Effects of Inspiratory Muscle Training on Respiration and Balance in Patients with Stroke: A Pilot Randomized Controlled Trial
6
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
PURPOSE: Respiratory function can be adversely affected after a cerebrovascular accident. This study aimed to determine whether inspiratory muscle training (IMT) changes the respiration and balance abilities of patients with stroke. METHODS: Twelve patients with stroke were randomly assigned to the study (n=6) and control (n=6) groups. The study and control groups received IMT and general physical therapy, respectively for 6 weeks, five times a week for 30 min/day. Inspiratory and expiratory functions and balance were measured pre-and post-evaluation. RESULTS: After IMT intervention, the weight distribution ratio (WDR) for balance ability measurement was significantly decreased (p<.05), and the maximum inspiratory pressure (MIP), maximum inspiratory flow rate (MIFR), maximum inspiratory capacity (MIC), peak expiratory flow (PEF), forced expiratory volume in 1 second (FEV1), and limits of stability (LOS) were significantly increased in the study group (p<.05). A comparison of the study and control groups revealed statistically significant differences in MIP (p<0.01), MIFR (p<.01), MIC (p<.05), PEF (p<.05), FEV1 (p<.05), WDR (p<.01), and LOS (p<.05). CONCLUSIONS: This study suggests that IMT is a useful and effective exercise intervention for patients with stroke.
Abstract
PURPOSE: Respiratory function can be adversely affected after a cerebrovascular accident. This study aimed to determine whether inspiratory muscle training (IMT) changes the respiration and balance abilities of patients with stroke. METHODS: Twelve patients with stroke were randomly assigned to the study (n=6) and control (n=6) groups. The study and control groups received IMT and general physical therapy, respectively for 6 weeks, five times a week for 30 min/day. Inspiratory and expiratory functions and balance were measured pre-and post-evaluation. RESULTS: After IMT intervention, the weight distribution ratio (WDR) for balance ability measurement was significantly decreased (p<.05), and the maximum inspiratory pressure (MIP), maximum inspiratory flow rate (MIFR), maximum inspiratory capacity (MIC), peak expiratory flow (PEF), forced expiratory volume in 1 second (FEV1), and limits of stability (LOS) were significantly increased in the study group (p<.05). A comparison of the study and control groups revealed statistically significant differences in MIP (p<0.01), MIFR (p<.01), MIC (p<.05), PEF (p<.05), FEV1 (p<.05), WDR (p<.01), and LOS (p<.05). CONCLUSIONS: This study suggests that IMT is a useful and effective exercise intervention for patients with stroke.
참고문헌 (39)
- Peurala SH, "Postural instability in patients with chronic stroke", Restor Neurol Neurosci, 25(2), pp.101~108 (2007)
- Pollock RD, "Respiratory muscle strength and training in stroke and neurology : a systematic review", Int J Stroke, 8(2), pp.124~130 (2013)
- Teixeira-Salmela LF, "Respiratory pressures and thoracoabdominal motion in communitydwelling chronic stroke survivors", Arch Phys Med Rehabil, 86(10), pp.1974~1978 (2005)
- Menezes KK, "Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke : a systematic review", J Physiother, 62(3), pp.138~144 (2016)
- Troyer AD, "Function of the respiratory muscles in acute hemiplegia", Am Rev Respir Dis, 123(6), pp.631~632 (1981)
- Khedr E, "Assessment of corticodiaphragmatic pathway and pulmonary function in acute ischemic stroke patients", Eur J Neurol, 7(3), pp.323~330 (2000)
- Kim J, "Effects of respiratory muscle and endurance training using an individualized training device on pulmonary function and exercise capacity in stroke patients", Med Sci Monit, 20, pp.2543~2549 (2014)
- Griffiths LA, "The influence of inspiratory and expiratory muscle training upon rowing performance", Eur J Appl Physiol, 99(5), pp.457~466 (2007)
- Nason LK, "Imaging of the diaphragm : anatomy and function", Radiographics, 32(2), pp.E51~E70 (2012)
- Hodges PW, "In vivo measurement of the effect of intra-abdominal pressure on the human spine", J Biomech, 34(3), pp.347~353 (2001)
- Gandevia S, "Balancing acts : respiratory sensations, motor control and human posture", Clin Exp Pharmacol Physiol, 29, pp.118~121 (2002)
- Hodges PW, "Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm", J Appl Physiol, 89(3), pp.967~976 (2000)
- Illi SK, "Effect of respiratory muscle training on exercise performance in healthy individuals", Sports med, 42(8), pp.707~724 (2012)
