DOI QR코드

DOI QR Code

뇌졸중 환자를 위한 호흡 운동의 효과성: 체계적 고찰

Effectiveness of Respiratory Exercise for Stroke Patients: A Sytematic Reiview

  • 이명호 (대구대학교 일반대학원 재활과학과) ;
  • 김명권 (대구대학교 재활과학대학 물리치료학과)
  • Myeong-Ho Lee (Department of Rehabilitation Sciences, Graduate School, Daegu University) ;
  • Myoung-Kwon Kim (Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University)
  • 투고 : 2023.07.17
  • 심사 : 2023.08.18
  • 발행 : 2023.08.31

초록

PURPOSE: This study analyzed the effectiveness of respiratory exercise in stroke patients conducted in Korea over the past 10 years (2012-2023). METHODS: Using the RISS, KCI, KISS, and NDSL databases, previous studies on stroke and respiratory exercise were searched, and relevant articles were collected following the PRISMA guidelines. Twelve articles were selected, and the quality of the studies was evaluated using the PEDro scale. RESULTS: Twelve studies were selected, and the qualitative evaluation of these studies showed that five articles received a score of six out of 10, while five articles received a score of five. The remaining two articles received scores of four and three, respectively. The intervention duration for respiratory exercise ranged from 20 to 30 minutes per session, with a frequency of three to five sessions per week, conducted over a period of three to eight weeks. These results indicated that respiratory exercise effectively improved the respiratory function, physical function, and respiratory muscle activation in stroke patients. CONCLUSION: Respiratory exercise was reported to have a positive affect the respiratory function, physical activity, and respiratory muscle activation in stroke patients.

키워드

과제정보

이 논문은 2023학년도 대구대학교 학문후속세대 연구과제로 수행되었음.

