The aim of the present study was to assess how volume-oriented incentive spirometry (IS) applied to patients after stroke modify total and compartmental chest wall volume variations, including right and left hemithorax compared to controls.20 post-stroke patients (stroke group, SG) and 20 age-matched healthy subjects (control group, CG) were studied by optoelectronic plethysmography during spontaneous quiet breathing (QB), IS and in the recovery period after IS.IS determined an increase of chest wall volume and its rib cage and abdominal compartments in both groups (p = 0.0008) and between the three instances (p < 0.0001). Compared to healthy control subjects, tidal volume of patients with stroke was 24.7\%, 18\% and 14.7\% lower during QB, , IS and post-IS, respectively. In all the three conditions the contribution of the abdominal compartment to tidal volume was greater in the stroke patients (54.1, 43.2 and 48.9\%) than controls (43.7, 40.8 and 46.1\%, p = .039). In the vast majority of patients 13/20 and 18/20 during QB and IS, respectively), abdominal expansion led rib cage expansion during inspiration. A greater asymmetry between the right and left hemithoracic expansion occurred in stroke patients compared to controls but it decreased during IS (62.5\% (p = 0.0023) QB; 19.7\% IS; and 67.6\% (p = 0.135) post-IS.IS promotes an increased expansion in all compartments of the chest wall and reduces the asymmetric expansion between right and left pulmonary rib cage and therefore it should be considered as a tool for rehabilitation.
ACUTE EFFECTS OF VOLUME-ORIENTED INCENTIVE SPIROMETRY ON CHEST WALL VOLUMES IN PATIENTS AFTER STROKE.
ALIVERTI, ANDREA;
2014-01-01
Abstract
The aim of the present study was to assess how volume-oriented incentive spirometry (IS) applied to patients after stroke modify total and compartmental chest wall volume variations, including right and left hemithorax compared to controls.20 post-stroke patients (stroke group, SG) and 20 age-matched healthy subjects (control group, CG) were studied by optoelectronic plethysmography during spontaneous quiet breathing (QB), IS and in the recovery period after IS.IS determined an increase of chest wall volume and its rib cage and abdominal compartments in both groups (p = 0.0008) and between the three instances (p < 0.0001). Compared to healthy control subjects, tidal volume of patients with stroke was 24.7\%, 18\% and 14.7\% lower during QB, , IS and post-IS, respectively. In all the three conditions the contribution of the abdominal compartment to tidal volume was greater in the stroke patients (54.1, 43.2 and 48.9\%) than controls (43.7, 40.8 and 46.1\%, p = .039). In the vast majority of patients 13/20 and 18/20 during QB and IS, respectively), abdominal expansion led rib cage expansion during inspiration. A greater asymmetry between the right and left hemithoracic expansion occurred in stroke patients compared to controls but it decreased during IS (62.5\% (p = 0.0023) QB; 19.7\% IS; and 67.6\% (p = 0.135) post-IS.IS promotes an increased expansion in all compartments of the chest wall and reduces the asymmetric expansion between right and left pulmonary rib cage and therefore it should be considered as a tool for rehabilitation.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
