Effect Of Inspiratory Muscle Traınıng on Diaphragm Functıon and Activıty Performance in Subacute Ischemıc Stroke Patıents: A Sıngle-Blind Randomized-Controlled Trial.
Background: Respiratory dysfunction is common after stroke and may negatively affect functional recovery. Inspiratory muscle training (IMT) has been proposed to enhance diaphragmatic function and activity performance in this population. Objective: To investigate the effects of IMT on diaphragm funct...
| Publicado en: | Neurorehabilitation & Neural Repair Vol. 40; no. 6; pp. 431 - 448 |
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| Autores principales: | , , , , , , |
| Formato: | diagnostic images research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194057280&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194057280 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15459683 IRK jtl: Neurorehabilitation & Neural Repair issn: 15459683 maglogo: Y pubinfo: dt: Jun2026 vid: 40 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 194057280 191128366 194057280 194057280 10.1177/15459683251412282 194057280 ppf: 431 ppct: 17 formats: tig: atl: Effect Of Inspiratory Muscle Traınıng on Diaphragm Functıon and Activıty Performance in Subacute Ischemıc Stroke Patıents: A Sıngle-Blind Randomized-Controlled Trial. aug: au: Akçay, Sümeyye Akyol, Dudu Kübra Erkut, Ümit Karagözoğlu Coşkunsu, Dilber Kunduracilar, Zuhal Bajrami, Arsida Dinç Yavaş, Arzu affil: Fenerbahçe University, Faculty of Health Sciences, Department of Occupational Therapy, Ataşehir, İstanbul, Türkiye sug: subj: Ischemic Stroke Rehabilitation Breathing Exercises Diaphragm Physiology Respiratory Muscles Physiology Physical Activity Human Prospective Studies Randomized Controlled Trials Random Assignment Comparative Studies Single-Blind Studies Descriptive Statistics Confidence Intervals Mann-Whitney U Test Wilcoxon Signed Rank Test Chi Square Test Data Analysis Software Clinical Assessment Tools Aerobic Exercises Diaphragm Ultrasonography Positive End-Expiratory Pressure Muscle Strength Stroke Patients Funding Source ab: Background: Respiratory dysfunction is common after stroke and may negatively affect functional recovery. Inspiratory muscle training (IMT) has been proposed to enhance diaphragmatic function and activity performance in this population. Objective: To investigate the effects of IMT on diaphragm function and activity performance in patients with subacute ischemic stroke. Methods : In this randomized controlled, single-blind trial, 26 patients with subacute ischemic stroke (>1 month post-onset) were randomly allocated to an intervention group (IG, n = 13) or control group (CG, n = 13). Both groups received standard neurorehabilitation, aerobic training, and the Active Cycle of Breathing Technique (ACBT). The IG additionally underwent IMT, 5 days per week for 6 weeks (30 sessions). Assessments included maximal inspiratory and expiratory pressures (MIP, MEP), diaphragmatic thickness (Ti, Te) and excursion via ultrasonography, 6-minute walk test (6MWT), and Canadian Occupational Performance Measure (COPM). Results: Twenty-two participants completed the study (IG = 11; CG = 11). Significant within-group improvements were observed in both groups for MIP, MEP, Ti, TF, excursion, 6MWT, and COPM scores (P <.05). Between-group analyses showed significantly greater improvements in the IG for ΔMIP (P <.001), ΔMEP (P =.003), affected-side ΔTi (P =.007), ΔTF (P =.008), and Δexcursion (P =.005). No significant differences were found for 6MWT and COPM (P >.05). Conclusions: IMT effectively improves respiratory muscle strength, diaphragmatic thickness, and excursion in subacute ischemic stroke and may be a valuable addition to post-stroke rehabilitation programs. Registration: URL: https://www.clinicaltrials.gov; Unique identifier: NCT06210516. pubtype: Academic Journal doctype: diagnostic images research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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