참고문헌

  1. de Almeida ICL, Clementino ACCR, Rocha EHT, et al. Effects of hemiplegy on pulmonary function and diaphragmatic dome displacement. Respir Physiol Neurobiol. 2011;178(2):196-201. https://doi.org/10.1016/j.resp.2011.05.017
  2. Mercier L, Audet T, Hebert R, et al. Impact of motor, cognitive, and perceptual disorders on ability to perform activities of daily living after stroke. Stroke. 2001;32(11):2602-8. https://doi.org/10.1161/hs1101.098154
  3. Dean E, Frownfelter DL. Cardiovascular and pulmonary physical therapy: Evidence and practice: Mosby St. Louis, MO, USA; 2006.
  4. Xiao Y, Luo M, Wang J, et al. Inspiratory muscle training for the recovery of function after stroke. Cochrane Database Syst Rev. 2012;5(1):1-11. https://doi.org/10.1002/14651858.CD009360.pub2
  5. Hannawi Y, Hannawi B, Rao CPV, et al. Stroke-associated pneumonia: Major advances and obstacles. Cerebrovascular diseases. 2013;35(5):430-43. https://doi.org/10.1159/000350199
  6. Finlayson O, Kapral M, Hall R, et al. Risk factors, inpatient care, and outcomes of pneumonia after ischemic stroke. Neurology. 2011;77(14):1338-45. https://doi.org/10.1212/WNL.0b013e31823152b1
  7. Rhoda A, Smith M, Putman K, et al. Motor and functional recovery after stroke: A comparison between rehabilitation settings in a developed versus a developing country. BMC Health Serv Res. 2014;14:1-7. https://doi.org/10.1186/1472-6963-14-1
  8. Lord SE, McPherson K, McNaughton HK, et al. Community ambulation after stroke: How important and obtainable is it and what measures appear predictive?. Arch Phys Med Rehabil. 2004;85(2):234-9. https://doi.org/10.1016/j.apmr.2003.05.002
  9. Kelly JO, Kilbreath SL, Davis GM, et al. Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil. 2003;84(12):1780-5. https://doi.org/10.1016/S0003-9993(03)00376-9
  10. Kisner C, Colby LA, Borstad J. Therapeutic exercise: Foundations and techniques: Fa Davis; 2017.
  11. Khedr E, El Shinawy O, Khedr T, et al. Assessment of corticodiaphragmatic pathway and pulmonary function in acute ischemic stroke patients. Eur J Neurol. 2000;7(3):323-30. https://doi.org/10.1046/j.1468-1331.2000.00078.x
  12. Battaglia E, Fulgenzi A, Ferrero ME. Rationale of the combined use of inspiratory and expiratory devices in improving maximal inspiratory pressure and maximal expiratory pressure of patients with chronic obstructive pulmonary disease. Arch Phys Med Rehabil. 2009;90(6):913-8. https://doi.org/10.1016/j.apmr.2008.12.019
  13. Forbes S, Game A, Syrotuik D, et al. The effect of inspiratory and expiratory respiratory muscle training in rowers. Res Sports Med. 2011;19(4):217-30. https://doi.org/10.1080/15438627.2011.608033
  14. Simms AM, Li LC, Reid WD. Development of a theory-based intervention to increase prescription of inspiratory muscle training by health professionals in the management of people with chronic obstructive pulmonary disease. Physiother Can. 2011;63(3):315-23. https://doi.org/10.3138/ptc.2010-15
  15. Houston BW, Mills N, Solis-Moya A. Inspiratory muscle training for cystic fibrosis. Cochrane Database Syst Rev. 2013;11(4):1-11. https://doi.org/10.1002/14651858.CD006112.pub3
  16. Pryor JA, Prasad AS. Physiotherapy for respiratory and cardiac problems: Adults and paediatrics. Elsevier Health Sciences. 2008.
  17. Koppers RJ, Vos PJ, Boot CR, et al. Exercise performance improves in patients with copd due to respiratory muscle endurance training. Chest. 2006;129(4):886-92. https://doi.org/10.1378/chest.129.4.886
  18. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: The prisma statement. Ann Intern Med. 2009;151(4):264-9. https://doi.org/10.7326/0003-4819-151-4-200908180-00135
  19. Olivo SA, Macedo LG, Gadotti IC, et al. Scales to assess the quality of randomized controlled trials: A systematic review. Phys Ther. 2008;88(2):156-75. https://doi.org/10.2522/ptj.20070147
  20. Cho YH, Cho KH. The effect of the resistance respiratory exercise with transcutaneous electrical nerve stimulation on respiratory muscle tone and pulmonary function of chronic stroke patients. J Korean Soc Phys Med. 2022;17(1):75-83 https://doi.org/10.13066/kspm.2022.17.1.75
  21. Lee MH, Kim MK. Effects of respiratory muscle strengthening training on the pulmonary function in chronic stroke patients on an unstable support surface. J Korean Soc Phys Med. 2022;17(2):75-82. https://doi.org/10.13066/kspm.2022.17.2.75
  22. Kim KH, Kim DH. Effects of PNF and respiratory muscle endurance training on lung function and physical activity in chronic stroke patients. PNF & Mov. 2020;18(2):205-14.
