The relationship of respiratory functions and respiratory muscle strength with trunk control, functional capacity, and functional independence in post-stroke hemiplegic patients.

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2023-04-01 DOI:10.1002/pri.1985

Kübra Boz, Seda Saka, İrem Çetinkaya

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引用次数: 1

Abstract

Background: Cardiorespiratory system involvement and early fatigue observed in stroke patients complicate the rehabilitation process and affect their ability to perform daily activities and functional independence.

Aim: It was aimed to determine the relationship between respiratory functions and respiratory muscle strength with trunk control, functional capacity, and functional independence in hemiplegic patients after stroke.

Materials and methods: Twenty-five volunteers who were diagnosed with post-stroke hemiplegia were included in the study. Sociodemographic and physical characteristics were recorded. Pulmonary function test (PFT), respiratory muscle strength, Trunk Impairment Scale (TIS), Timed-Up and Go Test (TUG), and Barthel Index (BI) were applied.

Results: There was a moderate negative correlation between TUG scores and PFT results (r = 0.413-0.502; p = 0.011-0.04), except for PEF (%) and FEV1/FVC. Also, there were statistically significant correlation between TIS scores and FEV1(%) (r = 0.505; p = 0.012), FVC(%) (r = 0.449; p = 0.024). On the other hand, there was no statistically significant relationship between BI results and any parameter of the PFT (p > 0.05). There was no statistically significant correlation between respiratory muscle strength and TUG, TIS, BI (p > 0.05).

Conclusion: It has been shown that respiratory functions are associated with functional capacity and trunk control. However, it was found that there was no relationship between respiratory muscle strength and functional capacity, trunk control, and functional independence. It is thought that considering these parameters in the assessment of patients will contribute to the creation of individual and effective rehabilitation programs. The respiratory system should be systematically assessed in stroke rehabilitation and considered as part of a holistic approach.

Clinical trial registration: NCT05290649 (retrospectively registered) (clinicaltrials.gov).

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脑卒中后偏瘫患者呼吸功能和呼吸肌力与躯干控制、功能能力和功能独立性的关系。

背景:脑卒中患者的心肺系统受累和早期疲劳使康复过程复杂化，并影响其日常活动能力和功能独立性。目的:探讨脑卒中后偏瘫患者呼吸功能、呼吸肌力与躯干控制、功能能力和功能独立性的关系。材料和方法:25名被诊断为中风后偏瘫的志愿者被纳入研究。记录社会人口学特征和身体特征。采用肺功能测试(PFT)、呼吸肌力量、躯干损伤量表(TIS)、time - up and Go test (TUG)、Barthel指数(BI)。结果:TUG评分与PFT结果呈中度负相关(r = 0.413-0.502;p = 0.011-0.04)，除PEF(%)和FEV1/FVC外。此外，TIS评分与FEV1(%)之间的相关性也有统计学意义(r = 0.505;p = 0.012)， FVC(%) (r = 0.449;p = 0.024)。另一方面，BI结果与PFT各参数之间无统计学意义(p > 0.05)。呼吸肌力与TUG、TIS、BI的相关性均无统计学意义(p > 0.05)。结论:呼吸功能与功能容量和躯干控制有关。然而，我们发现呼吸肌力量与功能容量、躯干控制和功能独立性之间没有关系。人们认为，在患者评估中考虑这些参数将有助于制定个性化和有效的康复计划。在中风康复中，呼吸系统应被系统地评估，并被视为整体方法的一部分。临床试验注册:NCT05290649(回顾性注册)(clinicaltrials.gov)。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.