Respiratory Muscle Strength in Chronic Stroke Survivors and Its Relation With the 6-Minute Walk Test.

Abstract:

OBJECTIVES:To compare respiratory muscle strength in stroke survivors (SS) with that in a control group (CG) of healthy people matched by age and sex, as well as to investigate any relation between respiratory muscle strength and the distance walked during the 6-minute walk test (6MWT). DESIGN:Cross-sectional study. SETTING:This study comprised patients from a private neurological rehabilitation center and a public association for patients with acquired brain injury. PARTICIPANTS:Chronic SS with a diagnosis of hemiplegia/hemiparesis who were able to walk (n=30) and healthy individuals matched by sex and age (n=30) (N=60). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Respiratory muscle strength was assessed using maximal expiratory pressure (MEP) and maximal inspiratory pressure (MIP) with a pressure transducer and a diver nozzle. The distance walked during the 6MWT was also registered for both groups. The motricity index and the Scale Impact of Stroke version 16.0 were also measured in SS. RESULTS:The Student t test revealed significantly lower values of MIP and MEP in SS than in the CG (MEP, 95.93±43.12cmH2O in SS vs 158.43±41.6cmH2O in the CG; MIP, 58.7±24.67cmH2O in SS vs 105.7±23.14cmH2O in the CG; P<.001). Moreover, these findings were clinically relevant because both MIP and MEP in SS were <60% of the predicted values. A positive correlation between the 6MWT and MIP was found using the Pearson coefficient (r=.43; P<.018). CONCLUSIONS:Respiratory muscle weakness should be considered in a holistic approach to stroke rehabilitation.

journal_name

Arch Phys Med Rehabil

authors

Lista Paz A,González Doniz L,Ortigueira García S,Saleta Canosa JL,Moreno Couto C

doi

10.1016/j.apmr.2015.10.089

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

266-72

issue

2

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(15)01346-5

journal_volume

97

pub_type

杂志文章
  • Ischemic stroke: relation of age, lesion location, and initial neurologic deficit to functional outcome.

    abstract:OBJECTIVE:Establish the relation between age, gender, initial neurologic deficit, stroke location, prior stroke, hemisphere of stroke, and functional outcome in ischemic stroke. DESIGN:Single group, multivariate, repeated measures design with 327 persons having ischemic stroke recruited from 20 participating centers. ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90271-4

    authors: Macciocchi SN,Diamond PT,Alves WM,Mertz T

    更新日期:1998-10-01 00:00:00

  • Rehabilitation service needs: physicians' perceptions and referrals.

    abstract::A descriptive sample survey of physicians showed that 75% of physicians in an urban area had seen at least 1 patient in the past 6 months who was perceived as needing some type of rehabilitation service, whereas only 8% to 17% of physicians saw more than 25 such patients. Of those physicians who saw such patients, abo...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Brogan DR

    更新日期:1981-05-01 00:00:00

  • The experience of phantom limb pain in patients with combat-related traumatic amputations.

    abstract:OBJECTIVES:To describe the prevalence and characteristics of phantom limb pain (PLP) and the use and perceived effectiveness of standard medical and self-treatment methods by traumatic amputees with combat-related injuries. DESIGN:A retrospective descriptive questionnaire study. SETTING:Outpatient amputee clinic at a...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2007.11.037

    authors: Ketz AK

    更新日期:2008-06-01 00:00:00

  • Motor nerve latencies through the tarsal tunnel in normal adult subjects: standard determinations corrected for temperature and distance.

    abstract::A standardized method of obtaining distal motor latencies of the medial and lateral plantar nerves over fixed distances with temperature correction in 37 normal subjects is presented. The posterior tibial nerve was supramaximally stimulated 6, 8, 10, 12 and 14cm proximal to the active electrode over the motor point of...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Fu R,DeLisa JA,Kraft GH

    更新日期:1980-06-01 00:00:00

  • Simultaneous Ashworth measurements and electromyographic recordings in tetraplegic patients.

    abstract:OBJECTIVE:A recent prevalence study of 353 spinal cord injured (SCI) individuals in the greater Stockholm area showed problematic spasticity in 30% of this population. To treat spasticity, the evaluation becomes crucial. The modified Ashworth scale (MAS) is the clinically most-used scale to grade degree of spasticity. ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90095-8

    authors: Sköld C,Harms-Ringdahl K,Hultling C,Levi R,Seiger A

    更新日期:1998-08-01 00:00:00

  • System-wide Clinical Assessment of Functioning Based on the International Classification of Functioning, Disability and Health in China: Interrater Reliability, Convergent, Known Group, and Predictive Validity of the ICF Generic-6.

