The effects of inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise on chronic stroke patients’ respiratory muscle activation

Abstract

[Purpose] The purpose of this study is to examine the effects of inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise on chronic stroke patients’ respiratory muscle activation. [Subjects and Methods] All experimental subjects performed exercises five times per week for four weeks. Thirty chronic stroke patients were randomly assign to an experimental group of 15 patients and a control group of 15 patients. The experimental group underwent exercises consisting of basic exercise treatment for 15 minutes and inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise for 15 minutes and the control group underwent exercises consisting of basic exercise treatment for 15 minutes and auto-med exercise for 15 minutes. The activation levels of respiratory muscles were measured before and after the experiment using MP 150WSW to obtain the results of the experiment. [Results] In the present study, when the pulmonary functions of the experimental group and the control group before and after the experiment were compared, whereas the experimental group showed significant differences in all sections. In the verification of intergroup differences between the experimental group and the control group before and after the experiment. [Conclusion] The respiratory rehabilitation exercise is considered to be capable of inducing positive effects on stroke patients’ respiratory muscles through diaphragm breathing exercise and lip puckering breathing exercise.

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

“…This difference may be due to the positive impact of early mobilization, exercise, and chest physiotherapy. 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.…”

Tai Chi for Chronic Illness Management: Synthesizing Current Evidence from Meta-Analyses of Randomized Controlled Trials

“…Additionally, abdominal breathing techniques in Tai Chi may reshape the breathing pattern to reduce the frequency of breath, keep the airways open longer, 33,34 and activate the respiratory muscle. 35 Such changes may be associated with improved cardiorespiratory fitness. [36][37][38][39][40][41] As a low METs (3.0) exercise, whether Tai Chi can produce the same level of cardiorespiratory benefits as high-impact aerobics exercise and its biological mechanisms need to be investigated and elucidated.…”

Predictors of intensive care unit admission and mortality in patients with ischemic stroke: investigating the effects of a pulmonary rehabilitation program

“…McCool and Tzelepis advised that respiratory muscle strength and endurance increased when initial stroke patients performed exercise at sufficient intensity to increase muscle strength, so that eventual improvement in respiratory functions could be expected [ 8 ]. In addition, pulmonary rehabilitation programs were considered to be capable of inducing positive effects on stroke patients’ respiratory muscles through diaphragm breathing exercise and lip puckering breathing exercise in another study [ 9 ]. Another study showed that pulmonary physiotherapy (PPT) improved the quality of life of stroke patients [ 4 ].…”