Effects of the Resisted Exercise in the Respiratory Function of Individuals With Hemiparesis after Stroke
DOI:
https://doi.org/10.17140/PRRMOJ-2-114Keywords:
Respiratory mechanics, Stroke, Muscle strength, Physical therapyAbstract
Objective: To compare the effects of resisted exercise in lungs volume and capacity and strength of the respiratory muscles on individuals with hemiparesis after a stroke. Methods: Ten individuals with hemiparesis caused by stroke were evaluated by measuring thoracic cirtometry, spirometry and manovacuometry before and after a muscle strengthening program for upper and lower limb that consisted of three weekly sessions with progressive load increment (30, 40 and 50% of the maximum load). The pre and post intervention data were compared using the t-Student and Wilcoxon tests (p<0.05). Results: The subjects assessed were 52.60±10.50 years old, 70% were men and 70% with right hemisphere damage. These are the pre and post intervention data concerning respectively to axillary thoracic mobility= 4.40±1.20 and 4.20±1.57 cm; xiphoid=4.45±1.34 and 4.90±1.76 cm; basal=4.00±1.68 and 4.25±2.52 cm, spirometry: FVC=3,52±0,57 L e 3,30±0,64 L; FVC%=93,06±9,77 e 86,81±14,06%; FEV1=2,72±0,49 L e 2.58±0.59 L; FEV1%=88.27±9.43 e 83.04±15.08%; FEV1/FVC=83.62±10.62 e 78.70±13.74%; Pimax=-88.50±24.27 e -91.50±21.09 cm H2O; Pemax = 96.00±23.78 e 95.50±15.71 cm H2O. After the training period with resisted exercise there was a statistically significant improvement on peripheral muscle strength (p<0.05). However, the variables associated with the respiratory function remained similar (p>0.05). Conclusions: Adaptations caused by the resisted exercise training did not promote variation in thoracic expansion and respiratory muscles strength, as well as in lungs volume and capacity on subjects at a stroke chronic phase.KEYWORDS: ; ; ;
References
Ministry of Health. Datasus. Morbidity indicators. Brazil; 2010.
World Health Organization (WHO). World health statistics annual: 2008. Geneva; 2008.
Meneghetti CHZ, Figueiredo VE, Guedes CAV, Batistela ACT. Respiratory Muscle Strength Assessment Individuals af-fected by Stroke. Rev Neurocienc. 2011; 1(19): 56-60.
Pizzol R, Yu F, Bott G, Tarumoto M. Spirometry and respi-ratory muscle strength in patients with hemiplegia assessment. Rev Bras Fisioter. 2004; S85
Marcucci FCI, Cardoso NS, Berteli KS, Garanhami MR, Car-doso JR. Electromyographic changes of the trunk muscles of pa-tients with hemiparesis after stroke. Arq Neuropsiquiatr. 2007; 65: 900-905.
Fernandes MA, Freitas BHPF, Negrini F, Sampaio LMM, Medalha CC. Contributions of the Cardiopulmonary Evaluation in Patients Hemiplegics. Arq Sanny Pesq Saúde. 2008; 1(2): 90-
Ovando AC, Michaelsen SM, Dias JA, Herber V. Gait train-ing, Cardiorespiratory and Muscular after Stroke: strategies, strengths and outcomes. Fisioter Mov. 2010; 23(2): 253-269. doi: 10.1590/S0103-51502010000200009
Teixeira-Salmela LF, Oliveira ESG, Santana EGS, Resende GP. Muscle strengthening and physical conditioning in chronic stroke subjects. Acta Fisiátr. 2000; 7(3): 108-118.
Morris SL, Dodd KJ, Morris ME. Outcomes of progressive re-sistance strength training following stroke: a systematic review. Clin Rehabil. 2004; 18: 27-39.
Teixeira-Salmela LF, Olney SJ, Nadeau S. Muscle strength-ening and physical conditioning to reduce impairment and dis-ability in chronic stroke survivors. Arch Phys Med Rehabil. 1999; 80: 1211-1218. doi: 10.1016/S0003-9993(99)90018-7
Junqueira RT, Ribeiro AMB, Scianni AA. Effects of muscle strengthening and its relationship with functional activity and spasticity in hemiparetic individuals. Rev Bras Fisioter. 2004; 8(3): 247-252.
