Grigorova-Petrova, Kristin and Dimitrova, Antoaneta and Lubenova, Daniela and Vasileva, Dance (2020) Correlation between diaphragmatic movement and pulmonary function in acute stroke patients. In: The Joint European Stroke Organisation and World Stroke Organization Conference (ESO-WSO 2020), 7-9 Nov 2020, Vienna, Austria.
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Abstract
Background and aims
The diaphragm muscle is considered as a major determinant of ventilatory function and any reduction in its movement in stroke patients may contribute to respiratory dysfunction. The aim of this study was to evaluate the correlation between pulmonary function and diaphragmatic movement after inspiratory training in acute ischemic stroke patients.
Methods
Twenty-two ischemic stroke patients in the acute period were included after the mobilization was indicated (no later than 48 hours), (71.14 ±5.54 years old, 12 men, 13 right hemiparesis, with light to moderate stroke severity NIHSS scale 9±2.6). The monitored outcome measures were: respiratory function through spirometry - forced vital capacity (FVC), forced expiratory volume at one second (FEV1), peak expiratory flow (PEF), inspiratory capacity (IC) and ultrasonographic detected hemidiaphragmatic movement in relaxed (HMR) and in deep (HMD) breathing. All participants received functional-oriented physical therapy based on their motor activity during hospitalization and after discharge as a home-based program for 4 weeks.
Results
A consistent and statistically significant correlation was found between FVC and amplitude of HMD in affected side (r = 0.601, p = 0.003), IC and less affected HMR (r = 0.527, p = 0.012) and IC with less affected HMD (r = 0.700, p = 0.000). No relation was found between the other variables.
Conclusions
In the studied group of individuals, the tendency for compensatory reaction of the unaffected hemidiaphragm during automatic and volitional breathing after inspiratory training was observed. The incentive visual-feedback inspiratory training positively influenced expiratory function.
Key words
inspiratory training, respiratory function, acute stroke
| Item Type: | Conference or Workshop Item (Poster) |
|---|---|
| Impact Factor Value: | 4.882 |
| Uncontrolled Keywords: | inspiratory training, respiratory function, acute stroke |
| Subjects: | Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Prof. Dance Vasileva |
| Date Deposited: | 16 Nov 2020 09:23 |
| Last Modified: | 16 Nov 2020 09:23 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/26737 |
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