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Relationship Between Trunk Control Ability and Respiratory Function in Stroke Patients: A Scoping Review and
1Department of Nursing, Chung-Shan Medical University, Chung-Shan Medical University Hospital, Taiwan.
Asian Nursing Research
|April 20, 2023
Summary
Respiratory training significantly improves trunk control and respiratory muscle strength in stroke survivors. This intervention enhances maximal inspiratory and expiratory pressures, aiding recovery from hemiparesis.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Respiratory Physiology
Background:
- Hemiparesis following stroke often impairs respiratory function.
- The interplay between trunk control and respiratory capacity in stroke survivors remains incompletely understood.
Purpose of the Study:
- To elucidate the association between trunk control and respiratory function in stroke survivors.
- To evaluate the impact of respiratory function training on trunk control.
Main Methods:
- A comprehensive scoping review and meta-analysis of observational and interventional studies.
- Searches conducted across major databases (Cochrane, CINAHL, Medline, PubMed) using keywords: stroke, respiratory, trunk control.
- PRISMA-ScR guidelines followed for systematic review methodology.
Main Results:
- 12 studies (2011-2022) were included, with 3 in the trunk control-respiratory function correlation meta-analysis (effect sizes 0.21-0.39).
- 5 studies in the respiratory training intervention meta-analysis showed a large effect size (Cohen's d = 1.47) on trunk control.
- Significant improvements observed in maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP), but not forced vital capacity (FVC) or forced expiratory volume in 1 second (FEV1).
Conclusions:
- Respiratory training, including diaphragmatic resistance and abdominal breathing exercises, enhances trunk control in stroke survivors.
- Functional strengthening of trunk muscles and use of pressure threshold-loading devices improve respiratory muscle strength (MIP, MEP).
- These interventions offer a promising approach to improving respiratory function and trunk stability post-stroke.
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