Teixeira-Salmela LF, Nadeu S, McBride I, Olney SJ. Effects of muscle strengthening and physical conditioning training on temporal, kinematic and kinetic variables during gait in chronic stroke survivors. J Rehab Med. 2001; 33: 53-60.
YangYR,Wang RY, Lin KH, Chu MY, Chan RC.Task-oriented progressive resistance strength training improves muscle strength and functional performance in individuals with stroke. Clin Re-hab. 2006; 20: 860-870. doi: 10.1177/0269215506070701
Shepherd RB. Exercise and training to optimize functional motor performance in stroke in stroke: driving Neural Reorga-nization? Neural Plast. 2001; 8(1-2): 121-129. doi: 10.1155/ NP.2001.121
Hoff J, Tijonna AE, Steinshamn S, Hoydal M, Richardson RS, Helgerud J. Maximal strength training of the legs in CODP: a therapy for mechanical inefficiency. Med Sci Sports Exerc. 2007; 39: 220-226.
Kakizaki F, Shibuya M, Yamazaki T, Yamada M, Suzuki H, Homma I. Preliminary report of the effects of respiratory muscle stretch gymnastics on chest wall mobility in patients with chron-ic obstructive pulmonary disease. Respir Care. J Cardpulm Re-habil. 1999; 44(4): 409-414.
American Thoracic Society. Standardization of Spirometry, 1994 Update. AM J Respir Crit Care Med. 1995; 152(3): 1107- 1136.
Black L; Hyatt R. Maximal respiratory pressures: normal values and relationship to age and sex. Am Ver Respir Dis. 1966; 99: 696-702.
Robertson RJ, Goss FL, Rutkowsi J, et al. Concurrent Vali-dation of the OMNI Perceived Exertion Scale for Resistence Ex-ercise. Med Sci Sports Exerc. 2003; 35(2): 333-341
Nedeltchev K, Maur T, der A, et al. Ischaemic stroke in young adults: predictors of outcome and recurrence. J Neu-rol Neurosurg Psychiatry. 2005; 76: 191-195. doi: 10.1136/ jnnp.2004.040543
Pires SL, Gagliard RJ, Gorzoni ML. Study of the frequency of the major risk factors for ischemic stroke in elderly. Arq Neu-ro Psiquiatr. 2004; 62(3): 844-851.
Doherty TJ. Physiology of Aging. Invited Review: Aging and sarcopenia. J Appl Physiol. 2003; 95: 1717-1727.
Pride NB. Ageing and changes in lung mechanics. Eur Re-spir J. 2005; 26: 563-565. doi: 10.1183/09031936.05.00079805
Voos MC, Ribeiro do Valle LE. Comparative study of the hemispheric relationship affected in stroke and functional evolu-tion in right-handed individuals. Rev Bras Fisioter. 2008; 12(2): 113-120. doi: 10.1590/S1413-35552008000200007
Brazilian Society of Thoracic. Guidelines for pulmonary function tests. J Bras Pneumol. 2002; 28(3): 1-238.
Ogiwara S, Ogura K. Ântero-Posterior Excursion of the Hemithorax in Hemiplegia. J Phys Ther Sci. 2001; 13(1): 11-15. doi: 10.1589/jpts.13.11
Caldeira, VS, Starling CCD, Britto RR, Martins JA, Sam-paio RF, Parreira VF. Reliability and accuracy of cirtometry in healthy adults. J Bras Pneumol. 2007; 33(5): 519-526. doi: 10.1590/S1806-37132007000500006
Pompeu SMAA, Pompeu JE, Rosa M, Silva MR. Correlation between Motor and Respiratory Disorders in stroke. Rev Neuro-cienc. 2011; 19(4): 614-620.
Hill TR, Gjellesvik TI, Moen PM, et al. Maximal Strength Training Enhances Strength and Functional Performance in Chronic Stroke Survivors. Am J Phys Med Rehabil. 2012; 91(5): 393-400. doi: 10.1097/PHM.0b013e31824ad5b8
Moritani T, De Vries HA. Neural factors versus hypertro-phy in the time course of muscle strength gain. Am J Phys Med. 1979; 58: 115-130.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Pulmonary Research and Respiratory Medicine (PRRM) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.
