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Posted by on Jun 23, 2020 in Stroke | 0 comments

In a nutshell

This study reviewed the effects of respiratory (breathing) muscle training (RMT) in the recovery of stroke survivors. Researchers suggested that RMT improved lung function and reduced the risk of lung complications in these patients.

Some background

Around 2 million people in China experience a stroke every year. 70 to 80% of the cases experience stroke-induced disability. Breathing disorder increases by 2 to 6 times the death rate in stroke survivors. After a stroke, some patients suffer from weakened breathing muscle which can cause tiredness, cough, and swallowing problems. The risk of lung infection is also higher in these patients. The inability to breathe properly negatively affects daily activities such as walking.

RMT consists of a training program that exercises the breathing muscles by inducing forceful respiration. Prior studies suggested that RMT after stroke improves the outcomes of these disorders. However, these investigations showed limitations in the studies included.

Methods & findings

This study reviewed 9 other studies with information about 308 stroke survivors with a breathing disorder. These patients underwent RMT for 12 weeks.

The best breathing capacity was achieved at the 12-week follow-up period. RMT was also associated with improved walking capacity. RMT was associated with a 45% improvement in the odds of a decrease in breathing complications.  

The bottom line

This study concluded that RMT is associated with improved breathing outcomes in stroke survivors. 

The fine print

The studies analyzed had different protocols. This makes it difficult to compare results. Also, the follow-up period was rather short. Large controlled studies are needed.

Published By :

Archives of physical medicine and rehabilitation

Date :

May 20, 2020

Original Title :

Respiratory muscle training improves strength and decreases the risk of respiratory complications in stroke survivors: a systematic review and meta-analysis.

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