The effect of lumbar stabilization exercise on the pulmonary function of stroke patients

Dae-Sik Oh, Si-Eun Park, Dae-Sik Oh, Si-Eun Park

Abstract

[Purpose] This study was aimed at assessing the effect of lumbar stabilization exercise on the pulmonary function of stroke patients. [Subjects and Methods] The subjects were randomly allocated into lumbar stabilization exercise group and a general physical therapy group. The program consisted of 30-min sessions conducted 3 days a week for 8 weeks. Pulmonary function was assessed based on lung performance parameters, including forced vital capacity, forced expiratory volume at 1 second, ratio of forced expiratory volume at 1 second to forced vital capacity, and peak expiratory flow. [Results] In the assessment of pulmonary function, the values of all the lung performance parameters were significantly increased in the lumbar stabilization exercise group but were significantly decreased in the general physical therapy group. [Conclusion] These results indicate that lumbar stabilization exercise had a more positive effect on pulmonary function than general physical therapy.

Keywords: Lumbar stabilization exercise; Pulmonary function; Stroke.

Figures

Fig. 1.
Fig. 1.
Lumbar stabilization exercise program

References

    1. Duncan PW, Homer RD, Reker DM: Adherence to post acute rehabilitaion guidelines is associated with functional recovery in stroke. Stroke, 2002, 33: 167–178.
    1. Kashihara H, Haruna Y, Suzuki Y, et al. : Effects of mild supine exercise during 20 days bed rest on maximal oxygen uptake rate in young humans. Acta Physiol Scand Suppl, 1994, 616: 19–26.
    1. Ferretti G, Girardis M, Moia C, et al. : Effects of prolonged bed rest on cardiovascular oxygen transport during submaximal exercise in humans. Eur J Appl Physiol Occup Physiol, 1998, 78: 398–402.
    1. Yoon JA, Park JS, Lee DH, et al. : Comparisons of respiratory function and activities of daily living between spinal cord injury and stroke patients and normal elderly people. J Phys Ther Sci, 2012, 24: 465–469.
    1. Kim K, Fell DW, Lee JH: Feedback respiratory training to enhance chest expansion and pulmonary function in chronic stroke: a double-blind, randomized controlled study. J Phys Ther Sci, 2011, 23: 75–79.
    1. Kisner C, Colby LA: Therapeutic exercise; Foundations and techniques, 3rd ed. Philadelphia. FA Davis Company, 1996.
    1. Kohl J, Koller EA, Brandenberger M, et al. : Effect of exercise-induced hyperventilation on airway resistance and cycling endurance. Eur J Appl Physiol Occup Physiol, 1997, 75: 305–311.
    1. Teixeira-Salmela LF, Parreira VF, Britto RR, et al. : Respiratory pressures and thoracoabdominal motion in community-dwelling chronic stroke survivors. Arch Phys Med Rehabil, 2005, 86: 1974–1978.
    1. Kim E, Lee H: The effects of deep abdominal muscle strengthening exercises on respiratory function and lumbar stability. J Phys Ther Sci, 2013, 25: 663–665.
    1. Hides JA, Richardson CA, Jull GA: Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine, 1996, 21: 2763–2769.
    1. Abe T, Kusuhara N, Yoshimura N, et al. : Differential respiratory activity of four abdominal muscles in humans. J Appl Physiol 1985, 1996, 80: 1379–1389.
    1. Kaneko H, Satou H, Maruyama H: Reliability of lateral abdominal muscles thickness measurement using ultrasonography. Rigakuryoho Kagaku, 2005, 20: 197–201.
    1. Gollee H, Hunt KJ, Fraser MH, et al. : Abdominal stimulation for respiratory support in tetraplegia: a tutotial review. J Autom Contr, 2008, 18: 85–92.
    1. McGill SM, Karpowicz A: Exercises for spine stabilization: motion/motor patterns, stability progressions, and clinical technique. Arch Phys Med Rehabil, 2009, 90: 118–126.
    1. Lanini B, Bianchi R, Romagnoli I, et al. : Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med, 2003, 168: 109–113.
    1. Britto RR, Rezende NR, Marinho KC, et al. : Inspiratory muscular training in chronic stroke survivors: a randomized controlled trial. Arch Phys Med Rehabil, 2011, 92: 184–190.
    1. Kim KS, Kwon OY, Yi CH: Effect of abdominal drawing-in maneuver on peak expiratory flow, forced expiratory volume in 1 second and pain during forced expiratory pulmonary function test in patients with chronic low back pain. Phys Ther Korea, 2009, 16: 10–17.
    1. Jung JH, Shim JM, Kwon HY, et al. : Effects of abdominal stimulation during inspiratory muscle training on respiratory function of chronic stroke patients. J Phys Ther Sci, 2014, 26: 73–76.
    1. Hodges PW, Butler JE, McKenzie DK, et al. : Contraction of the human diaphragm during rapid postural adjustments. J Physiol, 1997, 505: 539–548.
    1. Kulnik ST, Birring SS, Moxham J, et al. : Does respiratory muscle training improve cough flow in acute stroke? Pilot randomized controlled trial. Stroke, 2015, 46: 447–453.
    1. Song GB, Park EC: Effects of chest resistance exercise and chest expansion exercise on stroke patients’ respiratory function and trunk control ability. J Phys Ther Sci, 2015, 27: 1655–1658.
    1. Seo KC: The effects of combination of inspiratory diaphragm exercise and expiratory pursed-lip breathing exercise on pulmonary functons of stroke patients. J Phys Ther Sci, 2013, 25: 241–244.

Source: PubMed

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