Abstract
Functional rehabilitation of stroke patients with hemiplegia by progressive respiratory muscle training
  
DOI:
EN KeyWords: progressive respiratory muscle training  stroke  pulmonary function  motor function
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作者单位
孙亚鲁 济宁医学院附属医院山东 济宁 272000 
李响 济宁医学院附属医院山东 济宁 272000 
张洪蕊 济宁医学院附属医院山东 济宁 272000 
杨帅 济宁医学院附属医院山东 济宁 272000 
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EN Abstract:
  Objective: To observe the effect of progressive respiratory muscle training on pulmonary function and motor function of stroke patients with hemiplegia. Methods: A total of 50 stroke patients with hemiplegia were randomly divided into control group (n=25) and observation group (n=25). The control group and observation group were given routine rehabilitation training, and the observation group was given progressive respiratory muscle training additionally. The pulmonary function, trunk control function, balance function and motor function of the two groups were evaluated before and 6 weeks after treatment. Results: There was no significant difference in forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEF), Sheikh trunk control scale (TCT), Berg balance scale (BBS) and Fugl-Meyer motor function scale (FMA) between the two groups before treatment. After 6 weeks of treatment, the pulmonary function indexes (FVC, FEV1 and PEF), TCT, BBS and FMA scores in the two groups were significantly higher than those before treatment (all P<0.05), and the scores in the observation group were higher than those in the control group (all P<0.05). The results of correlation analysis showed that pulmonary function was positively correlated with TCT, BBS and FMA scores (P<0.05). Conclusion: Progressive respiratory muscle training combined with routine rehabilitation can effectively improve the pulmonary function, trunk control function, balance function and motor function of stroke patients with hemiplegia. Therefore, more attention should be paid to respiratory function training in clinical work to improve patients' pulmonary function and activities of daily living.
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