Effects of inspiratory muscle training on balance ability and abdominal muscle thickness in chronic stroke patients

Dongha Oh, Gayeong Kim, Wanhee Lee, Mary Myong Sook Shin, Dongha Oh, Gayeong Kim, Wanhee Lee, Mary Myong Sook Shin

Abstract

[Purpose] This study evaluated the effects of inspiratory muscle training on pulmonary function, deep abdominal muscle thickness, and balance ability in stroke patients. [Subjects] Twenty-three stroke patients were randomly allocated to an experimental (n = 11) or control group (n = 12). [Methods] The experimental group received inspiratory muscle training-based abdominal muscle strengthening with conventional physical therapy; the control group received standard abdominal muscle strengthening with conventional physical therapy. Treatment was conducted 20 minutes per day, 3 times per week for 6 weeks. Pulmonary function testing was performed using an electronic spirometer. Deep abdominal muscle thickness was measured by ultrasonography. Balance was measured using the Berg balance scale. [Results] Forced vital capacity, forced expiratory volume in 1 second, deep abdominal muscle thickness, and Berg balance scale scores were significantly improved in the experimental group than in the control group. [Conclusion] Abdominal muscle strengthening accompanied by inspiratory muscle training is recommended to improve pulmonary function in stroke patients, and may also be used as a practical adjunct to conventional physical therapy.

Keywords: Abdominal muscle thickness; Pulmonary function; Stroke.

References

    1. Martins SC, Friedrich MA, Brondani R, et al. : Thrombolytic therapy for acute stroke in the elderly: an emergent condition in developing countries. J Stroke Cerebrovasc Dis, 2011, 20: 459–464.
    1. Dean E, Frownfelter D, Wong WP, et al. : Cardiovascular/cardiopulmonary physical therapy sinks or swims in the 21st century: addressing the health care issues of our time. Phys Ther, 2000, 80: 1275–1278.
    1. Estenne M, Gevenois PA, Kinnear W, et al. : Lung volume restriction in patients with chronic respiratory muscle weakness: the role of microatelectasis. Thorax, 1993, 48: 698–701.
    1. Moodie L, Reeve J, Elkins M: Inspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation: a systematic review. J Physiother, 2011, 57: 213–221.
    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. 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. St Croix CM, Morgan BJ, Wetter TJ, et al. : Fatiguing inspiratory muscle work causes reflex sympathetic activation in humans. J Physiol, 2000, 529: 493–504.
    1. Bosnak-Guclu M, Arikan H, Savci S, et al. : Effects of inspiratory muscle training in patients with heart failure. Respir Med, 2011, 105: 1671–1681.
    1. Babcock MA, Pegelow DF, McClaran SR, et al. : Contribution of diaphragmatic power output to exercise-induced diaphragm fatigue. J Appl Physiol 1985, 1995, 78: 1710–1719.
    1. Minoguchi H, Shibuya M, Miyagawa T, et al. : Cross-over comparison between respiratory muscle stretch gymnastics and inspiratory muscle training. Intern Med, 2002, 41: 805–812.
    1. Borg GA: Psychophysical bases of perceived exertion. Med Sci Sports Exerc, 1982, 14: 377–381.
    1. Enright S, Chatham K, Ionescu AA, et al. : Inspiratory muscle training improves lung function and exercise capacity in adults with cystic fibrosis. Chest, 2004, 126: 405–411.
    1. Fry DK, Pfalzer LA, Chokshi AR, et al. : Randomized control trial of effects of a 10-week inspiratory muscle training program on measures of pulmonary function in persons with multiple sclerosis. J Neurol Phys Ther, 2007, 31: 162–172.
    1. Liebenson C: Spinal stabilization training. J Bodyw Mov Ther, 1997, 1: 87–90.
    1. Stetts DM, Freund JE, Allison SC, et al. : A rehabilitative ultrasound imaging investigation of lateral abdominal muscle thickness in healthy aging adults. J Geriatr Phys Ther, 2009, 32: 60–66.
    1. Hodges PW, Richardson CA: Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther, 1997, 77: 132–142, discussion 142–144.
    1. Blum L, Korner-Bitensky N: Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Phys Ther, 2008, 88: 559–566.
    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. Kim CB, Yang JM, Choi JD: The effects of chest expansion resistance exercise on chest expansion and maximal respiratory pressure in elderly with inspiratory muscle weakness. J Phys Ther Sci, 2015, 27: 1121–1124.
    1. Kendall FP, McCreary EK, Provance PG: Muscle: testing and function, 4th ed. Baltimore/London: Williams & Wilkins, 1993.
    1. Poole DC, Richardson RS: Determinants of oxygen uptake. Implications for exercise testing. Sports Med, 1997, 24: 308–320.
    1. McConnell AK, Lomax M: The influence of inspiratory muscle work history and specific inspiratory muscle training upon human limb muscle fatigue. J Physiol, 2006, 577: 445–457.
    1. Bergh A: The effect of passive thoracic flexion-rotation movement on the total static compliance of the respiratory system and respiratory responses in ventilated patients. Diss. Stellenbosch: University of Stellenbosch, 2007.
    1. Pfalzer L, Fry D: Effects of a 10-week inspiratory muscle training program on lower-extremity mobility in people with multiple sclerosis: a randomized controlled trial. Int J MS Care, 2011, 13: 32–42.

Source: PubMed

Спонсоры и соавторы

Заболевания

Медикаментозные вмешательства

Подписаться