    abstract:OBJECTIVE:To validate the International Classification of Functioning, Disability and Health (ICF) Generic-6 in daily routine clinical practice in Mainland China. Specific objectives were to analyze (1) interrater reliability, (2) convergent validity, (3) known group validity, and (4) predictive validity of the ICF Gen...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2018.11.014

    authors: Liu S,Reinhardt JD,Zhang X,Ehrmann C,Cai W,Prodinger B,Liu S,Li J

    更新日期:2019-08-01 00:00:00

  • Stroke: morale, family functioning, health status, and functional capacity.

    abstract::Twenty-two stroke patients and their spouses were studied. All patients were living at home and had had a stroke at least one year previously. Of the 22 patients 14 were men and eight were women. Couples were assessed on the variables of morale, family functioning, health status, and patient functional capacity. For a...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/0003-9993(86)90107-3

    authors: Bishop DS,Epstein NB,Keitner GI,Miller IW,Srinivasan SV

    更新日期:1986-02-01 00:00:00

  • The effect of neck pain on cervical kinematics, as assessed in a virtual environment.

    abstract:OBJECTIVE:To compare cervical kinematics during functional motion in patients with neck pain and in asymptomatic participants using a novel virtual reality assessment. DESIGN:Clinical comparative trial. SETTING:Participants were recruited from university staff and students, and from a local physical therapy clinic. ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.apmr.2010.09.007

    authors: Sarig Bahat H,Weiss PL,Laufer Y

    更新日期:2010-12-01 00:00:00

  • Models for integrating rehabilitation and primary care: a scoping study.

    abstract:OBJECTIVE:To describe the scope and breadth of knowledge currently available regarding the integration of rehabilitation and primary care services. DATA SOURCES:Peer-reviewed journals were searched using CINAHL, MEDLINE, and EBM Reviews for the years 1995 through 2007. This process identified 172 items. STUDY SELECTI...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1016/j.apmr.2009.03.017

    authors: McColl MA,Shortt S,Godwin M,Smith K,Rowe K,O'Brien P,Donnelly C

    更新日期:2009-09-01 00:00:00

  • Physical examination of the knee: a review of the original test description and scientific validity of common orthopedic tests.

    abstract:OBJECTIVES:To present the original descriptions of common orthopedic physical examination maneuvers of the knee and then to review the literature to support the scientific validity of these tests. DATA SOURCES:MEDLINE (1970-2000) searches were performed, as were reviews of various musculoskeletal examination textbooks...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1053/apmr.2003.50026

    authors: Malanga GA,Andrus S,Nadler SF,McLean J

    更新日期:2003-04-01 00:00:00

  • Patient-focused rehabilitation team cohesiveness in veterans administration hospitals.

    abstract:OBJECTIVE:To quantify the relation of hospital culture, 3 levels of leadership (hospital-level administrators, discipline-specific supervisors, attending physician on the team), and physician involvement to patient-focused rehabilitation team cohesiveness. DESIGN:Survey research. SETTING:48 Veterans Administration ho...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0003-9993(03)00197-7

    authors: Smits SJ,Falconer JA,Herrin J,Bowen SE,Strasser DC

    更新日期:2003-09-01 00:00:00

  • Prevalence of female athlete triad characteristics in a club triathlon team.

    abstract:OBJECTIVE:To determine the prevalence of the female athlete triad in club triathletes. DESIGN:Cross-sectional. SETTING:Academic medical center in the midwestern United States. PARTICIPANTS:Fifteen women (mean age, 35+/-6 y). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Disordered eating and menstrual status...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2007.02.035

    authors: Hoch AZ,Stavrakos JE,Schimke JE

    更新日期:2007-05-01 00:00:00

  • Nutritional status during the acute stage of spinal cord injury.

    abstract::This study was designed to help clinicians establish objective guidelines for meeting the nutritional requirements of spinal cord injury (SCI) patients during their initial hospitalizations. The nutritional status of 51 SCI patients treated between 1983 and 1986 was assessed at two, four, and eight weeks after injury....

