Effects of Respiratory Muscle Training on Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: A Systematic Review With Meta-Analysis

Gomes‐Neto, Mansueto; Saquetto, Micheli Bernardone; Silva, Cassio Magalhães; Carvalho, Vitor Oliveira; Ribeiro, Nildo Manoel da Silva; Conceição, Cristiano Sena da

doi:10.1016/j.apmr.2016.04.018

Cited by 50 publications

(50 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, bearing in mind that the real knowledge of respiratory capacity in stroke patients provides better conditions for the patient's rehabilitation, and that respiratory improvement can contribute to motor recovery in general, favoring the prognosis, there are future perspectives new studies to assess the final gain in patients' quality of life [30][31][32][33][34][35][36][37].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Respiratory Muscular Strength Compared to Predicted Values in Patients with Stroke

Ramos

Silva

Buchaim

et al. 2020

IJERPH

View full text Add to dashboard Cite

The purpose of this study was to evaluate the inspiratory and expiratory muscle strength of individuals affected by stroke and to compare it with the predicted values in the literature considering their corresponding age. Respiratory muscle strength was evaluated in 22 elderly people who had sequels of stroke, four with right hemiparesis, 16 with left hemiparesis and two with bilateral, of ages ranging from 34 to 82 years. The collected data were submitted to statistical analysis using a Mann-Whitney test to evaluate if there was a significant difference in the average data collected when compared with a mean of the predicted data in the literature. Fourteen men and eight women were evaluated, who obtained mean values of 71.85 cmH 2 O and 57.75 cmH 2 O, respectively, for a maximal inspiratory pressure (MIP), and when compared to the predicted values for men and women, 105.41 cmH 2 O (p-value 0.0019) and 80.57 cmH 2 O (p-value 0.00464) were significantly lower. For a maximal expiratory pressure (MEP), the mean value obtained for men was 62.28 cmH 2 O and 49.5 cmH 2 O for women, whereas the predicted values in the literature were 114.79 cmH 2 O (p-value < 0.0001) and 78, 46 cmH 2 O (p-value 0.0059), respectively. In the statistical analysis, it was possible to notice that the studied population did not reach the predicted age indexes and that there was a significant difference between the median columns. In conclusion, there is a weakness in the respiratory muscles of hemiparetic men and women due to stroke.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of Respiratory Muscular Strength Compared to Predicted Values in Patients with Stroke

Ramos

Silva

Buchaim

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Several studies have shown (some in comparison to matched controls) a significant reduction in forced vital capacity, forced expiratory volume in one second, peak expiratory flow rate and maximal inspiratory and expiratory pressures [62–64], suggesting impairment in function of accessory respiratory muscles as well as the diaphragm. This may pave the way for treatment strategies aiming to improve respiratory muscle function [65]. …”

Section: Causes Of Hypoxia In Acute Strokementioning

confidence: 99%

Hypoxia after stroke: a review of experimental and clinical evidence

Ferdinand

Roffe

2016

Exp & Trans Stroke Med

100

View full text Add to dashboard Cite

BackgroundHypoxia is a common occurrence following stroke and associated with poor clinical and functional outcomes. Normal oxygen physiology is a finely controlled mechanism from the oxygenation of haemoglobin in the pulmonary capillaries to its dissociation and delivery in the tissues. In no organ is this process more important than the brain, which has a number of vascular adaptions to be able to cope with a certain threshold of hypoxia, beyond which further disruption of oxygen delivery potentially leads to devastating consequences. Hypoxia following stroke is common and is often attributed to pneumonia, aspiration and respiratory muscle dysfunction, with sleep apnoea syndromes, pulmonary embolism and cardiac failure being less common but important treatable causes. As well as treating the underlying cause, oxygen therapy is a vital element to correcting hypoxia, but excessive use can itself cause molecular and clinical harm. As cerebral vascular occlusion completely obliterates oxygen delivery to its target tissue, the use of supplemental oxygen, even when not hypoxic, would seem a reasonable solution to try and correct this deficit, but to date randomised clinical trials have not shown benefit.ConclusionWhilst evidence for the use of supplemental oxygen therapy is currently lacking, it is vital to rapidly identify and treat all causes of hypoxia in the acute stroke patient, as a failure to will lead to poorer clinical outcomes. The full results of a large randomised trial looking at the use of supplemental oxygen therapy are currently pending.

show abstract

“…After the acute stage during a rehabilitation period, patients often show decreased pulmonary function, and recent studies suggested the existence of a relationship between pulmonary function and exercise tolerance or dysphagia . Respiratory muscle training improves respiratory function, inspiratory muscle strength, and exercise tolerance . Patients with dysphagia show decreased pulmonary function, including reduced DE, and inspiratory and expiratory respiratory training improves pharyngeal swallowing with a short‐term effect .…”

Section: Discussionmentioning

confidence: 99%

Comparison Between M‐Mode Ultrasonography and Fluoroscopy for Diaphragm Excursion Measurement in Patients With Acquired Brain Injury

Yoon

Moon

Kim

et al. 2019

J of Ultrasound Medicine

View full text Add to dashboard Cite

Objectives Patients with acquired brain injury show decreased pulmonary function and diaphragm excursion (DE), which can affect functional outcomes. This study aimed to compare ultrasonography (US) and fluoroscopy for DE assessment and to determine how the relationship between pulmonary function test results and DE differs according to the paralytic condition. Methods From September 2017 to April 2018, we prospectively enrolled patients with acquired brain injury. The patients underwent a pulmonary function test, including the functional vital capacity, forced expiratory volume at 1 second, forced expiratory volume at 1 second–to–functional vital capacity ratio, peak cough flow, and respiratory muscle strength such as the maximal inspiratory pressure and maximal expiratory pressure. Diaphragm excursion was measured with M‐mode US and fluoroscopy on admission. A partial correlation analysis was used to assess the correlation between US and fluoroscopy for DE assessment. Results During the study period, 50 patients with acquired brain injury were enrolled. After adjusting for age, sex, height, and weight, the correlation coefficients between US and fluoroscopy were 0.744 for the right side (P < .001) and 0.631 for the left side (P < .001). In a subgroup analysis for patients with hemiplegia, the correlation coefficients were 0.507 for the paretic side (P = .007) and 0.677 for the nonparetic side (P < .001). Diaphragm excursion in the nonparetic side was significantly correlated with the maximal inspiratory pressure, maximal expiratory pressure, and peak cough flow (P < .05). Conclusions M‐mode US can be an alternative method for DE measurement in patients with impaired locomotion function after acquired brain injury. Preserved function of the nonparetic side might affect pulmonary function after brain injury, which suggests the importance of prestroke respiratory function.

show abstract

Effects of Respiratory Muscle Training on Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: A Systematic Review With Meta-Analysis

Cited by 50 publications

References 40 publications

Evaluation of Respiratory Muscular Strength Compared to Predicted Values in Patients with Stroke

Evaluation of Respiratory Muscular Strength Compared to Predicted Values in Patients with Stroke

Hypoxia after stroke: a review of experimental and clinical evidence

Comparison Between M‐Mode Ultrasonography and Fluoroscopy for Diaphragm Excursion Measurement in Patients With Acquired Brain Injury

Contact Info

Product

Resources

About