Effects Of Respiratory Muscle Training On Trunk Control Function,Balance Ability In Stroke Patients

Objective: to investigate the effect of respiratory muscle training combined with regular rehabilitation training on respiratory muscle activity,trunk control function,activities of daily living and motor function for stroke patients.Methods: 24 cases of stroke patients in accordance with the inclusion criteria were divided into experimental group and control group,either group contains 12 cases of stroke patients.The two groups were treated with routine medication and routine rehabilitation training,and the experimental group based on routine training,with respiratory muscle training,the time of treatment was 4 weeks.The measurement of thoracic activity,the longest sound time and the maximum expiratory pressure(MIP)and maximum expiratory pressure(MEP)of the patients were measured before and after treatment to evaluate the muscle strength of the respiratory muscles;TIS was used to evaluate the patient's trunk control ability;Fugl-Meyer was used to assess the patient's motor function;the Berg balance scale(BBS)was used to assess the balance function of the patients;the modified Barthel index(MBI)was used to evaluate activities of daily living.Results: 1.Before treatment,there was no significant difference in the indexes between the control group and the experimental group(P >0.05),which was comparable.2.After treatment,MIP index: the results after treatment were higher than before treatment in control group(P <0.05);in the experimental group,the results were significantly higher than before treatment(P<0.01);the experimental group was significantly higher than the control group(P <0.01).3.MEP index: the results after treatment were higher than before treatment in control group(P<0.01);in the experimental group,the results were significantly higher than before treatment(P<0.01);the experimental group was higher than the control group(P <0.05).4.Thoracic activity degree,the longest sound time,BBS,MBI: the results after treatment were significantly higher than before treatment in control group(P <0.01);in the experimental group,the results were significantly higher than before treatment(P<0.01);the experimental group was significantly higher than the control group(P <0.01).5.TIS: the results after treatment were significantly higher than before treatment in control group(P<0.01);in the experimental group,the results were significantly higher than before treatment(P<0.01);the experimental group was higher than the control group(P <0.05).6.FMA upper limb,hand,lower extremities: in FMA upper limb control group,the results were higher than before treatment(P<0.05);in the experimental group,the results were significantly higher than before the treatment(P<0.01);the experimental group was higher than the control group(P<0.05).In the FMA hand control group,the results were higher than before the training(P<0.05),in the experimental group,there was no significant difference(P>0.05),and there was no statistical difference between the two groups(P>0.05).In FMA lower extremity control group,the results were significantly higher than before treatment(P <0.01);in the experimental group,the results were higher than before the treatment(P <0.01);there was no statistical difference between the two groups(P >0.05).Conclusions: 1.Respiratory muscle training combined with regular rehabilitation training can improve respiratory function of stroke patients.2.Respiratory muscle training combined with regular rehabilitation training can improve trunk control ability,balance function,daily living ability and upper limb movement function of patients with stroke.