Correlation between trunk control, respiratory muscle strength and spirometry in patients with stroke: An observational study

Jandt, Silvia Raquel; Caballero, Raphael Maciel da Sil; Forgiarini, Luiz Alberto; Dias, Alexandre Simões

doi:10.1002/pri.495

Cited by 97 publications

(99 citation statements)

References 27 publications

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“…However, other patterns can be observed, such as central neurogenic hyperventilation, apneustic breathing, ataxic pattern, sleep apnea (13,14) and nocturnal hypoxemia (15) . Studies have shown that in addition to the breathing pattern changes, patients affected by stroke may also show decreased ventilatory function (16,17) and respiratory muscle strength (5,8,18) . Changes related to respiratory function which were described in the literature were evaluated by different methods.…”

Section: Major Changes Of the Respiratory System After Strokementioning

confidence: 99%

“…Entretanto, outros padrões podem ser observados como: hiperventilação neurogénica central, respiração apnêustica, padrão atáxico, apneia do sono (13,14) e hipoxemia noturna (15) . Estudos já evidenciaram que além das alterações do padrão respiratório, os pacientes acometidos pelo AVC podem apresentar também redução da função ventilatória (16,17) e da força dos músculos respiratórios (5,8,18) . As alterações relacionadas com a função respiratória descritas na literatura foram avaliadas através de diferentes métodos.…”

Section: Principais Alterações Do Sistema Respiratório Após Avcunclassified

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Respiratory Changes in Patients with Stroke

Ocko

Costa

2014

BBR

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141 Biomedical and Biopharmaceutical Research J o r n a l d e I n v e s t i g a ç ã o B i o m é d i c a e B i o f a r m a c ê u t i c a Respiratory Changes in Patients with Stroke Alterações Respiratórias nos Pacientes com Acidente Vascular AbstractThis study aimed to review published literature concerning the major changes that occur in the respiratory system after stroke, and also the impact of respiratory muscle training in these patients. The literature search was conducted through electronic databases (PubMed, SciELO and Pedro) in Portuguese and English languages on themes related to changes in the respiratory system and methods of assessment and rehabilitation of respiratory muscle strength in individuals affected by stroke. There is scientific evidence that individuals affected by stroke may show decreased inspiratory and expiratory muscle strength. Studies suggest that respiratory muscle training through threshold load can bring benefits by improving respiratory function and respiratory muscle strength. However, more studies should be conducted to deepen the knowledge about the benefits and long-term effects of pulmonary rehabilitation in patients with stroke. Keywords: Stroke, Respiratory Muscle Strength, Maximum Respiratory Pressure and Respiratory MuscleTraining. ResumoO objetivo deste estudo foi realizar uma revisão de literatura sobre as principais alterações que ocorrem no sistema respiratório após o Acidente Vascular Cerebral (AVC) e também sobre os efeitos de treino muscular respiratório nestes pacientes. A metodologia adotada foi a pesquisa de artigos através das bases de dados electrónicas (Pubmed, Scielo e Pedro) em língua portuguesa e inglesa relacionando os temas: alterações do sistema respiratório e métodos de avaliação e reabilitação da força muscular respiratória em indivíduos acometidos pelo AVC. Existe evidência científica de que indivíduos acometidos pelo AVC podem apresentar diminuição da força muscular inspiratória e expiratória. Estudos sugerem que o treino muscular respiratório, através de carga limiar, pode trazer benefícios quanto a melhora da função respiratória e da força dos músculos respiratórios. Porém, mais estudos devem ser realizados para o aprofundamento do conhecimento sobre os benefícios e efeitos a longo prazo da reabilitação respiratória em pacientes com AVC.

