Effect of thoracic and cervical joint mobilization on pulmonary function in stroke patients

Sang-Hun Jang, Hyun-Soo Bang, Sang-Hun Jang, Hyun-Soo Bang

Abstract

[Purpose] This study aimed to conduct thoracic and cervical mobilization in stroke patients and determine its effects on respiratory function. [Subjects and Methods] Twenty-one stroke patients were studied. Subjects were divided into a control group (control group, n=11) who did not undergo thoracic and cervical joint mobilization, and an experimental group (thoracic and cervical mobilization group, n=10) who underwent thoracic and cervical joint mobilization. Forced vital capacity and forced expiratory volume in the first second, well-known indicators of respiratory capabilities, were measured. Peak cough flow was measured as an indicator of cough capability. [Results] After the exercise, respiratory function in the thoracic and cervical mobilization group showed statistically significant improvements demonstrated by increases in forced vital capacity, forced expiratory volume in the first second, and peak cough flow. [Conclusion] The findings indicate that thoracic and cervical mobilization can improve the thoracic movements of stroke patients resulting in improved pulmonary function.

Keywords: Pulmonary function; Stroke; Thoracic and cervical mobilization.

References

    1. Agnarsson U, Thorgeirsson G, Sigvaldason H, et al. : Effects of leisure-time physical activity and ventilatory function on risk for stroke in men: the Reykjavík Study. Ann Intern Med, 1999, 130: 987–990.
    1. Bianchi R, Gigliotti F, Romagnoli I, et al. : Patterns of chest wall kinematics during volitional pursed-lip breathing in COPD at rest. Respir Med, 2007, 101: 1412–1418.
    1. Cohen E, Mier A, Heywood P, et al. : Diaphragmatic movement in hemiplegic patients measured by ultrasonography. Thorax, 1994, 49: 890–895.
    1. Gauld LM, Boynton A: Relationship between peak cough flow and spirometry in Duchenne muscular dystrophy. Pediatr Pulmonol, 2005, 39: 457–460.
    1. Gottdiener JS, Arnold AM, Aurigemma GP, et al. : Predictors of congestive heart failure in the elderly: the Cardiovascular Health Study. J Am Coll Cardiol, 2000, 35: 1628–1637.
    1. Hwangbo PN, Hwangbo G, Park J, et al. : The effect of thoracic joint mobilization and self-stretching exercise on pulmonary functions of patients with chronic neck pain. J Phys Ther Sci, 2014, 26: 1783–1786.
    1. Iyengar YR, Vijayakumar K, Abraham JM, et al. : Relationship between postural alignment in sitting by photogrammetry and seated postural control in post-stroke subjects. NeuroRehabilitation, 2014, 35: 181–190.
    1. Jaraczewska E, Long C: Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil, 2006, 13: 31–42.
    1. Khedr EM, El Shinawy O, Khedr T, et al. : Assessment of corticodiaphragmatic pathway and pulmonary function in acute ischemic stroke patients. Eur J Neurol, 2000, 7: 509–516.
    1. Kim YD, Lee KB, Roh HL: Immediate effects of the activation of the affected lower limb on the balance and trunk mobility of hemiplegic stroke patients. J Phys Ther Sci, 2015, 27: 1555–1557.
    1. Krauss J, Creighton D, Ely JD, et al. : The immediate effects of upper thoracic translatoric spinal manipulation on cervical pain and range of motion: a randomized clinical trial. J Manual Manip Ther, 2008, 16: 93–99.
    1. Lasserson D, Mills K, Arunachalam R, et al. : Differences in motor activation of voluntary and reflex cough in humans. Thorax, 2006, 61: 699–705.
    1. Lee J, Lee Y, Kim H, et al. : The effects of cervical mobilization combined with thoracic mobilization on forward head posture of neck pain patients. J Phys Ther Sci, 2013, 25: 7–9.
    1. Ogiwara S, Ogura K: Antero-posterior excursion of the hemithorax in hemiplegia. J Phys Ther Sci, 2001, 13: 11–15.
    1. Putt MT, Watson M, Seale H, et al. : Muscle stretching technique increases vital capacity and range of motion in patients with chronic obstructive pulmonary disease. Arch Phys Med Rehabil, 2008, 89: 1103–1107.
    1. Sutbeyaz ST, Koseoglu F, Inan L, et al. : Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke: a randomized controlled trial. Clin Rehabil, 2010, 24: 240–250.
    1. Vicenzino B, Collins D, Wright A: The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia. Pain, 1996, 68: 69–74.
    1. Ward K, Seymour J, Steier J, et al. : Acute ischaemic hemispheric stroke is associated with impairment of reflex in addition to voluntary cough. Eur Respir J, 2010, 36: 1383–1390.

Source: PubMed

Sponsoren und Mitarbeiter

Krankheiten

Drogeninterventionen

3
Abonnieren