Clinical Effect of MHI on Kiaphragm Movement and Lung Function in Stroke Patients

Rui LI; Ping ZHANG; lu-gang WEI; Hong-mei FANG; Jing-yi LU; Xi CHEN; Shun-xiang HE; Ju YANG

doi:10.12259/j.issn.2095-610X.S20210616

Volume 42 Issue 6

Jul. 2021

Turn off MathJax

Article Contents

Abstract

References

Relative Articles

Article Navigation > Journal of Kunming Medical University > 2021 > 42(6): 134-138

Rui LI, Ping ZHANG, lu-gang WEI, Hong-mei FANG, Jing-yi LU, Xi CHEN, Shun-xiang HE, Ju YANG. Clinical Effect of MHI on Kiaphragm Movement and Lung Function in Stroke Patients[J]. Journal of Kunming Medical University, 2021, 42(6): 134-138. doi: 10.12259/j.issn.2095-610X.S20210616

Citation:

Rui LI, Ping ZHANG, lu-gang WEI, Hong-mei FANG, Jing-yi LU, Xi CHEN, Shun-xiang HE, Ju YANG. Clinical Effect of MHI on Kiaphragm Movement and Lung Function in Stroke Patients[J]. Journal of Kunming Medical University, 2021, 42(6): 134-138. doi: 10.12259/j.issn.2095-610X.S20210616

Citation:

Rui LI, Ping ZHANG, lu-gang WEI, Hong-mei FANG, Jing-yi LU, Xi CHEN, Shun-xiang HE, Ju YANG. Clinical Effect of MHI on Kiaphragm Movement and Lung Function in Stroke Patients[J]. Journal of Kunming Medical University, 2021, 42(6): 134-138. doi: 10.12259/j.issn.2095-610X.S20210616

PDF( 637 KB)

Clinical Effect of MHI on Kiaphragm Movement and Lung Function in Stroke Patients

doi: 10.12259/j.issn.2095-610X.S20210616

Dept. of Rehabilitation Medicine，The Second people’s Hospital of Kunming，Kunming Yunnan 650204，China

Received Date: 2021-03-22
Available Online: 2021-07-09
Publish Date: 2021-07-21

Abstract

Abstract

Objective To observe the effect of MHI （Manual Hyperinflation） on diaphragmatic movement and pulmonary function in stroke patients. Methods 67 stroke patients were randomly divided into treatment group （n = 35） and control group （n = 32）. The treatment group received MHI combined with conventional rehabilitation therapy, and the control group received conventional rehabilitation therapy for 8 weeks. All the patients were assessed with diaphragmatic motion with ultrasound, lung function （FEV1, FVC） and Barthel Index （BI） before, four weeks and eight weeks after treatment. Results Intra-group comparison of FVC （L）, FEV1 （L）, phrenic motion amplitude and Barthel index: Indicators in the treatment group were continuously improved from before intervention, 4 weeks after intervention, to 8 weeks after intervention （P < 0.05）. comparison among groups: After intervention for 8 weeks, all indexes in the treatment group were better than those in the control group （P < 0.05）. Conclusion MH technique can improve the activity of diaphragm, lung function and daily living ability of stroke patients.
- Stroke,
- MHI,
- Chest physiotherapy; Lung function,
- Diaphragmatic muscle

FullText(HTML)

References(23)