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Laven GT,Huang CT,DeVivo MJ,Stover SL,Kuhlemeier KV,Fine PR

    更新日期:1989-04-01 00:00:00

  • Long-term psychosocial adjustment to coronary artery disease.

    abstract::Personality hardiness, which has been conceptualized as a potential internal resource facilitating stress resistance, was examined in conjunction with Type A behavior, perceived family cohesion and adaptability, and sociodemographic and medical variables to assess the independent differential correlations of these fac...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Drory Y,Florian V

    更新日期:1991-04-01 00:00:00

  • Emotional dysfunction in a geriatric population: staff observations and patients' reports.

    abstract::This study was designed to determine the following about a geriatric rehabilitation population: (1) the relationship between patients' self-reports of depression and anxiety and staff observations of compromised participation in treatment secondary to emotional dysfunction; (2) the relationship of observations among d...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Guilmette TJ,Snow MG,Grace J,Giuliano AJ

    更新日期:1992-06-01 00:00:00

  • Warm-up effect on active and passive arthrometric assessment of knee laxity.

    abstract:OBJECTIVE:To determine the influence of a warm-up protocol suitable for use in clinical settings on tibial displacement and muscle activity during arthrometric knee laxity assessment. DESIGN:Intervention study in which the subjects served as their own controls. SETTING:The Biomechanics Research Laboratory, University...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(99)90235-6

    authors: Steele JR,Milburn PD,Roger GJ

    更新日期:1999-07-01 00:00:00

  • Bone mineral density after spinal cord injury: a reliable method for knee measurement.

    abstract:OBJECTIVES:To test the interrater reliability of a standardized method to analyze knee bone mineral density (BMD) using dual-energy x-ray absorptiometry (DXA); to compare spine, hip, and knee BMD of people with spinal cord injury (SCI) with able-bodied controls; and to determine the relation between hip BMD and knee BM...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2005.06.001

    authors: Shields RK,Schlechte J,Dudley-Javoroski S,Zwart BD,Clark SD,Grant SA,Mattiace VM

    更新日期:2005-10-01 00:00:00

  • Impact of hydrophilic catheters on urinary tract infections in people with spinal cord injury: systematic review and meta-analysis of randomized controlled trials.

    abstract:OBJECTIVES:To identify randomized controlled trials comparing the use of hydrophilic and nonhydrophilic catheters for intermittent catheterization (IC) in patients with spinal cord injury (SCI), and to perform a meta-analysis evaluating the occurrence of hematuria and urinary tract infection (UTI). DATA SOURCES:We sea...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.apmr.2012.11.010

    authors: Li L,Ye W,Ruan H,Yang B,Zhang S,Li L

    更新日期:2013-04-01 00:00:00

  • French translation and validation of 3 functional disability scales for neck pain.

    abstract:OBJECTIVE:To translate and assess the reliability and the construct validity of 3 functional disability scales for neck pain. DESIGN:Reliability and validity study. SETTING:Tertiary care teaching hospital and outpatient clinic. PARTICIPANTS:One hundred one patients (mean age, 49 y). INTERVENTION:French translations...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1053/apmr.2002.30623

    authors: Wlodyka-Demaille S,Poiraudeau S,Catanzariti JF,Rannou F,Fermanian J,Revel M

    更新日期:2002-03-01 00:00:00

  • Work-rest periods: their effects on normal physiologic response to isometric and dynamic work.

    abstract::Heart rate (HR) and blood pressure (BP) responses to repeated dynamic and combined dynamic and isometric work bouts of 30 sec, 2 min, and 6 min with equal rest periods at 40% and 80% of Vo2max was studied in five healthy men and five healthy women. Total work duration for each experimental condition was 24 min. The tr...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Patterson RP,Pearson J,Fisher SV

    更新日期:1985-06-01 00:00:00

  • Intravenous pamidronate attenuates bone density loss after acute spinal cord injury.

    abstract:OBJECTIVE:To compare the effects of a 6-month treatment with intravenous pamidronate (30-mg infusion once per month) to conventional rehabilitation without pamidronate on bone density of the spine and leg bones and on the excretion rate of N-telopeptide, a urinary marker of bone catabolism, in acutely spinal cord injur...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0003-9993(99)90133-8

    authors: Nance PW,Schryvers O,Leslie W,Ludwig S,Krahn J,Uebelhart D

    更新日期:1999-03-01 00:00:00

  • Normal values for the soleus H-reflex in newborn infants 31-45 weeks post conceptional age.

    abstract::Normal values for the soleus H-reflex were established in 83 preterm and term infants 31 to 45 weeks postconceptional age. Infants at conceptional ages 31 to 34 weeks (n = 30) had a mean H-latency (msec) of 19.2 +/- 2.16; infants 35 to 39 weeks (n = 26), 16.67 +/- 1.48; and infants 40 to 45 weeks (n = 27), 15.94 +/- 1...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Bryant PR,Eng GD

    更新日期:1991-01-01 00:00:00

  • Hybrid functional electrical stimulation exercise training alters the relationship between spinal cord injury level and aerobic capacity.

