Abstract

backgroundStroke is a global health problem, and respiratory dysfunction post-stroke is a common complication that affects the recovery process of patients and their quality of life. In this study, we aim to investigate whether online Liuzijue training is non-inferior to the face-to-face one in terms of training efficacy and patient safety for stroke survivors with respiratory dysfunction. METHODS/

designWe will recruit 64 stroke survivors with respiratory dysfunction from January 2025 and assign them randomly into control, online, and offline groups. In addition to their routine rehabilitation therapy, patients in the online and offline groups will undergo Liuzijue training once a day, 5 days a week, for 8 weeks, while those in the control group will not engage in any Liuzijue training. The primary outcomes will include the forced expiratory volume in one second and peak expiratory flow. Secondary outcomes will include the diaphragmatic thickening fraction during quiet breathing and diaphragmatic excursion during quiet breathing. All outcomes will be measured before and after the intervention. In addition, the incidence of adverse events associated with Liuzijue training will be recorded to assess the safety of the intervention. DISCUSSION: This study provides a simple, feasible, repeatable, and fun exercise training approach. To the best of our knowledge, there are no randomized controlled trials in the existing literature on internet-based respiratory exercise applied to stroke patients. The protocol presented in our study can serve as a reference for an alternative and supplementary approach to long-term inpatient respiratory rehabilitation.

trial registrationChinese Clinical Trial Register, ChiCTR2400094537. Registered on 24 December 2024, https://www.chictr.org.cn/index.html.

Indexed as

Breathing ExercisesLungStrokeStroke RehabilitationAgedEquivalence Trials as TopicFemaleHumansMaleMiddle AgedQuality of LifeRecovery of FunctionTreatment OutcomeBreathing exercisesChinese traditionalLiuzijueMedicineRandomized controlled trialStrokeTelerehabilitation

Identifiers

PMID41331673
PMCPMC12781266

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.