References

[1]	Bettger J P,Zhao X,Bushnell C,et al. The association between socioeconomic status and disability after stoke:findings from the Adherence eValuation After Ischemic stroke Longitudinal(AVAIL)registry[J]. BMC Public Health,2014,14(1):1-8. doi: 10.1186/1471-2458-14-18
[2]	Brogan E,Langdon C,Brookes K,et al. Respiratory infections in acute stroke:nasogastric tubes and immobility are stronger predictors than dysphagia[J]. Dysphagia,2014,29(3):340-345. doi: 10.1007/s00455-013-9514-5
[3]	朱伟新,丘卫红,武惠香,等. 早期呼吸功能训练对脑卒中后吞咽障碍患者吞咽功能的影响[J]. 中华物理医学与康复杂志,2015,37(3):187-189. doi: 10.3760/cma.j.issn.0254-1424.2015.03.007
[4]	何庆权,刘畅,张志强. 脑卒中后心肺适应性的研究进展[J]. 中国康复理论与实践,2017,23(11):1290-1293. doi: 10.3969/j.issn.1006-9771.2017.11.010
[5]	Kiran M S,Kumari V S,Madhavi K. Effectiveness of supervised fitness and mobility exercise program on fitness,mobility and muscle strength in young adults with stroke[J]. Int J Physiother,2014,1(3):158-168.
[6]	中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组. 中国各类主要脑血管病诊断要点2019[J]. 中华神经科杂志,2019,52(9):710-715. doi: 10.3760/cma.j.issn.1006-7876.2019.09.003
[7]	吕连. 不同呼吸训练方式在脑卒中患者中的应用[J]. 中国卫生标准管理,2017,8(6):55. doi: 10.3969/j.issn.1674-9316.2017.06.032
[8]	孙瑞,李洁,周芳,等. 不同呼吸训练方式对患者脑卒中后疲劳程度及膈肌功能的影响[J]. 华中科技大学学报(医学版),2016,45(5):543-546. doi: 10.3870/j.issn.1672-0741.2016.05.014
[9]	李明秋,郭瑞君,张谱,等. M型超声观察膈肌运动与肺功能的相关性研究[J]. 首都医科大学学报,2014,35(2):189-193. doi: 10.3969/j.issn.1006-7795.2014.02.010
[10]	张黎娟,朱晓萍. 超声评估慢阻肺患者膈肌移动度与肺功能和BODE指数的关系[J]. 宁夏医科大学学报,2017,39(5):534-536.
[11]	Crowe J,Reid W D,Geddes E L,et al. Inspiratory muscle training compared with other rehabilitation interventions in adults with chronic obstructive pulmonary disease:A systematic literature review and meta-analysis[J]. Copd-journal of Chronic Obstructive Pulmonary Disease,2005,2(3):319-329. doi: 10.1080/15412550500218072
[12]	Almeida I C L D,Rocha E H T,Brandão D C,et al. Effects of hemiplegy on pulmonary function and diaphragmatic dome displacement[J]. Respiratory Physiology & Neurobiology,2011,178(2):196-201.
[13]	黄岳,崔利华,刘丽旭,等. 脑卒中患者的呼吸功能障碍及其康复[J]. 中国康复理论与实践,2015,21(9):1055-1057. doi: 10.3969/j.issn.1006-9771.2015.09.015
[14]	Voyvoda N,Yücel C,Karataş G,et al. An evaluation of diaphragmatic movements in hemiplegic patients[J]. British Journal of Radiology,2012,85(1012):411. doi: 10.1259/bjr/71968119
[15]	Annoni J M,Ackermann D,Kesselring J. Respiratory function in chronic hemiplegia[J]. International Disability Studies,1990,12(2):78-80. doi: 10.3109/03790799009166256
[16]	时惠,刘玲,祖菲娅·吐尔迪. 阈值压力负荷呼吸肌训练对脑卒中患者康复疗效的 Meta 分析[J]. 中国康复理论与实践,2016,22(9):1069-1074. doi: 10.3969/j.issn.1006-9771.2016.09.019
[17]	陈彦,吴霜. 肺康复训练对脑卒中患者肺功能影响的 Meta 分析[J]. 华西医学,2018,33(10):1277-1286.
[18]	苏国栋,刘惠林,黄梦洁,等. 呼吸肌训练对急性脑卒中患者运动功能的效果[J]. 中国康复理论与实践,2016,22(9):1008-1010. doi: 10.3969/j.issn.1006-9771.2016.09.004
[19]	鹿跟涛,付海燕. 呼吸肌训练对脑梗死后静态平衡和步行功能的影响[J]. 按摩与康复医学.,2017,8(18):12-14.
[20]	Kim N S,Jung J H. The effects of breathing retraining onasymmetry of diaphragm thickness in stroke patients[J]. JKoreanSocPhys Med,2013,8(2):271-286.
[21]	程康耀,吕伟波,胡丽,等. 人工膨肺用于机械通气患者开放式吸痰护理效果的Meta分析[J]. 解放军护理杂志,2018,35(6):1-7. doi: 10.3969/j.issn.1008-9993.2018.06.001
[22]	张玮凇,邢艳丽,范星月. 脑卒中患者吸气肌力量训练理论依据及临床研究进展[J]. 中国康复理论与实践,2017,32(11):1317-1320. doi: 10.3969/j.issn.1006-9771.2017.11.016
[23]	张锐,李清红,陈立. 膨肺吸痰法在机械通气治疗中的应用价值[J]. 临床肺科杂志,2015,20(1):183.

Relative Articles(20)

