| Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke: a randomized controlled trial. | |
| | |
MedLine Citation:
|
PMID: 20156979 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To determine whether two types of exercise--breathing retraining (BRT) and inspiratory muscle training (IMT)--improve on cardiopulmonary functions and exercise tolerance in patients with stroke. DESIGN: A randomized controlled trial. SETTING: Education and research hospital. SUBJECTS: Forty-five inpatients with stroke (24 men, 21 women) were recruited for the study. The subjects were randomized into three groups: 15 assigned to receive inspiratory muscle training (IMT); 15 assigned to received breathing retraining, diaphragmatic breathing and pursed-lips breathing (BRT); 15 assigned to a control group. INTERVENTIONS: All study groups participated in a conventional stroke rehabilitation programme. For the same period, the IMT and BRT groups trained daily, six times a week, with each session consisting of one half-hour of training for six weeks. MAIN MEASURES: Each subject underwent pulmonary function and cardiopulmonary exercise tests. Subjects were also assessed for exertional dyspnoea, stages of motor recovery, ambulation status, activity of daily living and quality of life. RESULTS: After the training programme, the IMT group had significantly improved forced expiratory volume at 1 second (FEV(1)), forced vital capacity (FVC), vital capacity (VC), forced expiratory flow rate 25-75% (FEF 25-75%) and maximum voluntary ventilation (MVV) values compared with the BRT and control groups, although there were no significant differences between the BRT and control groups (P<0.01). Peak expiratory flow rate (PEF) value was increased significantly in the BTR group compared with the IMT and control groups. The IMT group also had significantly higher peak oxygen consumption (Vo(2peak)) than the BRT and control groups, although there were no significant differences between the BRT and control groups (P<0.001). There was a statistically significant increase in maximum inspiratory pressure (PI(max)) and maximum inspiratory and expiratory pressure (PE(max)) in the BRT group and, PI(max) in the IMT group compared with baseline and the control group. In the IMT group, this was associated with improvements in exercise capacity, sensation of dyspnoea and quality of life. CONCLUSIONS: Significant short-term effects of the respiratory muscle training programme on respiratory muscle function, exercise capacity and quality of life were recorded in this study. |
| | |
Authors:
|
Serap Tomruk Sutbeyaz; Fusun Koseoglu; Levent Inan; Ozlem Coskun |
Related Documents
:
|
2463559 - Relationship between heart rate and minute ventilation, tidal volume and respiratory ra... 10228119 - Physiologic response of ventilator-dependent patients with chronic obstructive pulmonar... 4708899 - Studies of the pulmonary vagal control of central respiratory rhythm in the absence of ... 2318169 - Cardiac and respiratory correlations with unit discharge in epileptic human temporal lobe. 12069949 - Respiratory changes induced by kainic acid lesions in rostral ventral respiratory group... 10901389 - Relative timing of inspiration and expiration affects respiratory sinus arrhythmia. 20592479 - A comparison of physical characteristics and swing mechanics between golfers with and w... 11821489 - Effect of menstrual cycle phase on exercise performance of high-altitude native women a... 7320199 - Leucine meal increases glutamine and total nitrogen release from forearm muscle. |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial Date: 2010-02-15 |
Journal Detail:
|
Title: Clinical rehabilitation Volume: 24 ISSN: 1477-0873 ISO Abbreviation: Clin Rehabil Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2010-03-08 Completed Date: 2010-06-10 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8802181 Medline TA: Clin Rehabil Country: England |
Other Details:
|
Languages: eng Pagination: 240-50 Citation Subset: IM |
Affiliation:
|
Fourth Physical Medicine & Rehabilitation Clinic, Ankara Physical Medicine and Rehabilitation Education and Research Hospital, Ankara, Turkey. serapts@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Analysis of Variance Breathing Exercises* Exercise Tolerance / physiology* Female Heart Function Tests Humans Male Middle Aged Respiratory Function Tests Stroke / physiopathology, rehabilitation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinical manifestations of anti-synthetase syndrome positive for anti-alanyl-tRNA synthetase (anti-P...
Next Document: Errorless learning is superior to trial and error when learning a practical skill in rehabilitation:...