Application and progress of respiratory muscle training in stroke patients with pulmonary rehabilitation

doi:10.3877/cma.j.issn.2095-123X.2020.01.011

Abstract

Abstract:

Stroke patients are often accompanied by multiple dysfunctions, which bring great burden to individuals, families and society. Respiratory dysfunction is more common in stroke patients. Respiratory muscle training is currently one of the effective rehabilitation methods to relieve patients’ respiratory symptoms and improve respiratory function. This article reviews the application of respiratory muscle training in stroke patients with pulmonary rehabilitation, focusing on the possible causes of respiratory dysfunction, the role and implementation of respiratory muscle training in stroke patients, with a view to providing new ideas and references for stroke patients with pulmonary rehabilitation.

Key words: Stroke, Pulmonary rehabilitation, Respiratory muscle training

Yong Dai, Huai Huang. Application and progress of respiratory muscle training in stroke patients with pulmonary rehabilitation[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2020, 10(01): 48-52.

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References 35

[1]	Chung JW, Bang OY, Ahn K, et al. Air pollution is associated with ischemic stroke via cardiogenic embolism[J]. Stroke, 2017, 48(1): 17-23.
[2]	国家卫生和计划生育委员会统计中心，中国慢性非传染性疾病预防控制中心.中国死因监测数据集2015[M].北京:中国科学技术出版社, 2016.
[3]	Moran AE, Wood DA, Narula J. The 2000-2016 WHF global atlas of CVD: take two[J]. Glob Heart, 2018, 13(3): 139-141.
[4]	Wang W, Jiang B, Sun H, et al. Prevalence, incidence, and mortality of stroke in China: results from a nationwide population-based survey of 480687 adults[J]. Circulation, 2017, 135(8): 759-771.
[5]	Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation[J]. Am J Respir Crit Care Med, 2013, 188(8): e13-e64.
[6]	Messaggi-Sartor M, Guillen-Solà A, Depolo M, et al. Inspiratory and expiratory muscle training in subacute stroke: a randomized clinical trial[J]. Neurology, 2015, 85(7): 564-572.
[7]	Menezes KK, Nascimento LR, Ada L, et al. Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review[J]. J Physiother, 2016, 62(3): 138-144.
[8]	Harraf F, Ward K, Man W, et al. Transcranial magnetic stimulation study of expiratory muscle weakness in acute ischemic stroke[J]. Neurology, 2008, 71(24): 2000-2007.
[9]	Kulnik ST, Birring SS, Moxham J, et al. Does respiratory muscle training improve cough flow in acute stroke? Pilot randomized controlled trial[J]. Stroke, 2015, 46(2): 447-453.
[10]	中华医学会神经病学分会，中华医学会神经病学分会神经康复学组，中华医学会神经病学分会脑血管病学组.中国脑卒中早期康复治疗指南[J].中华神经科杂志, 2017, 50(6): 405-412.
[11]	Jo MR, Kim NS. Combined respiratory muscle training facilitates expiratory muscle activity in stroke patients[J]. J Phys Ther Sci, 2017, 29(11): 1970-1973.
[12]	Kim J, Park JH, Yim J. Effects of respiratory muscle and endurance training using an individualized training device on the pulmonary function and exercise capacity in stroke patients[J]. Med Sci Monit, 2014, 20: 2543-2549.
[13]	Naghavi FS, Koffman EE, Lin B, et al. Post-stroke neuronal circuits and mental illnesses[J]. Int J Physiol Pathophysiol Pharmacol, 2019, 11(1): 1-11.
[14]	Tinker RJ, Smith CJ, Heal C, et al. Predictors of mortality and disability in stroke-associated pneumonia[J]. Acta Neurol Belg, 2019, Online ahead of print.
[15]	Blacquiere D, Lindsay MP, Foley N, et al. Canadian stroke best practice recommendations: telestroke best practice guidelines update 2017[J]. Int J Stroke, 2017, 12(8): 886-895.
[16]	Olkowski BF, Shah SO. Early mobilization in the neuro-icu: how far can we go?[J]. Neurocrit Care, 2017, 27(1): 141-150.
