Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effects of Respiratory Muscle Strengthening Training on Pulmonary Function and Gait Ability in Subacute Stroke Patients

호흡근 강화 훈련이 아급성 뇌졸중 환자의 폐기능과 보행 능력에 미치는 영향

  • Kim, Jin-Seok (Department of Physical Therapy, Graduate School of Daejeon University) ;
  • Shin, Won-Seob (Department of Physical Therapy, College of Natural Science, Daejeon University)
  • 김진석 (대전대학교 일반대학원 물리치료학과) ;
  • 신원섭 (대전대학교 자연과학대학 물리치료학과)
  • Received : 2013.06.30
  • Accepted : 2013.08.23
  • Published : 2013.11.30
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Abstract

PURPOSE: The aim of this study was to investigate the effect of respiratory muscle strengthening training on pulmonary function and gait ability in patients with subacute stroke. METHODS: Eighteen inpatients with subacute stroke were recruited for this study. The subjects were randomized into two group. All study groups participated in a conventional stroke rehabilitation intervention 30minutes a day 5 times a week for 4 weeks. For subjects from the experimental group, respiratory muscle strengthening training was performed: 30minutes a day 3 times a week for 4 weeks. Outcomes such as the pulmonary function(Forced Vital Capacity, Forced Expiratory Volume in one second, Maximal Voluntary Ventilation) and gait ability(10m walk test, 6 minute walk test) were measured before and after training. RESULT: There were significant differences of pulmonary function(FVC, FEV1 and MVV) and gait ability(10m walk test, 6minute walk test) between pre and post in the experimental group. In comparison of two group, experimental group was significant different pulmonary function(FVC, FEV1, MVV) and gait ability(6minute walk test) than control group. but, There was no significant difference of the gait ability(10m walk test). CONCLUSION: This study showed experimental group can be used to improve pulmonary function and gait ability than control group. These findings suggest that the respiratory muscle strengthening training effect on pulmonary function and gait ability for rehabilitation in patients with subacute stroke.