- Downey AE, "Effects of inspiratory muscle training on exercise responses in normoxia and hypoxia", Respir Physiol Neurobiol, 156(2), pp.137~146 (2007)
- Brown PI, "Inspiratory muscle training abolishes the blood lactate increase associated with volitional hyperpnoea superimposed on exercise and accelerates lactate and oxygen uptake kinetics at the onset of exercise", Eur J Appl Physiol, 112(6), pp.2117~2129 (2012)
- Chen PC, "Inspiratory muscle training in stroke patients with congestive heart failure : a CONSORT-compliant prospective randomized single-blind controlled trial", Medicine, 95(37), pp.e4856~ (2016)
- Dall’Ago P, "Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness : a randomized trial", J Am Coll Cardiol, 47(4), pp.757~763 (2006)
- Majewska-Pulsakowska M, "The role of inspiratory muscle training in the process of rehabilitation of patients with chronic obstructive pulmonary disease", Adv Exp Med Biol, 885, pp.47~51 (2016)
- Beaumont M, "Effects of inspiratory muscle training in COPD patients : a system atic review and metaanalysis", Clin Respir J, 12(7), pp.2178~2188 (2018)
- Cho JE, "The improvement in respiratory function by inspiratory muscle training is due to structural muscle changes in patients with stroke : a randomized controlled pilot trial", Top Stroke Rehabil, 25(1), pp.37~43 (2018)
- Ferraro FV, "The effects of 8weeks of inspiratory muscle training on the balance of healthy older adults : a randomized, double-blind, placebo-controlled study", Physiol Rep, 7(9), pp.e14076~ (2019)
- Pozuelo-Carrascosa DP, "Effectiveness of respiratory muscle training for pulmonary function and walking ability in patients with stroke : a systematic review with meta-analysis", Int J Environ Res Public Health, 17(15), pp.5356~ (2020)
- Moodie L, "Inspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation : a systematic review", J Physiother, 57(4), pp.213~221 (2011)
- MacKay-Lyons MJ, "Exercise capacity early after stroke", Arch Phys Med Rehabil, 83(12), pp.1697~1702 (2002)
- Koppers RJ, "Exercise performance improves in patients with COPD due to respiratory muscle endurance training", Chest, 129(4), pp.886~892 (2006)
- Sutbeyaz ST, "Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke : a randomized controlled trial", Clin Rehabil, 24(3), pp.240~250 (2010)
- Lee KB, "Reliability of an electronic inspiratory loading device for assessing pulmonary function in post-stroke patients", Med Sci Monit, 19(22), pp.191~196 (2016)
- Edwards AM, "Oxygen uptake kinetics and maximal aerobic power are unaffected by inspiratory muscle training in healthy subjects where time to exhaustion is extended", Eur J Appl Physiol, 93(1), pp.139~144 (2004)
- Xiao Y, "Inspiratory muscle training for the recovery of function after stroke", Cochrane Database Syst Rev, 5, pp.1~19 (2012)
- Zhang X, "Can inspiratory muscle training benefit patients after stroke? a systematic review and metaanalysis of randomized controlled trials", Clin Rehabil, 34(7), pp.866~876 (2020)
- Britto RR, "Inspiratory muscular training in chronic stroke survivors : a randomized controlled trial", Arch Phys Med Rehabil, 92(2), pp.184~190 (2011)
- Aydoğan Arslan S, "Effects of inspiratory muscle training on respiratory muscle strength, trunk control, balance and functional capacity in stroke patients : a single-blinded randomized controlled study", Top Stroke Rehabil, 29(1), pp.40~48 (2022)
- Schoser B, "Maximum inspiratory pressure as a clinically meaningful trial endpoint for neuromuscular diseases : a comprehensive review of the literature", Orphanet J Rare Dis, 12(1), pp.1~12 (2017)
- Hershenson MB, "Relative strengths of the chest wall muscles", J Appl Physiol, 65(2), pp.852~862 (1988)
- Myint P, "Respiratory function and self-reported functional health : EPIC-Norfolk population study", Eur Respir J, 26(3), pp.494~502 (2005)
- Zhou Z, "Acute stroke phase voluntary cough and correlation with maximum phonation time", Am J Phys Med Rehabil, 91(6), pp.494~500 (2012)
- Jung NJ, "The effect of the inspiratory muscle training on functional ability in stroke patients", J Phys Ther Sci, 29(11), pp.1954~1956 (2017)
- Lee K, "Progressive respiratory muscle training for improving trunk stability in chronic stroke survivors : a pilot randomized controlled trial", J Stroke Cerebrovasc Dis, 28(5), pp.1200~1211 (2019)
- Pizzi A, "Application of a volar static splint in poststroke spasticity of the upper limb", Arch Phys Med Rehabil, 86(9), pp.1855~1859 (2005)
