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http://dx.doi.org/10.13066/kspm.2013.8.2.263

The Effects of Breathing Retraining on Asymmetry of Diaphragm Thickness in Stroke Patients  

Kim, Nan-Soo (Department of Physical Therapy, Catholic University of Pusan)
Jung, Ju-Hyeon (Department of Physical Therapy, Gimhae Good morning Hospital)
Publication Information
Journal of the Korean Society of Physical Medicine / v.8, no.2, 2013 , pp. 263-269 More about this Journal
Abstract
PURPOSE: The purpose of this study was to examine the effects of breathing retraining on asymmetry of diaphragm thickness in stroke patients. METHODS: This study was nonequivalent control group pre-post test design. Subjects were assigned to two different groups(intervention group=10, control group=12). Intervention group conducted breathing retraining program for six-week. Diaphragm thickness was assessed by ultrasound in B-mode with a 7.5 MHz linea probe. The collected data analyzed by Wilcoxon signed rank test and Mann-Whitney U test. RESULTS: The intervention group significantly increased diaphragm thickness ratio on paretic side but the control group showed no significant difference in diaphragm thickness ratio. The control group significantly increased asymmetry of diaphragm thickness, but intervention group showed no significant difference in asymmetry of diaphragm thickness. CONCLUSION: This study showed that breathing retraining increased diaphragm thickness ratio in stroke patients and prevent the increase of asymmetry in diaphragm thickness with stroke patients.
Keywords
Asymmetry of diaphragm; Breathing retraining; Stroke;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Enright SJ, Unnithan VB. Effect of inspiratory muscle training intensities on pulmonary function and work capacity in people who are healthy: a randomized controlled trial. Phys Ther. 2011;91(3):894-905.   DOI   ScienceOn
2 Kaneko H, Yamamura K, Mori S et al. Ultrasonographic Evaluation of the Function of Respiratory Muscles during Breathing Exercises. Journal of Physical Therapy Science. 2009;21(2):135   DOI   ScienceOn
3 Kaneko H, Otsuka M, Kawashima Y et al. The Effect of Upper Chest Wall Restriction on Diaphragmatic Function. Journal of Physical Therapy Science. 2010;22(4):375-80.   DOI   ScienceOn
4 Hsu AL, Tang PF, Jan MH. Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke. Arch Phys Med Rehabil. 2003;84(8):1185-93.   DOI   ScienceOn
5 Howarda RS, Ruddb AG, Wolfec CD et al. Pathophysiological and clinical aspects of breathing after stroke. Postgrad Med J. 2001;77(913):700-2.   DOI   ScienceOn
6 Jung JH, Kim NS. Effects of Inspiratory Muscle Training on Diaphragm Thickness, Pulmonary Function, and Chest Expansion in Chronic Stroke Patients. Journal of The Korean Society of Physical Medicine. 2013;8(1):59-69.   DOI   ScienceOn
7 Khedr EM, El Shinawy O, Khedr T et al. Assessment of corticodiaphragmatic pathway and pulmonary function in acute ischemic stroke patients. Eur J Neurol. 2000;7(5):509-16.   DOI   ScienceOn
8 Kim JH, Park HK, Jeon SY et al. Initial Effect of an Elastic Chest Band during Inspiratory Exercise on Chest Function Improvement in People with Limited Rib Mobility A Randomized Controlled Pilot Trial. Physiother Res Int. 2012;17(4):208-13   DOI   ScienceOn
9 Kisner C, Colby LA. Therapeutic exercise: foundations and technique. 5rd ed Philadelphia. FA Davis Company. 2010;993-1031.
10 Korczyn AD, Hermann G, Don R. Diaphragmatic involvement in hemiplegia and hemiparesis. J Neurol Neurosurg Psychiatry. 1969;32(6):588-90.   DOI
11 Lanini B, Bianchi R, Romagnoli I et al. Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med. 2003;168(1):109-13.   DOI   ScienceOn
12 Lee JH, Kwon YJ, Kim K, The Effect of Chest Expansion and Pulmonary Function of Stroke Patients after Breathing Exercise. J Kor Soc Phys Ther. 2009;.21(3):25-32.
13 Lim SW, Seo KC. The effect of treadmill training with elastic band on the chest expansion and pulmonary function of young adults. J Int Acad Phys Ther Res. 2011;2(2):301-7.   DOI   ScienceOn
14 Seo KC. The Effect of Pulmonary Function and Respiratory Muscle Activity in the Stroke Patients after Complex Breathing Exercise. Graduate School of Rehabilitation Science. Daegu University Doctor's thesis. 2012.
15 American Thoracic Society. Lung function testing :selection of reference values and interpretative strategies. Am Rev Respir Dis. 1991;144(5):1202-18.   DOI   ScienceOn
16 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(2):184-90.   DOI   ScienceOn
17 Cohen E, Mier A, Heywood P et al. Diaphragmatic movement in hemiplegic patients measured by ultrasonography. Thorax. 1994;49(9):890-5.   DOI   ScienceOn
18 Duncan PW, Homer RD, Reker DM et al. Adherence to post acute rehabilitation guidelines is associated with functional recovery in stroke. Stroke. 2002;33(1):169-77.
19 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(3):240-50.   DOI   ScienceOn
20 Sezer N, Ordu NK, Sutbeyaz ST et al. Cardiopulmonary and metabolic responses to maximum exercise and aerobic capacity in hemiplegic patients. Funct Neurol. 2004;19(4):233-8.
21 Ueki J, De Bruin PF, Pride NB. In vivo assessment of diaphragm contraction by ultrasound in normal subjects. Thorax. 1995;50(11):1157-61.   DOI   ScienceOn
22 De Almeida IC, Clementino AC, Rocha EH et al. Effects of hemiplegy on pulmonary function and diaphragmatic dome displacement. Respir Physiol Neurobiol. 2011;178(2):196-201.   DOI   ScienceOn
23 Enright SJ, Unnithan VB, Heward C et al. Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Phys Ther. 2006;86(3):345-54.