  23. Kim BS, Park SH, Park HJ, et al. The effects of whole body vibration stimulation training combined with respiratory resistance on respiratory and balance function in stroke patients. JCIT. 2019;9(10):234-43.
  24. Yoo H-J, Pyun S-B. Efficacy of bedside respiratory muscle training in patients with stroke: A randomized controlled trial. Am J Phys Med Rehabil. 2018;97(10):691-7. https://doi.org/10.1097/PHM.0000000000000933
  25. Kang T-W, Kim B-R. Effects of respiratory muscle training on the respiratory function, balance, and activities of daily living in patients with stroke. The Journal of Korean Physical Therapy. 2018;30(2):58-62.
  26. Jeong SA, Lee DW, Kim JY. The effect of pulmonary function and gait endurance on complex respiratory training and inspiratory muscle exercise in patient with stroke. Journal of KOEN. 2017:65-72.
  27. Cho YH, Lee SB. Impact of respiratory muscle exercises on pulmonary function and quality of sleep among stroke patients. J Korean Soc Phys Med. 2015;10(4):123-31. https://doi.org/10.13066/kspm.2015.10.4.123
  28. Cho MR, Kim NS, Jung JH. The effects of respiratory muscle training on respiratory function, respiratory muscle strength, and cough capacity in stroke patients. J Korean Soc Phys Med. 2014;9(4):399-406. https://doi.org/10.13066/kspm.2014.9.4.399
  29. Kim JS, Shin WS. The effects of respiratory muscle strengthening training on pulmonary function and gait ability in subacute stroke patients. J Korean Soc Phys Med. 2013;8(4):489-96. https://doi.org/10.13066/kspm.2013.8.4.489
  30. Lee SR, Lee JM, Lee JE, et al. Effects of respiratory muscle strengthening training on pulmonary function in persons with stroke. JKPTS. 2012;19(4):47-52.
  31. Han JM, Kim HA, Koo JP, et al. Effects of respiratory muscle activity in stroke patients after feedback breathing exercise. JIAPTR. 2013;4(2):552-6. https://doi.org/10.5854/JIAPTR.2013.10.25.552
  32. Frownfelter D, Dean E, Stout M, et al. Cardiovascular and pulmonary physical therapy e-book: Evidence to practice: Elsevier health sciences. 2022.
  33. Weiner P, Magadle R, Beckerman M, et al. Comparison of specific expiratory, inspiratory, and combined muscle training programs in copd. Chest. 2003;124(4):1357-64. https://doi.org/10.1378/chest.124.4.1357
  34. Menezes KK, Nascimento LR, Ada L, et al. Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: A systematic review. J Physiother. 2016;62(3):138-44. https://doi.org/10.1016/j.jphys.2016.05.014
  35. Pozuelo-Carrascosa DP, Carmona-Torres JM, Laredo-Aguilera JA, et al. Effectiveness of respiratory muscle training for pulmonary function and walking ability in patients with stroke: A systematic review with meta-analysis. Int J Environ Res Public Health. 2020;17(15):5356.
  36. Jandt SR, da Sil Caballero RM, Junior LAF, et al. Correlation between trunk control, respiratory muscle strength and spirometry in patients with stroke: An observational study. Physiother Res Int. 2011;16(4):218-24. https://doi.org/10.1002/pri.495
  37. Tomczak CR, Jelani A, Haennel RG, et al. Cardiac reserve and pulmonary gas exchange kinetics in patients with stroke. Stroke. 2008;39(11):3102-6. https://doi.org/10.1161/STROKEAHA.108.515346
  38. Reyes A, Ziman M, Nosaka K. Respiratory muscle training for respiratory deficits in neurodegenerative disorders: A systematic review. Chest. 2013;143(5):1386-94. https://doi.org/10.1378/chest.12-1442
  39. Gomes-Neto M, Saquetto MB, Silva CM, et al. Effects of respiratory muscle training on respiratory function, respiratory muscle strength, and exercise tolerance in patients poststroke: A systematic review with meta-analysis. Arch Phys Med Rehabil. 2016;97(11): 1994-2001. https://doi.org/10.1016/j.apmr.2016.04.018
  40. Field MJ, Gebruers N, Shanmuga Sundaram T, et al. Physical activity after stroke: A systematic review and meta-analysis. Int Sch Res Notices. 2013;2(1):1-13 https://doi.org/10.1155/2013/464176
  41. Michaelsen SM, Ovando AC, Romaguera F, et al. Effect of backward walking treadmill training on walking capacity after stroke: A randomized clinical trial. Int J Stroke. 2014;9(4):529-32. https://doi.org/10.1111/ijs.12255
  42. Leonard CT, Brown JS, Price TR, et al. Comparison of surface electromyography and myotonometric measurements during voluntary isometric contractions. J Electromyogr Kinesiol. 2004;14(6):709-14. https://doi.org/10.1016/j.jelekin.2004.06.001
  43. 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. https://doi.org/10.1164/rccm.200207-745OC
  44. Kim J. The effect of exercise capacity and pulmonary function in the stroke patients after breathing exercise. gachon university. 2012.