Effect of chest expansion resistance exercise and respiratory muscle stretching on respiratory function and gait endurance in patients with stroke.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY NeuroRehabilitation Pub Date : 2024-10-29 DOI:10.3233/NRE-240132

Jiyeon Lee, Jinseop Kim

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Abstract

Background: Limited chest expansion and asymmetry in the respiratory muscles after a stroke lead to poor ventilation and reduced physical performance.

Objectives: To determine the effect of chest expansion resistance exercise and respiratory muscle stretching on respiratory function and gait endurance in patients with stroke.

Methods: Thirty stroke patients were randomly assigned to a chest expansion resistance group (CERG), a respiratory muscle stretching group (RMSG), and a control group (CG). CERG and RMSG received chest expansion resistance and respiratory muscle stretching, respectively, 3 times a week for 8 weeks. Respiratory function, respiratory muscle strength, and gait endurance were measured before and after the intervention period.

Results: The experimental groups, CERG and RMSG, showed significant improvements in respiratory function variables (p < .05). For respiratory muscle strength variables, maximal inspiratory pressure (MIP) in the CERG and maximal expiratory pressure (MEP) in the RMSG showed significant changes compared to the CG (p < .05). Both CERG and RMSG also showed significant improvements in the 6MWT compared to the CG (p < .05).

Conclusion: Chest expansion resistance exercise would be a more effective method, while both chest expansion resistance exercise and respiratory muscle stretching are helpful in improving respiratory function and gait endurance.

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扩胸阻力运动和呼吸肌拉伸对中风患者呼吸功能和步态耐力的影响。

背景：中风后胸廓扩张受限和呼吸肌不对称会导致通气不良和体能下降：确定扩胸阻力运动和呼吸肌伸展运动对中风患者呼吸功能和步态耐力的影响：将 30 名中风患者随机分配到扩胸阻力组（CERG）、呼吸肌伸展组（RMSG）和对照组（CG）。CERG 组和 RMSG 组分别接受扩胸阻力训练和呼吸肌拉伸训练，每周 3 次，为期 8 周。干预前后对呼吸功能、呼吸肌力量和步态耐力进行了测量：结果：实验组（CERG 和 RMSG）的呼吸功能变量均有明显改善（P 结论：胸廓扩张阻力运动对呼吸功能的改善更有效：扩胸阻力运动是一种更有效的方法，而扩胸阻力运动和呼吸肌拉伸都有助于改善呼吸功能和步态耐力。

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来源期刊

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.