Feasibility of Early Physical Therapy Program In-Hospital Patients with Acute Ischemic Stroke
DOI:
https://doi.org/10.3889/oamjms.2014.078Keywords:
early physical therapy, acute stroke, breathing exercises, inspiratory training, pulmonary functionAbstract
BACKGROUND AND PURPOSE: Clinical practice guidelines for patients with stroke recommend early stroke rehabilitation at acute stroke unit care. The purpose of the study is to determine the feasibility of the application of feedback breathing device for respiratory training during the acute period in patients with ischemic cerebral stroke and appropriate program of physical therapy.
MATERIAL AND METHODS: Seven patients in acute period – not later than 48 hours after the accident with light to moderate stroke severity under the NIHSS scale. The applied study methods are the following: functional respiratory evaluation, inspiratory capacity with incentive spirometer device, assessing diaphragmatic movement by ultrasonography.
RESULTS: Better results in Forced Vital Capacity, Peak Expiratory Flow, inspiratory capacity and ultrasonography have been observed.
CONCLUSION: An early targeted impact on respiratory disorders in patients with ischemic cerebral stroke is applicable. To determine the clinical significance larger studies are needed.Downloads
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Otterman NM, van der Wees PJ, Bernhardt J, Kwakkel G. Physical Therapists' Guideline Adherence on Early Mobilization and Intensity of Practice at Dutch Acute Stroke Units Stroke. 2012; 43: 2395-2401. DOI: https://doi.org/10.1161/STROKEAHA.112.660092
Brandstater M, Shutter L. Rehabilitation Interventions During Acute Care of Stroke Patients. Top Stroke Rehabil. 2002; 9(2):48–56. DOI: https://doi.org/10.1310/YGAX-X5VK-NHVD-HGPA
Bernhardt J, Dewey H, Thrift A, Collier J, Donnan G. A very early rehabilitation trial for stroke (AVERT): phase II safety and feasibility. Stroke. 2008; 39: 390–396. DOI: https://doi.org/10.1161/STROKEAHA.107.492363
Langhorne P, Stott D, Knight A, Bernhardt J, Barer D, et al. Very early rehabilitation or intensive telemetry after stroke: a pilot randomised trial. Cerebrovasc Dis. 2010; 29: 352–360. DOI: https://doi.org/10.1159/000278931
Peppen RPS van, Kwakkel G, Harmeling-van der Wel BC, Kollen BJ, Hobbelen JSM, Buurke JH, et al. KNGF Clinical Practice Guideline for physical therapy in patients with stroke. Review of the evidence. Nederlands Tijdschrift voor Fysiotherapie. 2004; 114: 47-53.
Langhorne P, Sandercock P, Prasad K. Evidence-based practice for stroke. Lancet neurol. 2009; 8: 308-9. DOI: https://doi.org/10.1016/S1474-4422(09)70060-2
Wellwood I, Langhorne P, McKevitt C, Bernhardt J, Rudd AG, Wolfe CD. An observational study of acute stroke care in four countries: the European registers of stroke study. Cerebrovasc Dis. 2009; 28:171–176. DOI: https://doi.org/10.1159/000226116
[National consensus on the prevention, diagnosis, treatment and rehabilitation of cerebrovascular diseases], Bulgaria, 2011.
Lubenova D. [Physical therapy in neurological and psychological diseases] Betaprint-Petrovi, Sofia, 2011:39-48.
Veerbeek JM, van Wegen E, van Peppen R, van der Wees PJ, Hendriks E, et al. (2014) What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis. PLoS ONE. 2014;9(2): e87987. DOI: https://doi.org/10.1371/journal.pone.0087987
Houston J, Morris A, Grosset D, et al. Ultrasonic evaluation of movement of the diaphragm after acute cerebral infarction. J Neurol Neurosurg Psychiatry. 1995; 58: 738-741. DOI: https://doi.org/10.1136/jnnp.58.6.738
Voyvoda N, Yucel C, Karatas G, Oguzulgen I, Oktar S. An evaluation of diaphragmatic movements in hemiplegic patients. The British Journal of Radiology. 2012; 85:411–41. DOI: https://doi.org/10.1259/bjr/71968119
Dimitrova Ð, Petkov I. [Changes in some spirometric parameters after physical therapy for patients with chronic obstructive pulmonary disease.] Kinesitherapy. 2008; 4:28-37.
Kim K, Fell D, Lee H J. Feedback respiratory training to enhance chest expansion and pulmonary function in chronic stroke: A double-blind, randomized controlled study. J Phys Ther Sci. 2011; 23: 75-79. DOI: https://doi.org/10.1589/jpts.23.75
Sutbeyaz ST, Koseoglu F, Innan L et al. Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subject with subacute stroke: a randomized controlled trial. Clin Rehabil. 2010; 24: 240-250. DOI: https://doi.org/10.1177/0269215509358932
Pollock DR, Rafferty FG, Moxham J, Kalra L. Respiratory muscle strength and training in stroke and neurology: a systematic review. Int J Stroke. 2012; 8(2):124-30. DOI: https://doi.org/10.1111/j.1747-4949.2012.00811.x
Britto R, Rezende N, Marinho K, Torres J, Parreira V, Teixeila-Salmela L. Inspiratory Muscular Training in Chronic Stroke Survivors: A Randomized Controlled Trial, Arch Phys Med Rehabil. 2011; 92: 184-190. DOI: https://doi.org/10.1016/j.apmr.2010.09.029
Ward K, Seymour J, Steier J, Jolley CJ, Polkey MI, Kalra L, Moxham J. Acute ischaemic hemispheric stroke is associated with impairment of reflex in addition to voluntary cough. Eur Respir J. 2010; 36: 1383–1390. DOI: https://doi.org/10.1183/09031936.00010510
Klefbeck B, Nedjad H J. Effect of inspiratory muscle training in patients with multiple sclerosis. Arch Phys Med Rehabil. 2003; 84(7), 994-999. DOI: https://doi.org/10.1016/S0003-9993(03)00133-3
Manor B D, Hub K, Peng C, Lipsitz L A, Novak V. Posturo-respiratory synchronization: Effects of aging and stroke. Gait & Posture. 2012; 36, 254–259. DOI: https://doi.org/10.1016/j.gaitpost.2012.03.002
Howard RS, Rudd AG, Wolfe CD, Williams AJ. Pathophysiological and clinical aspects of breathing after stroke. Postgrad Med J. 2001;77:700–702. DOI: https://doi.org/10.1136/pmj.77.913.700
Jung KJ, Park JY, Hwang DW. Ultrasonographic diaphragmatic motion analysis and its correlation with pulmonary function in hemiplegic stroke patients. Ann Rehabil Med. 2014; 38(1):29-37. DOI: https://doi.org/10.5535/arm.2014.38.1.29
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