The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Comparison of Pulmonary and Gait Function in Subacute or Chronic Stroke Patients and Healthy Subjects

아급성과 만성 뇌졸중 환자 및 정상인의 심폐와 보행 기능 비교

  • Kim, Chang-Beom (Department of Physical Therapy, College of Health Science, Daejeon University) ;
  • Choi, Jong-Duk (Department of Physical Therapy, College of Natural Science, Daejeon University)
  • 김창범 (대전대학교 보건스포츠대학원 물리치료학과) ;
  • 최종덕 (대전대학교 자연과학대학 물리치료학과)
  • Received : 2011.07.04
  • Accepted : 2011.09.26
  • Published : 2011.10.25
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Abstract

Purpose: The aim of this study was to evaluate functional gait and pulmonary function of patients with subacute or chronic stroke for aperiod after the onset of stroke. Healthy people of similar ages served as a control group. The study focused on the clinical importance of intervention with cardiopulmonary rehabilitation treatment in patients with stroke. Methods: The standard time period used to differentiate the subacute and the chronic stroke groups was six months. Each group, including the control, was allocated 11 subjects. Vital capacity (VC), forced vital capacity (FVC), and forced expiratory volume at one second ($FEV_1$) were measured with a spirometer for each subject. Walk tests (10 m and 6 min) and functional gait tests were then conducted. Results: Significant differences were noted for VC, FVC, and $FEV_1$ between the subacute stroke group and the normal group and between the chronic stroke group and the normal group (p<0.05), but no significant difference was evident between the subacute stroke group and the chronic stroke group (p>0.05). No significant difference was seen between the subacute stroke group and the chronic stroke group in the 6min walk test (p>0.05), whereas a significant difference was observed between the subacute stroke group and the chronic stroke group in the 10 m walk test (p<0.05). Conclusion: The general rehabilitation treatment is effective with respect to functional aspects, but it has limited effect in improving pulmonary function and muscular endurance. Therefore, additional intervention of cardiopulmonary rehabilitation is necessary in the rehabilitation treatment process of patients with stroke.

Keywords

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