Pulmonary Function Index Comparisons Depending on Various Postures of Stroke Patients

Kyung-Soo Lee (이경수); Lee Myungmo (이명모)

doi:10.13066/kspm.2019.14.1.43

Pulmonary Function Index Comparisons Depending on Various Postures of Stroke Patients

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2019, 14(1), pp.43-51
DOI : 10.13066/kspm.2019.14.1.43
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : November 27, 2018
Accepted : December 17, 2018
Published : February 28, 2019

Kyung-Soo Lee ¹, Lee Myungmo ²

¹Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University
²대전대학교

Accredited

ABSTRACT

PURPOSE: To prevent secondary complications from decreased pulmonary functions and promote neurological recovery, identification of respiratory capacity change patterns depending on different postures of stroke patients and investigation of their properties are needed for active rehabilitation. Therefore, this study was conducted to investigate the changes in vital capacity in response to different positions and to implement the results as clinical data. METHODS: A respiratory function test was administered to 52 patients with stroke in the sitting, supine, paretic side lying, and non-paretic side lying positions. Pulmonary function indexes used for comparison were forced vital capacity (FVC), forced expiratory volume at 1 second (FEV1), forced expiratory flow 25–75% (FEF 25–75%), and maximum voluntary ventilation (MVV). One-way repeated ANOVA was used for analysis, and post hoc analysis was conducted using least significant difference (LSD). RESULTS: All pulmonary function indexes were measured in the order of sitting, paretic side lying, supine, and non-paretic side lying positions. Excluding the FEF25-75% and MVV of the supine compared with the paretic side lying position, all other pulmonary function indexes differed significantly (p<.05). CONCLUSION: There are differences in pulmonary function indexes depending on different postures of stroke patients, and the study showed that the non-paretic side lying position yielded the greatest effect on lung ventilation mechanisms. Based on these results, appropriate postures need to be considered during physical therapy interventions for stroke patients.

KEYWORDS

Respiration, Respiratory function tests, Spirometry, Stroke, Ventilation

Citation status

* References for papers published after 2023 are currently being built.

[book] Harvey R / 2007 / Rehabilitation in stroke syndromes / Saunders Elsevier : 1175~1112

[journal] Geyh S / 2004 / ICF Core Sets for stroke / J Rehabil Med (44 Suppl) : 135~141

[journal] Duncan PW / 2002 / Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke / Stroke 33(1) : 167~177

[journal] de Almeida IC / 2011 / Effects of hemiplegy on pulmonary function and diaphragmatic dome displacement / Respir Physiol Neurobiol 178(2) : 196~201

[journal] Andrews AW / 2000 / Distribution of muscle strength impairments following stroke / Clin Rehabil 14(1) : 79~87

[journal] Richards CL / 1993 / Task-specific physical therapy for optimization of gait recovery in acute stroke patients / Arch Phys Med Rehabil 74(6) : 612~620

[book] Grotta JC / 2015 / Stroke : pathophysiology, diagnosis, and management / Elsevier Health Sciences

[journal] Manning F / 1999 / Effects of side lying on lung function in older individuals / Phys Ther 79(5) : 456~466

[journal] Georges R / 1978 / The relationship of age to pulmonary membrane conductance and capillary blood volume / Am Rev Respir Dis 117(6) : 1069~1078

[journal] Zadai CC / 1985 / Pulmonary physiology of aging : the role of rehabilitation / Top Geriatr Rehabil 1(1) : 49~57

[book] Miner B / 2016 / The Aging Lungs: Mechanisms and Clinical Sequelae / World Scientific

[journal] Lanini B / 2002 / Dissociation between respiratory effort and dyspnoea in a subset of patients with stroke / Clin Sci 103(5) : 467~473

[journal] 김보련 / 2009 / Change of Respiratory Function following Rehabilitation in Acute Hemiplegic Stroke Patients / Annals of Rehabilitation Medicine / 대한재활의학회 33(1) : 21~28

[journal] Howard R / 2001 / Pathophysiological and clinical aspects of breathing after stroke / Postgrad Med J 77(913) : 700~702

[journal] Dean E / 1985 / Effect of body position on pulmonary function / Phys Ther 65(5) : 613~618

[journal] Estenne M / 1993 / Lung volume restriction in patients with chronic respiratory muscle weakness : the role of microatelectasis / Thorax 48(7) : 698~701

[journal] MacKay-Lyons MJ / 2004 / Longitudinal changes in exercise capacity after stroke / Arch Phys Med Rehabil 85(10) : 1608~1612

[journal] Ito H / 2008 / Different variables between patients with left and right hemispheric ischemic stroke / J Stroke Cerebrovasc Dis 17(1) : 35~38

[journal] Lanini B / 2003 / Chest wall kinematics in patients with hemiplegia / Am J Respir Crit Care Med 168(1) : 109~113

[journal] Harraf F / 2008 / Transcranial magnetic stimulation study of expiratory muscle weakness in acute ischemic stroke / Neurology 71(24) : 2000~2007

[journal] 신윤아 / 2011 / The comparison of heart rate variability and blood pressure according to posture and exercise type. / 운동과학 / 한국운동생리학회 20(3) : 249~260

[journal] Seo KC / 2016 / An analysis of pulmonary function in different lying positions in the 20’s normal adults / J Phys Ther Sci 28(11) : 3063~3065

[journal] Zack MB / 1974 / The effect of lateral positions on gas exchange in pulmonary disease : a prospective evaluation / Am Rev Respir Dis 110(1) : 49~55

[journal] Chen C / 1990 / Respiratory function in patients with spinal cord injuries : effects of posture / Spinal Cord 28(2) : 81~

[book] Pryor JA / 2008 / Physiotherapy for respiratory and cardiac problems: adults and paediatrics / Elsevier Health Sciences

[journal] Mori R / 2001 / Role of the medial medullary reticular formation in relaying vestibular signals to the diaphragm and abdominal muscles / Brain research 902(1) : 82~91

[journal] Galvin I / 2007 / Distribution of blood flow and ventilation in the lung : gravity is not the only factor / Br J Anaesth 98(4) : 420~428

[journal] Ganapathi LV / 2015 / The estimation of pulmonary functions in various body postures in normal subjects / Int J Advances Med 2(3) : 250~254

[journal] McCool F / 1987 / Pathophysiology of cough / Clin Chest Med 8(2) : 189~195

[book] Cotes JE / 2009 / Lung function : physiology, measurement and application in medicine / John Wiley & Sons

[book] Kisner C / 2017 / Therapeutic exercise : foundations and techniques / Fa Davis

[journal] Kera T / 2005 / The effect of posture on respiratory activity of the abdominal muscles / J Physiol Anthropol Appl Human Sci 24(4) : 259~265

[journal] Kwon SE / 2015 / Effects of various angle on respiration function in adults / Indian J Sci Technol 8(26)

[journal] 서교철 / 2011 / Comparison of Posture on Respiratory Function in the Stroke Patients according to Changes of Position / 대한물리의학회지 / 대한물리의학회 6(4) : 381~389

[journal] Jenkins SC / 1988 / The effects of posture on lung volumes in normal subjects and in patients pre-and post-coronary artery surgery / Physiotherapy 74(10) : 492~496

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Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45

Pulmonary Function Index Comparisons Depending on Various Postures of Stroke Patients

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* References for papers published after 2023 are currently being built.

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45

Pulmonary Function Index Comparisons Depending on Various Postures of Stroke Patients

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