    abstract:OBJECTIVE:To test the hypothesis that hybrid functional electrical stimulation (FES) row training would improve aerobic capacity but that it would remain strongly linked to level of spinal cord lesion because of limited maximal ventilation. DESIGN:Longitudinal before-after trial of 6 months of FES row training. SETTI...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2014.07.412

    authors: Taylor JA,Picard G,Porter A,Morse LR,Pronovost MF,Deley G

    更新日期:2014-11-01 00:00:00

  • Influence of left- and right-side total hip arthroplasty on the ability to perform an emergency stop while driving a car.

    abstract:OBJECTIVE:To show the possible effect of left- and right-side total hip arthroplasty (THA) on the ability to perform an emergency stop when driving a car. DESIGN:Inception cohort. SETTING:A driving simulator using an actual car cabin, specifically developed for the experiment, was used for testing driving ability. P...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.apmr.2014.03.009

    authors: Jordan M,Hofmann UK,Grünwald J,Meyer M,Sachsenmaier S,Wülker N,Kluba T,Ipach I

    更新日期:2014-09-01 00:00:00

  • Efficacy of 7 days per week inpatient admissions and rehabilitation therapy.

    abstract:OBJECTIVE:To evaluate the efficacy of 7 d/wk of inpatient admissions and rehabilitation therapy (7DART) in a rehabilitation hospital. DESIGN:Cross-sectional, retrospective electronic data review. SETTING:Rehabilitation hospital. PARTICIPANTS:Adult patients who participated in the 7DART program and were admitted and ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2012.07.003

    authors: DiSotto-Monastero M,Chen X,Fisch S,Donaghy S,Gomez M

    更新日期:2012-12-01 00:00:00

  • Using the Timed Up & Go test in a clinical setting to predict falling in Parkinson's disease.

    abstract:OBJECTIVE:To investigate the ability of the Timed Up & Go test to identify patients with Parkinson's disease at risk for a fall. DESIGN:Cross-sectional cohort study. SETTING:Sixteen participating National Parkinson's Foundation Centers of Excellence. PARTICIPANTS:A query yielded a total of 2985 records (1828 men and...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2013.02.020

    authors: Nocera JR,Stegemöller EL,Malaty IA,Okun MS,Marsiske M,Hass CJ,National Parkinson Foundation Quality Improvement Initiative Investigators.

    更新日期:2013-07-01 00:00:00

  • Greater Adipose Tissue Distribution and Diminished Spinal Musculoskeletal Density in Adults With Cerebral Palsy.

    abstract:OBJECTIVES:To examine differences in adipose tissue distribution, lumbar vertebral bone mineral density (BMD), and muscle attenuation in adults with and without cerebral palsy (CP), and to determine the associations between morphologic characteristics. DESIGN:Cross-sectional, retrospective analyses of archived compute...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2015.06.007

    authors: Peterson MD,Zhang P,Haapala HJ,Wang SC,Hurvitz EA

    更新日期:2015-10-01 00:00:00

  • A comparison of functional electrical and magnetic stimulation for propelled cycling of paretic patients.

    abstract:OBJECTIVE:To compare isometric torque and cycling power, smoothness and symmetry using repetitive functional magnetic stimulation (FMS) and functional electrical stimulation (FES) in patients with paretic legs with preserved sensibility and in patients without sensibility. DESIGN:Repeated-measures design. SETTING:Lab...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.apmr.2008.09.572

    authors: Szecsi J,Schiller M,Straube A,Gerling D

    更新日期:2009-04-01 00:00:00

  • Changes of calcitonin gene-related peptide in primary sensory neurons and their central branch after nerve root compression of the dog.

    abstract:OBJECTIVE:To investigate changes in axonal flow after nerve root compression by using immunohistochemical techniques to detect calcitonin gene-related peptide (CGRP), which is thought to be involved in pain sensation. DESIGN:Experimental, controlled study. SETTING:University medical school in Japan. ANIMALS:Forty ad...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2004.03.037

    authors: Kobayashi S,Sasaki S,Shimada S,Kaneyasu M,Mizukami Y,Kitade I,Ogawa M,Kawahara H,Baba H,Yoshizawa H

    更新日期:2005-03-01 00:00:00

  • Symptoms of upper gastrointestinal dysfunction in Duchenne muscular dystrophy: case-control study.

    abstract::A case-control study was undertaken to see if symptoms of upper gastrointestinal (UGI) (oropharyngeal, esophageal, and gastric) dysfunction occurred more frequently in males afflicted with Duchenne muscular dystrophy (DMD) than healthy controls. Subjects included 55 children with confirmed DMD and 55 age-matched contr...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Jaffe KM,McDonald CM,Ingman E,Haas J

    更新日期:1990-09-01 00:00:00