scholarly journals The Effects of a Motorized Aquatic Treadmill Exercise Program on Muscle Strength, Cardiorespiratory Fitness, and Clinical Function in Subacute Stroke Patients

2018 ◽  
Vol 97 (8) ◽  
pp. 533-540 ◽  
Author(s):  
So Young Lee ◽  
Sang Hee Im ◽  
Bo Ryun Kim ◽  
Eun Young Han
Keyword(s):  
Muscle Strength ◽  
Cardiorespiratory Fitness ◽  
Treadmill Exercise ◽  
Exercise Program ◽  
Stroke Patients ◽  
Subacute Stroke ◽  
Aquatic Treadmill

scholarly journals Physical Therapy and Rehabilitation Ideas for Inspiratory Muscle Training in Patients With Subacute Stroke

2021 ◽  
Vol 19 (4) ◽  
pp. 455-464
Author(s):  
Irma Ruslina Defi ◽  
◽  
Novitri Novitri ◽  
Ilin Nurina ◽  
◽  
...  
Keyword(s):  
Muscle Strength ◽  
Lung Function ◽  
Walking Speed ◽  
Intervention Group ◽  
Quadriceps Strength ◽  
Control Group ◽  
Muscle Training ◽  
Stroke Patients ◽  
Paretic Side ◽  
Subacute Stroke

Objectives: This study aimed to elucidate the outcome of an Inspiratory Muscle Training (IMT) rehabilitation intervention on the lung function, functional mobilization, balance, and peripheral muscle strength of the paretic side in patients with subacute stroke. Methods: This double-blind, randomized controlled trial study was conducted on patients with stable subacute stroke. For 8 weeks, the intervention group (n=16) received 40% intensity IMT while the control group (n=16) received 10% intensity IMT. We assessed the patients’ lung function (spirometer) before and after the intervention, as well as their pulmonary muscle strength (micro-respiratory pressure meter [RPM]), quadriceps strength (handheld dynamometer), grip strength (Jamar), walking speed (10-m walk test), balance (Berg Balance Scale [BBS]), and functional mobilization (sit-to-stand test). Results: There were significant differences between the intervention group and the control group after IMT for forced vital capacity (FVC)% (P<0.01; d=3.20), forced expiratory volume in the first second (FEV1)/FVC (P<0.001; d=2.55), FEV1% (P<0.001; d=5.10), walking speed (P<0.05; d=1.62), hand grip (P<0.001; d=2.45), quadriceps strength (P<0.001; d=4.18), functional mobilization (P<0.01; d=2.41), and maximal inspiratory mouth pressure (P<0.001; d=1.62), but no significant changes were seen in balance (P=0.304; d=0.57). Discussion: IMT improved lung function, functional mobilization, handgrip strength, and quadriceps strength on the paretic side of subacute stroke patients and is expected to improve functional status and allow the patient to participate in social activities. IMT exercise can be included in the rehabilitation program for subacute stroke patients.

scholarly journals The Retornus-2 study: impact of respiratory muscle training in subacute stroke patients with dysphagia, study protocol of a double-blind randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
A. Guillen-Sola ◽  
M. Messaggi-Sartor ◽  
C. Ramírez-Fuentes ◽  
E. Marco ◽  
E. Duarte
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Trial Registration ◽  
Respiratory Muscle Training ◽  
Secondary Outcome ◽  
Respiratory Muscle Strength ◽  
Muscle Training ◽  
Stroke Patients ◽  
Randomized Controlled ◽  
Subacute Stroke