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Section: Major Changes Of the Respiratory System After Strokementioning

confidence: 99%

Section: Principais Alterações Do Sistema Respiratório Após Avcunclassified

Respiratory Changes in Patients with Stroke

Ocko

Costa

2014

BBR

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“…More recently, Jandt et al 24 found no correlation between trunk control and inspiratory muscle strength; this correlation was only between EPmax and the expiratory flow with trunk control. In addition we infer that not only flaccid tone interfered with respiratory mechanics, but also that hypertonia and persistent muscle weakness in the trunk muscles exert a negative influence on expiratory muscle strength.…”

mentioning

confidence: 94%

Comparison of respiratory muscle strength between elderly subjects after a stroke

Silva¹,

Corrêa²,

Silva³

et al. 2013

Acta Fisiátrica

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The decrease in elastic recoil of the lungs and chest cavity compliance is a major change in the respiratory system with advancing age, when these changes are associated with clinical manifestations of under lying cerebral vascular accident (stroke), respiratory muscle strength of the elderly may be seriously affected, therefore it is necessary to investigate the conditions of respiratory muscle strength in older hemiparetic patients in both the acute and chronic phases. Objective: To compare respiratory muscle strength in elderly hemiparetic patients in both the acute and chronic phases after stroke, evaluated by the values of maximal respiratory pressures, so that the rehabilitation of these individuals will be more targeted. Method: Twenty-nine hemiparetic individuals were evaluated-seventeen in acute and twelve in chronic phases, the values of maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) being measured by means of a manometer. Results: There was no difference between acute and chronic patients, however, measurements of MIP and MEP after the stroke showed statistically significant decreases when compared with predicted values. Conclusion: There was no difference in respiratory muscle strength between the acute and chronic phases, however, the fact that the MIP and MEP were also reduced in all subjects, suggests similar weakness in the respiratory musculature in both phases after stroke, and this condition can be worsened when coupled with the aging process. It is suggested that a program include muscle training for these individuals to have better rehabilitation after their strokes.

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“…In a study on the correlations among respiratory muscles, pulmonary function, and trunk control in stroke patients, Jandt et al 8) reported that the correlations be-tween TIS and MEP was consistent and statistically significant. The correlation between the TIS and MIP was consistent but not statistically significant.…”

Section: )mentioning

confidence: 99%

“…6,7) The effect of a stroke lesion in the respiratory system depends on the structures. 8) Respiratory muscle classify the inspiratory muscles and expiratory muscles. During usual inspiration, the diaphragm and intercostal muscle are the primary muscle that contract.…”

Section: )mentioning

confidence: 99%

The Effects of Complex Breath Exercise for Trunk Muscles Activation and Trunk Control in Persons with Chronic Stroke.

Ho¹

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Purpose The purpose of this study was to determine the effects of forced inspiration and forced inspiration and forced expiration exercise on stroke patients' trunk muscle activity, trunk control ability. Methods Twenty four patients with stroke were randomly assigned to a control group with physical therapy and a complex breath exercise as well. The complex breath exercise group received physical therapy for 30 minutes and complex breath exercise for 30 minutes and the control group received physical therapy 60 minutes. All of them conducted exercises 5 times per week for 6 weeks. Surface Electromyogram used to measure trunk muscle activity of paretic side. Trunk Impairment scale used to trunk control. Results The result of this study were as follows: Compare complex breath exercise group and control group showed a significantly difference in rectus abdominalis, external oblique, internal oblique (p<.001). Trunk control showed a significantly difference in complex breath exercise group (p<.001). Conclusion The result of this study suggest that complex breath exercise increase trunk muscle activity, trunk control and balance ability in paretic side. So, complex breath exercise is effective treatment of trunk stability for chronic stroke patients.

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Correlation between trunk control, respiratory muscle strength and spirometry in patients with stroke: An observational study

Abstract: This study demonstrated that there is a relation between trunk control and respiratory muscular strength, especially concerning the expiratory muscles. However, there seems to be no relation between trunk control and pulmonary function in this series of individuals who suffered stroke.

Cited by 97 publications

References 27 publications

Respiratory Changes in Patients with Stroke

Respiratory Changes in Patients with Stroke

Comparison of respiratory muscle strength between elderly subjects after a stroke

The Effects of Complex Breath Exercise for Trunk Muscles Activation and Trunk Control in Persons with Chronic Stroke.

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