Effects of chest resistance exercise and chest expansion exercise on stroke patients’ respiratory function and trunk control ability

Abstract

[Purpose] The purpose of this study was to examine the efficiency of chest resistance and chest expansion exercises for improving respiratory function and trunk control ability in patients with stroke. [Subjects] Forty patients with stroke were randomly allocated into a chest resistance exercise group (CREG, n = 20) and a chest expansion exercise group (CEEG, n = 20). [Methods] CREG patients underwent chest resistance exercises, and diaphragmatic resistance exercises by way of the proprioceptive neuromuscular facilitation. CEEG patients underwent respiratory exercises with chest expansion in various positions. Both groups received 30 minutes of training per day, five times per week, for eight weeks. [Results] Both the CERG and CEEG groups showed significant changes in FVC, FEV1, and TIS after the intervention. TIS was significantly increased in the CREG compared to the CEEG after the intervention. [Conclusion] Both chest resistance and chest expansion exercises were effective for improving respiratory function and trunk control ability in stroke patients; however, chest resistance exercise is more efficient for increasing trunk control ability.

Physiological parameters deterioration in acute stage after stroke: Rehabilitation versus conventional care

“…These findings are in the same direction study by Seo et al (2017) [40] who reported the respiratory exercise has positive impacts on stroke patients' respiratory muscles during the diaphragm breathing exercise. Also similar to Song and Park (2015) [41] reported that chest resistance and expansion exercises were helpful for improving pulmonary function in stroke patients.…”

Effectiveness of LiuZiJue Qigong versus traditional core stability training for poststroke patients complicated with abnormal trunk postural control: study protocol for a single-center randomized controlled trial

“…A study has confirmed that breathing training can significantly increase muscle strength and trunk coordination in stroke patients with hemiplegia and also improve respiratory function [35,36]. It has been reported that respiratory muscle strength training or complex breathing exercises can effectively improve the stability of the trunk posture of stroke patients [37], and it has been proven that resistance training of the thoracic cage can significantly improve respiratory function and the trunk control ability of stroke patients [38]. Nelson proposed that breathing is the foundation of core stability, and core stability is the foundation of movement [39].…”

“…Patients with cerebral apoplexy generally have abnormal breathing, which is often manifested as decreased exhalation ability [11]. Because of all these factors, proper breathing exercises, especially exhalation exercises, are necessary in patients with stroke [12].…”

Effectiveness of Liu Zi Jue Qigong versus traditional core stability training for patients with post-stroke complicated with abnormal trunk postural control: a study protocol for a single-center randomized controlled trial

“…[35] [36]. It has been reported that respiratory muscle strength training or complex breathing exercises can effectively improve the stability of the trunk posture of stroke patients [37] and it has been proven that resistance training of the thoracic cage can significantly improve respiratory function and the trunk control ability of stroke patients [38]. Nelson proposed that breathing is the foundation of core stability, and core stability is the foundation of movement [39].…”