Immediate Effect of Manual Therapy on Respiratory Functions and Respiratory Muscle Strength in Stroke Patients

Yıl 2024, Cilt: 35 Sayı: 3, 335 - 341, 23.12.2024

Emine Atıcı , Kenan Gül , Kübra Kardeş , Yunus Emre Tütüneken , Nurgül Dürüstkan Elbaşı , Yasemin Çırak

https://doi.org/10.21653/tjpr.1454728

Öz

Purpose: Although the benefits of manual therapy (MT) are known, studies on its effect on stroke patients are limited. The aim of this study was to evaluate the immediate effects of MT on respiratory function and respiratory muscle strength in stroke patients.
Methods: A total of forty-seven patients, comprising 33 men and 14 women, were enrolled in the study and then randomly assigned to either the MT group (n=31) or the control group (n=16). All participants met with initial pulmonary function and respiratory muscle testing and then rested supine for 10 minutes before the procedure. The respiratory tests were repeated immediately after the procedure. Tests included: maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, and peak expiratory flow (PEF).
Results: In intra-group comparisons, a significant improvement was observed in all measured parameters in the MT group (p<0.05), while no significant change was observed in the control group except FEV1 and FEV1/FVC values ​​(p>0.05). In comparisons between groups, a statistically significant difference was found in FEV1, FEV1/FVC, PEF and MEP values(p<0,05)
Conclusions: This study demonstrated that manual therapy had a immediate positive effect on lung function and respiratory muscle strength in stroke patients.

Anahtar Kelimeler

Manual Therapy, Pulmonary Function Test, Respiratory Muscles, Stroke

Etik Beyan

Ethical clearance was granted by the Research Ethics Committee for Science, Social, and Non-Interventional Health Sciences of Istanbul Okan University on July 4, 2018

Destekleyen Kurum

None

Teşekkür

Yazarlar, desteklerinden dolayı Bayrampaşa Belediyesi Fizik Tedavi Rehabilitasyon ve Engelliler Merkezi yöneticilerine teşekkür ederler.

inme Hastalarında Manuel Terapinin Solunum Fonksiyonları ve Solunum Kas Kuvveti Üzerindeki Anlık Etkisi

Öz

Amaç: Manuel terapinin (MT) faydaları bilinmesine rağmen inme hastalarında etkisi ile ilgili çalışmalar sınırlıdır. Bu çalışmanın amacı, inme hastalarında MT'nin solunum fonksiyonu ve solunum kas kuvveti üzerindeki ani etkilerini araştırmaktır.
Yöntem: Çalişmaya kırk yedi hasta (33 erkek, 14 kadın) dahil edildi ve katılımcılar randomize olarak MT grubuna (n = 31) ve kontrol grubuna (n = 16) ayrıldı. Tüm katılımcıların, başlangıçta solunum fonksiyonu ve solunum kas testi değerlendirildi ve ardından girişim öncesi 10 dakika boyunca sırtüstü dinlendiler. Girişimden hemen sonra solunum testleri tekrarlandı. Testler şunları içeriyordu: maksimum inspiratuar basınç (MIP) ve maksimum ekspiratuar basınç (MEP), zorlu vital kapasite (FVC), 1. saniyedeki zorlu ekspiratuar hacim (FEV1), FEV1/FVC ve tepe ekspiratuar akış (PEF).
Sonuçlar: Grup içi karşılaştırmalarda MT grubunda ölçülen tüm parametrelerde anlamlı iyileşme gözlenirken (p<0,05), kontrol grubunda ise FEV1 ve FEV1/FVC değerleri dışında anlamlı değişiklik görülmedi(p>0,05). Gruplar arası karşılaştırmalarda FEV1, FEV1/FVC, PEF ve MEP değerlerinde istatistiksel olarak anlamlı fark bulundu(p<0,05).
Tartışma: Bu çalışma, manuel tedavinin inmeli hastalarda solunum fonksiyonu ve solunum kas kuvveti üzerinde anlık olumlu etkisi olduğunu göstermektedir.

Anahtar Kelimeler

Manuel Terapi, Solunum Fonksiyon Testi, Solunum Kasları, İnme

Etik Beyan

Etik izin, 4 Temmuz 2018 tarihinde İstanbul Okan Üniversitesi Bilim, Sosyal ve Girişimsel Olmayan Sağlık Bilimleri Araştırma Etik Kurulu tarafından verildi.

Destekleyen Kurum

Yoktur.

Kaynakça

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