Avaliação da Força Muscular Respiratória em Indivíduos Acometidos por Acidente Vascular Cerebral

Meneghetti, Cristiane Helita Zorel; Figueiredo, Vivian; Guedes, Cristina Aparecida Veloso; Batistela, A. C. T.

doi:10.34024/rnc.2011.v19.8398

Cited by 16 publications

(16 citation statements)

References 12 publications

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“…However, the respiratory changes did not affect the decline in functional capacity in our study sample. Our results corroborate other studies in which post-stroke subjects showed reduced respiratory muscle strength and consequent diaphragm and abdominal dysfunction (8). This reduction may be associated with several factors such as muscle tone changes, abdominal muscles weakness and lack of trunk control (17).…”

Section: Discussionsupporting

confidence: 91%

“…Of note, post-stroke individuals, in addition to motor and sensory losses, also have decreased physical fitness, which results in a sedentary lifestyle and perpetuates a vicious cycle of inactivity. Thus, the decline in neuromuscular function is accelerated, which increases the likelihood of occurrence of other comorbidities and promotes disability (7,8). The modification of the cortical control of ventilation, as well as the decline in motor function and functional capacity in these individuals are well documented.…”

Section: Introductionmentioning

confidence: 99%

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Respiratory function and functional capacity in chronic stroke patients 1

et al. 2016

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Introduction: Cerebrovascular accident (CVA) or stroke results in weakness of the trunk muscles and physical unfitness. Objectives: To evaluate respiratory changes caused by stroke and correlate them with the functional capacity of chronic stroke patients who were treated at the Clinical Center of Physical Therapy of the Pontifical Catholic University of Minas Gerais, Betim. Methods: Fifteen patients were recruited for assessment of respiratory function and functional capacity. We measured maximum inspiratory pressure (MIP), maximal expiratory pressure (MEP), peak expiratory flow (PEF), vital capacity (VC), and functional capacity using the six-minute walk test (6MWT). Test results were compared with reference values using an (1):95-102Machado ACM, Silva NGM, Diniz GCL, Pessoa BP, Scalzo PL 96 unpaired Student's t-test or the Mann-Whitney test. Respiratory variables were correlated with the distance walked in the 6MWT using Spearman's correlation test. Results: The sample had a mean age of 58.2 ± 13.4 years, and most patients had a diagnosis of ischemic stroke and left hemiparesis. The following values were obtained: MIP (47.7 ± 22.2 cmH2O); MEP (47.5 ± 20.3 cmH2O); PEF (351.3 ± 90.8 L/min); VC (3.0 ± 0.91 L); and 6MWT (222.4 ± 101.6 m). The MIP, MEP, PEF, and 6MWT values measured in this study were statistically significantly lower (p < 0.001) than the reference values. There was no statistically significant correlation between the distance walked in the 6 MWT and respiratory variables (p > 0.005). Conclusion: Our results suggest that, despite the decrease in respiratory muscle strength, PEF, and VC, these variables did not correlate with the functional capacity of the chronic stroke patients assessed in this study. Introdução: O acidente vascular encefálico (AVE) resulta em fraqueza dos músculos do tronco e descondicionamento físico. Objetivos: Avaliar as alterações respiratórias e correlacioná-las com a capacidade funcional de pacientes pós AVE crônicos do Centro Clínico de Fisioterapia da PUC Minas Betim. Métodos: Foram recrutados 15 pacientes para avaliação respiratória e da capacidade funcional. Foram avaliadas a pressão inspiratória máxima (PImáx), pressão expiratória máxima (PEmáx), pico de fluxo expiratório (PFE), capacidade vital (CV) e a capacidade funcional a partir do teste de caminhada de seis minutos (TC6M). Os resultados foram comparados com os valores de referência utilizando os testes t de Student não pareado ou teste Mann-Whitney. As variáveis respiratórias foram correlacionadas com a distância percorrida no TC6M por meio do Coeficiente de Correlação de Spearman.Resultados: A amostra apresentou idade média de 58,2 ± 13,4 anos, sendo que o diagnóstico da maioria foi AVE isquêmico e hemiparesia à esquerda. Os valores obtidos foram PImáx (47,722,2 cmH 2 O); PEmáx (47,5 20,3 cmH 2 O); PFE (351,390,8 L/min); CV (3,00,91 L) e TC6m (222,4101,6 m). Quando comparados com os valores de referência, os valores de PImáx, PEmáx, PFE e TC6M foram estatisticamente menores (p < 0,001). Não houve correlação es...

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Respiratory function and functional capacity in chronic stroke patients 1

et al. 2016

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“…Recent studies have shown that stroke not only limits the motor sensory and intellectual areas, but also impairs lung function in several ways including changes in central respiratory rhythm, interruption of the impulses from the respiratory centers, 28 and decreases in motor function and functional movement of the diaphragm in the affected hemithorax to lead to changes in respiratory muscle strength. 29 , 30 The oxygen saturation assessed in the present study was significantly reduced in the stroke group compared to the healthy group, but this reduction had no clinical relevance. Nevertheless, it is important to evaluate this variable to avoid changes in oxygenation.…”

Section: Discussioncontrasting

confidence: 61%

Observational practice of incentive spirometry in stroke patients

Lima

Fregonezi

Florêncio

et al. 2017

Brazilian Journal of Physical Therapy

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“…Despite being widely acknowledged and described in the literature, pulmonary rehabilitation in stroke is not a routine strategy, especially in the outpatient phase, given that it is not prioritized in functional assessment [13,14]. Cough efficacy and respiratory muscle strength should be assessed in physiotherapy, using peak flow and maximum static respiratory pressures, given the risk of aspiration due to dysphagia and inadequate airway protection by coughing [15].…”

Section: Introductionmentioning

confidence: 99%

Biomedical system to evaluate pulmonary function in patients with post-stroke hemiparesis

Pereira¹,

Eldebrando²,

Silva³

et al. 2020

Fisioter. mov.

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Introduction: Stroke is a neurological disorder considered the second major cause of death worldwide, leading to severe respiratory dysfunctions, evident in reduced respiratory muscle strength and the presence of muscle imbalances that directly affect the pulmonary mechanics of these patients. Objective: Evaluate the possible metric properties of a biomedical system, the IBI. Method: the study was conducted with 25 hemiparetic stroke patients of both sexes, using a manovacuometer, peak flow, and SG IBI for respiratory measurements. Results: Moderate to strong correlations were observed between the IBI biomedical system and peak flow and manovacuometer measurements, which were smaller than the predicted values. Conclusion: The results suggest that the IBI biomedical system is potentially valid for pulmonary function measurement, sensitive to air flow variations and generates maximum respiratory pressure. As such, it is an important resource for prescribing intensity and controlling progression in pulmonary rehabilitation.

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Avaliação da Força Muscular Respiratória em Indivíduos Acometidos por Acidente Vascular Cerebral

Cited by 16 publications

References 12 publications

Respiratory function and functional capacity in chronic stroke patients 1

Respiratory function and functional capacity in chronic stroke patients 1

Observational practice of incentive spirometry in stroke patients

Biomedical system to evaluate pulmonary function in patients with post-stroke hemiparesis

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