[17]	郭佳宝，朱毅.吸气肌训练的临床研究进展[J].中国康复医学杂志, 2014, 29(9): 888-892.
[18]	Tayashiki K, Maeo S, Usui S, et al. Effect of abdominal bracing training on strength and power of trunk and lower limb muscles[J]. Eur J Appl Physiol, 2016, 116(9): 1703-1713.
[19]	Popat C, Ruthirago D, Shehabeldin M, et al. Outcomes in patients with acute stroke requiring mechanical ventilation: predictors of mortality and successful extubation[J]. Am J Med Sci, 2018, 356(1): 3-9.
[20]	Rattes C, Campos SL, Morais C, et al. Respiratory muscles stretching acutely increases expansion in hemiparetic chest wall[J]. Respir Physiol Neurobiol, 2018, 254: 16-22.
[21]	Yoo HJ, Pyun SB. Efficacy of bedside respiratory muscle training in patients with stroke: a randomized controlled trial[J]. Am J Phys Med Rehabil, 2018, 97(10): 691-697.
[22]	Lee K, Cho JE, Hwang DY, et al. Decreased respiratory muscle function is associated with impaired trunk balance among chronic stroke patients: a cross-sectional study[J]. Tohoku J Exp Med, 2018, 245(2): 79-88.
[23]	Ledl C, Ullrich YY. Occlusion of tracheostomy tubes does not alter pharyngeal phase kinematics but reduces penetration by enhancing pharyngeal clearance: a prospective study in patients with neurogenic dysphagia[J]. Am J Phys Med Rehabil, 2017, 96(4): 268-272.
[24]	Jung KM, Bang DH. Effect of inspiratory muscle training on respiratory capacity and walking ability with subacute stroke patients: a randomized controlled pilot trial[J]. J Phys Ther Sci, 2017, 29(2): 336-339.
[25]	Haruyama K, Kawakami M, Otsuka T. Effect of core stability training on trunk function, standing balance, and mobility in stroke patients[J]. Neurorehabil Neural Repair, 2017, 31(3): 240-249.
[26]	张玮凇，邢艳丽，范星月.脑卒中患者吸气肌力量训练理论依据及临床研究进展[J].中国康复医学杂志, 2017, 32(11): 1317-1320.
[27]	Ocko R, Costa MC. Respiratory changes in patients with stroke[J]. Biomed Biopharm Res, 2014, 11(2): 141-150.
[28]	Song GB, Park EC. Effects of chest resistance exercise and chest expansion exercise on stroke patients’ respiratory function and trunk control ability[J]. J Phys Ther Sci, 2015, 27(6): 1655-1658.
[29]	Joo S, Shin D, Song C. The effects of game-based breathing exercise on pulmonary function in stroke patients: a preliminary study[J]. Med Sci Monit, 2015, 21: 1806-1811.
[30]	Seo K, Hwan PS, Park K. The effects of inspiratory diaphragm breathing exercise and expiratory pursed-lip breathing exercise on chronic stroke patients’ respiratory muscle activation[J]. J Phys Ther Sci, 2017, 29(3): 465-469.
[31]	Kelley RC, Ferreira LF. Diaphragm abnormalities in heart failure and aging: mechanisms and integration of cardiovascular and respiratory pathophysiology[J]. Heart Fail Rev, 2017, 22(2): 191-207.
[32]	Choi YM, Park GY, Yoo Y, et al. Reduced diaphragm excursion during reflexive citric acid cough test in subjects with subacute stroke[J]. Respir Care, 2017, 62(12): 1571-1581.
[33]	Park GY, Kim SR, Kim YW, et al. Decreased diaphragm excursion in stroke patients with dysphagia as assessed by M-mode sonography[J]. Arch Phys Med Rehabil, 2015, 96(1): 114-121.
[34]	Liaw MY, Hsu CH, Leong CP, et al. Respiratory muscle training in stroke patients with respiratory muscle weakness, dysphagia, and dysarthria-a prospective randomized trial[J]. Medicine (Baltimore), 2020, 99(10): e19337.
[35]	Menezes KKP, Nascimento LR, Polese JC, et al. Effect of high-intensity home-based respiratory muscle training on strength of respiratory muscles following a stroke: a protocol for a randomized controlled trial[J]. Braz J Phys Ther, 2017, 21(5): 372-377.

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