Relative Articles

[1]	Yu LI, Lin ZHU, Kerong CHEN, Yi LI, Zhongxiang YU, Chengyin WU, Hongling SHI. Effect of Exoskeleton Robot-assisted Rehabilitation Training on Motor Function and Gait Ability in Patients with Stroke. Journal of Kunming Medical University, 2024, 45(7): 92-98. doi: 10.12259/j.issn.2095-610X.S20240714
[2]	Siya XIA, Mingying YANG, Yuqin LIU, Tingrui MENG, Linrong LI, Yiqi HU, Yao XIAO. Investigation on the Needs of Caregivers for Eating Knowledge and Skills in Patients with Dysphagia after Stroke. Journal of Kunming Medical University, 2023, 44(3): 160-166. doi: 10.12259/j.issn.2095-610X.S20230319
[3]	Shijie CAO, Hongwei AN. Mechanism and Progress of MSC Derived Extracellular Vesicles in the Treatment of Ischemic Stroke. Journal of Kunming Medical University, 2023, 44(9): 155-160. doi: 10.12259/j.issn.2095-610X.S20230913
[4]	Xiaopei LV, Shuai YUAN. The Effect of Butylphthalide on Cognitive Dysfunction after the Stroke Caused by Cerebral Small Vessel Disease and Its Effect on Cerebral Blood Perfusion. Journal of Kunming Medical University, 2023, 44(9): 143-147. doi: 10.12259/j.issn.2095-610X.S20230922
[5]	Sijin HE, Xiaoxia CHEN, Qigang CHEN, Rong ZHAO, Duo LIU, Yingdi LIAO, Daiying LI, Lihua GU. Clinical Efficacy Study on the Treatment of Post-Stroke Dysphagia Using Acupuncture Combined with Swallowing Therapy Based on the “Central-Peripheral-Central” Closed-Loop Rehabilitation Theory. Journal of Kunming Medical University, 2023, 44(8): 105-109. doi: 10.12259/j.issn.2095-610X.S20230802
[6]	Lishuang LIU, Ping RAO, Lang LANG, Ping ZHANG. Application of FOCUS-PDCA Program Intervention Mode in Continuous Care of Discharged Patients with Stroke. Journal of Kunming Medical University, 2022, 43(9): 172-176. doi: 10.12259/j.issn.2095-610X.S20220922
[7]	Jing WANG, Zhenzhen ZHU, Yuxuan BAI, Zhibin JIA, Yanlong REN. Risk Factors of Aspiration Pneumonia Secondary to Swallowing Dysfunction after Stroke. Journal of Kunming Medical University, 2022, 43(2): 141-144. doi: 10.12259/j.issn.2095-610X.S20220214
[8]	Simei ZHANG, Hongmei FANG, Xichen YANG, Rong NING, Yijian LONG, Rui LI, Yaju JIN. Effect of Bidirectional Mirror Multi-dimensional Sensory Stimulation in the Treatment of Stroke with Unilateral Neglect. Journal of Kunming Medical University, 2022, 43(12): 131-136. doi: 10.12259/j.issn.2095-610X.S20221224
[9]	Si-jin HE, Xiao-xia CHEN, Kai-xuan LUO, Li-hua GU, Zhi-juan HE, Jian-ying ZHOU. Influence of Mirror Therapy Combined with Occupational Therapy on Upper Limb Motor Function and ADL in Hemiplegia after Stroke. Journal of Kunming Medical University, 2021, 42(6): 129-133. doi: 10.12259/j.issn.2095-610X.S20210611
[10]	Hong-mei FANG, Guo-dong SU, Lu-gang WEI, Rui LI, Sha WU, Yi-jian LONG. Clinical Effect of MHI on Diaphragm Motion Amplitude and BI Index in Stroke Patients. Journal of Kunming Medical University, 2021, 42(2): 137-139. doi: 10.12259/j.issn.2095-610X.S20210205
[11]	Fu Yu Tong , Li Yan Nan , Sun Yu , Zhu Chang , He Ying , Yang Zhi , Yao Li Qing . . Journal of Kunming Medical University, 2020, 41(08): 33-38.
[12]	Xie Xiao Yan , Cheng Yuan , Cheng Xian Qin , Du Rong , Liu Xiao Ling , Ni Zi Tong , Pan Hong Pin . . Journal of Kunming Medical University, 2019, 40(05): 122-125.
[13]	Sun Yu , Tang Zhi Wei , Rui Li . A Study of Treatment Model on Community-based Rehabilitation among Patients with Cerebral Apoplexy during the Recovery Period. Journal of Kunming Medical University, 2018, 39(03): 59-61.
[14]	Zhou Jian Ying , Chen Qi Gang , Gu Li Hua , Chen Xiao Xia , Cui Ting . Effects of Hand Function Brace Combined with Operation on Upper Limb and Hand Dysfunction after Stroke. Journal of Kunming Medical University, 2017, 38(08): 110-112.
[15]	Li Rui , Wei Lu Gang , Yang Yan , Zhang Lin Sen , Zhang Hong Xiu . A Clinical Controlled Study of Peripheral Nerve Stimulation by Ultrasound-guided on Low Muscular Tesion after Stroke. Journal of Kunming Medical University, 2017, 38(01): 88-90.
[16]	Zhou Qi . Clinical Observation on Psychological Rehabilitation in Patients with Cerebral Apoplexy. Journal of Kunming Medical University,
[17]	Wang Wen Li . . Journal of Kunming Medical University,
[18]	Zheng Jin Hong . . Journal of Kunming Medical University,
[19]	Xie Zuo Zhou . . Journal of Kunming Medical University,
[20]	Ren Ling . . Journal of Kunming Medical University,

Supplements(0)

Cited By

Cited by

Periodical cited type(3)

1.	朱瑜，史亚丽，郝佳丽，王亚平，郭文杰. 人工膨肺治疗对脑卒中气管切开患者生存质量的影响. 河北医科大学学报. 2023(05): 526-530 .
2.	古剑珂，罗海龙，李杰，曾妍，姚惠琪. 针刺配合呼吸肌训练治疗卒中后膈肌功能障碍的临床研究. 上海针灸杂志. 2023(06): 570-574 .
3.	倪秀梅，徐凤玲，陈浩，宫娟，章翀，王翠，李宝芹，胡少华. 基于肺部超声的气道廓清方案在ICU机械通气患者中的应用. 中华护理杂志. 2023(09): 1076-1081 .