Functional Assessment of Diaphragm Muscle in Stroke Patients and Research of Rehabilitation Intervention
Objective:To evaluate the diaphragm function of stroke patients and investigate the effect of an external diaphragm pacemaker(EDP)on post-stroke respiratory function.Methods:Included in this study were twenty patients after stroke in Rehabilitation Department of Nanjing Jiangning Hospital during Dec...
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| Format: | Article |
| Language: | English |
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Editorial Office of Rehabilitation Medicine
2019-04-01
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| Series: | 康复学报 |
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| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.02032 |
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| _version_ | 1841537063879442432 |
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| author | Juanjuan FU Hui FENG Huaping PAN |
| author_facet | Juanjuan FU Hui FENG Huaping PAN |
| author_sort | Juanjuan FU |
| collection | DOAJ |
| description | Objective:To evaluate the diaphragm function of stroke patients and investigate the effect of an external diaphragm pacemaker(EDP)on post-stroke respiratory function.Methods:Included in this study were twenty patients after stroke in Rehabilitation Department of Nanjing Jiangning Hospital during December 2017 to March 2018, and they were selected as the experimental group. Twenty healthy volunteers as the control group matched with the gender and age. Stroke patients in the experimental group were enrolled for two weeks of external diaphragmatic pacing treatment. Before and after two weeks of treatment, both groups were evaluated using the mean values of normal for thick and motion of the right hemidiaphragms during quiet breathing and deep breathing, pulmonary function tests, including forced vital capacity(FVC)and forced expiratory volume in one second(FEV<sub>1</sub>), arterial blood gas analysis(arterial partial pressure of oxygen PaO<sub>2</sub>, oxygenation index, partial pressure of carbon dioxide PaCO<sub>2</sub>, pH value)and a fatigue severity scale(FSS).Results:The ratio of diaphragm thickness, diaphragm displacement, forced vital capacity, FEV<sub>1</sub>, FEV<sub>1</sub>/FVC, oxygen and index, and SaO<sub>2</sub>in the experimental group were significantly lower than those of the control group, pH value and fatigue index in the experimental group were significantly higher than those of the control group. The diaphragm muscle thickness ratio, diaphragmatic displacement, forced vital capacity, the FEV<sub>1</sub>, FEV<sub>1</sub>/FVC, oxygen and index, and SaO<sub>2</sub>were significantly higher after EDP, and the pH value and fatigue index were lower after EDP, and all had statistically significant differences.Conclusion:Diaphragm function and lung function are significantly reduced after stroke, and external diaphragm pacemaker treatment plays a role in helping to improve respiratory function and relieve fatigue after stroke. |
| format | Article |
| id | doaj-art-e60c1acc7a4343d6aba88f2c73ad3497 |
| institution | Kabale University |
| issn | 2096-0328 |
| language | English |
| publishDate | 2019-04-01 |
| publisher | Editorial Office of Rehabilitation Medicine |
| record_format | Article |
| series | 康复学报 |
| spelling | doaj-art-e60c1acc7a4343d6aba88f2c73ad34972025-01-14T10:04:36ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282019-04-0129323623128924Functional Assessment of Diaphragm Muscle in Stroke Patients and Research of Rehabilitation InterventionJuanjuan FUHui FENGHuaping PANObjective:To evaluate the diaphragm function of stroke patients and investigate the effect of an external diaphragm pacemaker(EDP)on post-stroke respiratory function.Methods:Included in this study were twenty patients after stroke in Rehabilitation Department of Nanjing Jiangning Hospital during December 2017 to March 2018, and they were selected as the experimental group. Twenty healthy volunteers as the control group matched with the gender and age. Stroke patients in the experimental group were enrolled for two weeks of external diaphragmatic pacing treatment. Before and after two weeks of treatment, both groups were evaluated using the mean values of normal for thick and motion of the right hemidiaphragms during quiet breathing and deep breathing, pulmonary function tests, including forced vital capacity(FVC)and forced expiratory volume in one second(FEV<sub>1</sub>), arterial blood gas analysis(arterial partial pressure of oxygen PaO<sub>2</sub>, oxygenation index, partial pressure of carbon dioxide PaCO<sub>2</sub>, pH value)and a fatigue severity scale(FSS).Results:The ratio of diaphragm thickness, diaphragm displacement, forced vital capacity, FEV<sub>1</sub>, FEV<sub>1</sub>/FVC, oxygen and index, and SaO<sub>2</sub>in the experimental group were significantly lower than those of the control group, pH value and fatigue index in the experimental group were significantly higher than those of the control group. The diaphragm muscle thickness ratio, diaphragmatic displacement, forced vital capacity, the FEV<sub>1</sub>, FEV<sub>1</sub>/FVC, oxygen and index, and SaO<sub>2</sub>were significantly higher after EDP, and the pH value and fatigue index were lower after EDP, and all had statistically significant differences.Conclusion:Diaphragm function and lung function are significantly reduced after stroke, and external diaphragm pacemaker treatment plays a role in helping to improve respiratory function and relieve fatigue after stroke.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.02032strokediaphragmaultrasonographypulmonary functionexternal diaphragm pacemaker |
| spellingShingle | Juanjuan FU Hui FENG Huaping PAN Functional Assessment of Diaphragm Muscle in Stroke Patients and Research of Rehabilitation Intervention 康复学报 stroke diaphragma ultrasonography pulmonary function external diaphragm pacemaker |
| title | Functional Assessment of Diaphragm Muscle in Stroke Patients and Research of Rehabilitation Intervention |
| title_full | Functional Assessment of Diaphragm Muscle in Stroke Patients and Research of Rehabilitation Intervention |
| title_fullStr | Functional Assessment of Diaphragm Muscle in Stroke Patients and Research of Rehabilitation Intervention |
| title_full_unstemmed | Functional Assessment of Diaphragm Muscle in Stroke Patients and Research of Rehabilitation Intervention |
| title_short | Functional Assessment of Diaphragm Muscle in Stroke Patients and Research of Rehabilitation Intervention |
| title_sort | functional assessment of diaphragm muscle in stroke patients and research of rehabilitation intervention |
| topic | stroke diaphragma ultrasonography pulmonary function external diaphragm pacemaker |
| url | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.02032 |
| work_keys_str_mv | AT juanjuanfu functionalassessmentofdiaphragmmuscleinstrokepatientsandresearchofrehabilitationintervention AT huifeng functionalassessmentofdiaphragmmuscleinstrokepatientsandresearchofrehabilitationintervention AT huapingpan functionalassessmentofdiaphragmmuscleinstrokepatientsandresearchofrehabilitationintervention |