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Critical Reviews™ in Physical and Rehabilitation Medicine

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Respiratory Muscle Training in Stroke−A Narrative Review

Volume 32, Edição 3, 2020, pp. 169-182
DOI: 10.1615/CritRevPhysRehabilMed.2020034899
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Gopala Krishna Alaparthi
Department of Physiotherapy, College of Health Sciences, University of Sharjah, United Arab Emirates, Sharjah
Natasha Shetty
Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, India-575001
Stephen Rajan Samuel
Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, India
Sampath Kumar Amaravadi
Department of Physiotherapy, College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates; Department of Physiotherapy, Institute of Sport, Nursing and Allied Health, University of Chichester, Bishop Otter Campus, College Lane, Chichester, West Sussex, PO19 6PE, United Kingdom
Abraham M. Joshua
Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India-575001

RESUMO

Stroke causes multidimensional abnormalities seen in neurological, musculoskeletal, and cardiorespiratory systems leading to reduced respiratory function and pulmonary complications with an associated higher risk of mortality. Physiotherapy rehabilitation, which includes inspiratory and expiratory muscle training (IEMT), neuromuscular electrical stimulation (NMES), breathing exercises, and threshold devices, influences the reduction of ill effects caused by stroke. This review gathers current evidence and physiotherapy practices for improving respiratory muscle strength and reducing pulmonary complications in stroke survivors. An extensive literature search was done in the following databases: MEDLINE, PubMed, Scopus, Google Scholar, and Cochrane Library from January 2018 to March 2020. One systematic review, one systematic review with meta-analysis, and four randomized controlled studies investigating the effects of various interventions for respiratory complications in poststroke patients were selected and reviewed. Inspiratory muscle training, neuromuscular electrical stimulation, and other breathing exercises are appropriate for better pulmonary function following stroke.

Palavras-chave: stroke, respiratory muscle strength, training, pulmonary function, assessment, breathing exercise, spirometry
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