Abstract. [Purpose] This research was carried out to evaluate the effects of Manual Breathing Assist Technique (MBAT) and shaking on the ventilation of central nervous system (CNS) disease patients.[Subjects and Methods] The subjects were thirteen healthy individuals (normal group) and twenty-one CNS diseases sufferers without upper airway obstruction (subject group). We evaluates of Tidal Volume (TV), Peak Expiratory Flow Rate (PEFR) and Expiratory Time (Te) under rest respiration, MBAT, and shaking conditions. Administration of MBAT and shaking was performed by a single physiotherapist.[Results] Two-way factorial analysis of variance showed a significant interaction effect for TV between the subject group and the normal group, while PEFR showed no significant interaction. TV of the normal group was increased about 65% by MBAT and about 110% by shaking, compared to TV under rest respiration. While TV of the subject group was increased about 10% by MBAT, no increase was observed under the condition of shaking.[Conclusion] Significant differences in TV and Te were observed between the subject group and normal group in terms of the effects of MBAT as well as shaking. Both MBAT and shaking were effective methods for increasing PEFR.

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We assessed the relationship between energy expenditure (EE) and functional independence measure (FIM-M) score, Berg Balance Scale (BBS), and comfortable walking speed (CWS) in patients hospitalised for stroke. The total EE per day (TEE), EE during rehabilitation (REE), and EE during activities other than rehabilitation (OEE) were measured using a single-axis acceleration sensor in 36 patients hospitalised for a first stroke episode. In addition, the relationships between each type of EE and FIM-M, BBS, and CWS were investigated. In these patients (mean age 66.2±10.6 years), the median values of TEE, REE, and OEE were 41.8 kcal, 18.5 kcal, and 16.6 kcal, respectively. Correlations were observed between each EE type and all physical function indices. Following the stratification of patients into two groups (high and low) based on the level of physical function, a significant correlation between EE type and physical function was observed only in the low BBS group. EE was correlated with overall physical function indices, but the trend differed depending on physical ability. When patients were stratified based on ability, there were several groups with no significant correlation. Therefore, many patients were unable to achieve an appropriate EE for their level of physical function.

We assessed the relationship between energy expenditure (EE) and Functional Independence Measure motor items (FIM-M) score, Berg Balance Scale (BBS) score, and comfortable walking speed (CWS) in patients hospitalised for stroke. The total EE per day (TEE), EE during rehabilitation (REE), and EE during activities other than rehabilitation (OEE) were measured using a single-axis acceleration sensor in 36 patients hospitalised for the first stroke episode. In addition, the relationships between each type of EE and FIM-M, BBS, and CWS were investigated. In these patients (mean age 66.2 ± 10.6 years), the median values of TEE, REE, and OEE were 41.8 kcal, 18.5 kcal, and 16.6 kcal, respectively. Correlations were observed between each EE type and all physical function indices. Following the stratification of patients into two groups (high and low) based on the level of physical function, a significant correlation between EE type and physical function was observed only in the low BBS group. EE was correlated with overall physical function indices, but the trend differed depending on physical ability. When patients were stratified based on ability, there were several groups with no significant correlation. Therefore, several patients were unable to achieve an appropriate EE for their level of physical function.