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References

  1. Brown R, DiMarco AF, Hoit JD, et al. Respiratory dysfunction and management in spinal cord injury. Respir Care. 2006;51(8):853-68.
  2. Chen CF, Lien IN, Wu MC. Respiratory function in patients with spinal cord injuries: effects of posture. Paraplegia. 1990;28(2):81-6. https://doi.org/10.1038/sc.1990.10
  3. Crapo RO, Casaburi R, Coates AL, et al. ATS statement:guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111-7. https://doi.org/10.1164/ajrccm.166.1.at1102
  4. da Cunha IT, Lim PA, Qureshy H, et al. Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training: A randomized controlled pilot study. Arch Phys Med Rehabil. 2002;83(9):1258-65. https://doi.org/10.1053/apmr.2002.34267
  5. Fairbarn MS, Blackie SP, McElvaney NG, et al. Prediction of heart rate and oxygen uptake during incremental and maximal exercise in healthy adults. Chest. 1994;105(5):1365-9. https://doi.org/10.1378/chest.105.5.1365
  6. Franceschini M, Carda S, Agosti M, et al. Walking after stroke:What does treadmill training with body weight support add to overground gait training in patients early after stroke? A single-blind, randomized, controlled trial. Stroke. 2009;40(9):3079-85. https://doi.org/10.1161/STROKEAHA.109.555540
  7. Geddes EL, Reid WD, Crowe J, et al. Inspiratory muscle training in adults with chronic obstructive pulmonary disease: a systematic review. Respir Med. 2005; 99(11):1440-58. https://doi.org/10.1016/j.rmed.2005.03.006
  8. Geyh S, Cieza A, Schouten J, et al. ICF Core Sets for stroke. J Rehabil Med. 2004;44 Suppl):135-41.
  9. Goldie PA, Matyas TA, Evans OM. Deficit and change in gait velocity during rehabilitation after stroke. Arch Phys Med Rehabil. 1996;77(10):1074-82. https://doi.org/10.1016/S0003-9993(96)90072-6
  10. Gosselink R, Houtmeyers E. Physiotherapy. Eur Respir Monogr. 2000;13:70-89.
  11. Harvey RL, Roth EJ, Yu D. Rehabilitation in stroke syndromes. Physical medicine and rehabilitation. Philadelphia; Saunders Elsevier. 2007:1175-212.
  12. Hill K, Ellis P, Bernhardt J, et al. Balance and mobility outcomes for stroke patients: a comprehensive audit. Aust J Physiother. 1997;43(3):173-80. https://doi.org/10.1016/S0004-9514(14)60408-6
  13. Kelly JO, Kilbreath SL, Davis GM, et al. Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil. 2003;84(12):1780-5. https://doi.org/10.1016/S0003-9993(03)00376-9
  14. Kim J, Davenport P, Sapienza C. Effect of expiratory muscle strength training on elderly cough function. Arch Gerontol Geriatr. 2009;48(3):361-6. https://doi.org/10.1016/j.archger.2008.03.006
  15. Koivusalo M, Mackintosh M. The World Health Report 2007: A safer Future: Global Public Health Security in the 21st Century. Development and Change 2008; 39(6):1163-9. https://doi.org/10.1111/j.1467-7660.2008.00514.x
  16. Lanini B, Bianchi R, Romagnoli I, et al. Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med. 2003;168(1):109-13. https://doi.org/10.1164/rccm.200207-745OC
  17. Letombe A, Cornille C, Delahaye H, et al. Early post-stroke physical conditioning in hemiplegic patients: A preliminary study. Ann Phys Rehabil Med. 2010; 53(10):632-42. https://doi.org/10.1016/j.rehab.2010.09.004
  18. Lord SE, McPherson K, McNaughton HK, et al. Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? Arch Phys Med Rehabil. 2004;85(2):234-9. https://doi.org/10.1016/j.apmr.2003.05.002
  19. Mackay-Lyons MJ, Makrides L. Exercise capacity early after stroke. Arch Phys Med Rehabil. 2002;83(12):1697-702. https://doi.org/10.1053/apmr.2002.36395
  20. Miller MR, Hankinson J, Brusasco V, et al. Standardisation of spirometry. Eur Respir J. 2005;26(2):319-38. https://doi.org/10.1183/09031936.05.00034805
  21. Pang MY, Eng JJ, Dawson AS, et al. The use of aerobic exercise training in improving aerobic capacity in individuals with stroke: a meta-analysis. Clin Rehabil. 2006;20(2):97-111. https://doi.org/10.1191/0269215506cr926oa
  22. Pang MY, Eng JJ, Dawson AS. Relationship between ambulatory capacity and cardiorespiratory fitness in chronic stroke: influence of stroke-specific impairments. Chest. 2005;127(2):495-501. https://doi.org/10.1378/chest.127.2.495
  23. Portney L, Wakin M. Foundation of clinical research; Applications to practice, 3rd ed. New Jersey, Prentice Hall. 2008.
  24. Ries AL. The importance of exercise in pulmonary rehabilitation. Clin Chest Med. 1994;15(2):327-37.
  25. Rosamond W, Flegal K, Friday G, et al. Heart disease and stroke statistics--2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2007; 115(5):e69-171. https://doi.org/10.1161/CIRCULATIONAHA.106.179918
  26. Roth EJ. Heart disease in patients with stroke. Part II: Impact and implications for rehabilitation. Arch Phys Med Rehabil. 1994;75(1):94-101.
  27. Roth EJ, Noll SF. Stroke rehabilitation. 2. Comorbidities and complications. Arch Phys Med Rehabil. 1994;75(5 Spec No):S42-6.
  28. Roth EJ, Nussbaum SB, Berkowitz M, et al. Pulmonary function testing in spinal cord injury: correlation with vital capacity. Paraplegia. 1995;33(8):454-7. https://doi.org/10.1038/sc.1995.99
  29. Salbach NM, Mayo NE, Higgins J, et al. Responsiveness and predictability of gait speed and other disability measures in acute stroke. Arch Phys Med Rehabil. 2001;82(9):1204-12. https://doi.org/10.1053/apmr.2001.24907
  30. Sezer N, Ordu NK, Sutbeyaz ST, et al. Cardiopulmonary and metabolic responses to maximum exercise and aerobic capacity in hemiplegic patients. Funct Neurol. 2004;19(4):233-8.
  31. Sutbeyaz ST, Koseoglu F, Inan L, et al. Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke:a randomized controlled trial. Clin Rehabil. 2010;24(3):240-50. https://doi.org/10.1177/0269215509358932
  32. Teixeira-Salmela LF, Parreira VF, Britto RR, et al. Respiratory pressures and thoracoabdominal motion in communitydwelling chronic stroke survivors. Arch Phys Med Rehabil. 2005;86(10):1974-8. https://doi.org/10.1016/j.apmr.2005.03.035
  33. Troosters T, Casaburi R, Gosselink R, et al. Pulmonary rehabilitation in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2005;172(1):19-38. https://doi.org/10.1164/rccm.200408-1109SO
  34. Truelsen T, Piechowski-Jozwiak B, Bonita R, et al. Stroke incidence and prevalence in Europe: a review of available data. Eur J Neurol. 2006;13(6):581-98. https://doi.org/10.1111/j.1468-1331.2006.01138.x
  35. van der Palen J, Rea TD, Manolio TA, et al. Respiratory muscle strength and the risk of incident cardiovascular events. Thorax. 2004;59(12):1063-7. https://doi.org/10.1136/thx.2004.021915
  36. van Schalkwyk EM, Schultz C, Joubert JR et al. Guideline for office spirometry in adults. S Afr Med J. 2004;94(7 Pt 2):576-87.

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