Comparison of the effects of core stabilization and chest mobilization exercises on lung function and chest wall expansion in stroke patients

Abstract

[Purpose] The main purpose of this study was to compare the effects of core stabilization and chest mobilization exercises on pulmonary function and chest expansion in chronic stroke patients. [Subjects and Methods] Thirty stroke patients were randomly divided into two groups: a core stabilization exercise group (n=15) and a chest mobilization exercise group (n=15). Each exercise was performed 3 times per week for 30 minutes for 4 weeks, and pulmonary function and chest expansion when breathing were measured for both groups. [Results] There were significant increases in both forced vital capacity and forced expiratory volume in 1 second before and after intervention. Core stabilization exercise resulted in a significant increase in peak expiratory flow, and significant increases in upper and lower chest expansion were detected with chest mobilization exercise. However, no significant difference was revealed between the two groups. [Conclusion] This study suggested that both exercises were effective in some aspects of pulmonary function while core stabilization can help increase peak expiratory flow and chest mobilization can assist with chest expansion.

Development and Feasibility of a Mobile Health–Supported Comprehensive Intervention Model (CIMmH) for Improving the Quality of Life of Patients With Esophageal Cancer After Esophagectomy: Prospective, Single-Arm, Nonrandomized Pilot Study

“…The physical exercise protocol consisted of inspiratory muscle training (chest mobilization exercise, flow-oriented incentive spirometry, deep breathing, and coughing exercise), walking exercise [ 29 , 30 ], and Baduanjin qigong [ 31 ], which is a mild form of muscular exercise from China involving eight movements. The participants were trained by rehabilitation therapists to perform inspiratory muscle exercises once before surgery lasting about 30 minutes (offline) and were also asked to use these techniques after surgery.…”

Effects of inspiratory muscle training on walking capacity of individuals after stroke: A double-blind randomized trial

“…22,23 We hypothesize that during resistance training, the core muscles are actively recruited and that the practice of core stabilization exercises is associated with improved lung volumes and capacities in individuals after stroke. 24 The main difference between groups in our study was a significant improvement in inspiratory endurance in the Experimental Group when compared to the Control Group. This finding confirms previous studies.…”

Comparing the Effects of Short-Term Liuzijue Exercise and Core Stability Training on Balance Function in Patients Recovering From Stroke: A Pilot Randomized Controlled Trial

“…The study recruited 160 eligible stroke patients from March 2018 to August 2019 in the rehabilitation department of Shanghai Xuhui Central Hospital. All subjects met the following inclusion criteria: (1) Diagnosis of cerebral hemorrhage or cerebral infarction (18); (2) Meet traditional Chinese medicine (TCM) diagnostic criteria of stroke (19); (3) Sitting balances > 2 levels; (4)Age range between 40 and 80 years; (5) The course of the disease was 2 weeks to 6 months; (6) People who were physically active and could tolerate 45 mins of exercise; (7) The patient was left with hemiplegia or quadriplegia, If the patient is quadriplegic after stroke, he or she should qualify for a Brunnstrum grade 4 or higher on at least one upper limb; (8) The patient's vital signs were stable; (9) Agreed to sign an informed consent form; (10) All subjects in the study were able to independently complete the static balance ability test.…”

“…During the training, centripetal and centrifugal contractions with fast speed and high load intensity are performed, which do not effectively activate the deep core muscle groups. On the contrary, it leads to the aggravation of spasm in stroke patients ( 5 ). Therefore, we need to find a rehabilitation method that can effectively activate the deep core muscles of stroke patients and avoid aggravating the spasticity of the superficial core muscles, thus improving the balance functions of these patients.…”