Abstract Background Stroke can lead to varying degrees of oropharyngeal dysphagia, respiratory muscle dysfunction and even increase medical complications such as aspiration, malnutrition and death. Recent studies suggest that inspiratory and expiratory respiratory muscle training (IEMT) can improve swallowing efficacy and may reduce aspiration events. The main purpose of this study is to examine whether an 8-week IEMT programme can improve respiratory muscle strength and swallow dysfunction severity in subacute stroke patients with dysphagia. Methods Retornus-2 is a two-arm, prospectively registered, randomized controlled study with blinded assessors and the participation of fifty individuals who have suffered a stroke. The intervention group undergoes IEMT training consisting of 5 sets of 10 repetitions, three times a day for 8 weeks. Training loads increase weekly. The control group undergoes a sham-IEMT protocol. The primary outcome examines the efficacy of the IEMT protocol to increase respiratory muscle strength and reduce dysphagia severity. The secondary outcome assesses the longitudinal impact of dysphagia on body composition and nutritional assessment over a 6-month follow-up. Discussion IEMT induces an improvement in respiratory muscle strength and might be associated with relevant benefits in dysphagia patterns, as well as a reduction in the number of aspiration events confirmed by videofluoroscopy or fiberoptic endoscopic evaluation of swallowing. The description of the impact of swallowing impairment on nutritional status will help develop new strategies to face this known side-effect. Trial registration Clinicaltrials.gov NCT03021252. Registered on 10 January 2017. https://clinicaltrials.gov/ct2/results?cond=retornus+2&term=&cntry=ES&state=&city=&dist= WHO trial Registration data set: Due to heavy traffic generated by the COVID-19 outbreak, the ICTRP Search Portal does not respond. The portal recommends other registries such as clinicaltrials.gov. Protocol version: RETORNUS 2_ PROTOCOL_2.

Abstract T P124: Effect of Neuromuscular Magnetic Stimulation on the Hemiplegic Upper Extremity in Subacute Stroke Patients

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Min Kyun Sohn ◽  
Hyun-keun Lee
Keyword(s):  
Muscle Strength ◽  
Treatment Period ◽  
Magnetic Stimulation ◽  
Hand Function ◽  
Stroke Patients ◽  
Peripheral Muscle ◽  
Subacute Stroke ◽  
Biphasic Waveform ◽  
Significant Difference ◽  
Hand Muscle

Objects: To investigate effects of neuromuscular magnetic stimulation (NMMS) on the wrist and hand muscle comparing with neuromuscular electric stimulation (NMES) in subacute stroke patients. Subject and Method: 20 Patients with subacute hemiplegic stroke were randomized into 2 groups; NMMS group (N=10) and a NMES group (N=10). Stimulation delivered 10-minute session, twice a day, 5 days a week for 3 weeks in both group to the affected forearm in alternating extensor/flexor muscle. The stimulation parameters required to produce slow movement through the full range at maximum patient comfort: NMMS (10 Hz, 10 s stimulation, 20 s rest, 10 min treatment time and 2,000 total pulse) and NMES (a symmetrical biphasic waveform, 30 us pulse width, 40 Hz).The hand function (Box and blocks test, Jebson-Taylor hand function test), hand performance (Wrist and hand muscle strength, grip power) and spasticity were done at baseline, after 1 week, and at the end of the treatment period (after 3 weeks). Repeated measurement ANOVA was used for statistical analysis. Results: There were statistically significant improvements in measures of wrist flexor and hand flexor/extensor strength over the treatment period (p<0.05), but not significantly different between the groups. Although box and block test improved at 3 weeks in both groups, this was not statistically significant. Other measured outcome were not significantly improved. Conclusions: The both NMMS and NMES improves wrist and hand muscle strength in subacute hemiplegic stroke patients, with no significant difference between the stimulation. Therefore magnetic stimulation of peripheral muscle could be useful as much as a electrical stimulation. However, long term period follow-up was needed.

scholarly journals Efficacy of Aquatic Treadmill Training on Gait Symmetry and Balance in Subacute Stroke Patients

2017 ◽  
Vol 41 (3) ◽  
pp. 376 ◽  
Author(s):  
Mi Eun Lee ◽  
Geun Yeol Jo ◽  
Hwan Kwon Do ◽  
Hee Eun Choi ◽  
Woo Jin Kim
Keyword(s):  
Treadmill Training ◽  
Stroke Patients ◽  
Gait Symmetry ◽  
Subacute Stroke ◽  
Aquatic Treadmill
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