External diaphragm pacing therapy and correlation analysis of trunk balance and respiratory function in stroke patients
10.3969/j.issn.1001-1242.2024.12.015
- VernacularTitle:脑卒中患者躯干平衡与呼吸功能的体外膈肌起搏及相关性研究
- Author:
Liqiong ZHANG
1
;
Qinglin SUN
;
Yedong CHEN
Author Information
1. 安徽医科大学第一附属医院康复医学科,安徽省 合肥市,230022
- Publication Type:Journal Article
- Keywords:
stroke;
external diaphragm pacing;
trunk balance;
respiratory function;
diaphragm function
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(12):1839-1846
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the enhancement of trunk balance ability,pulmonary function,and diaphragm function in stroke patients after treatment of extemal diaphragm pacing(EDP),and analyze the potential correlation be-tween trunk balance ability and respiratory function metrics.Method:Thirty stroke patients meeting the inclusion criteria were selected from the department of rehabilitation medicine at the first affiliated hospital of Anhui medical university from January 2023 to August 2023.They were randomly divided into the observation group(n=15)and the control group(n=15).The control group re-ceived conventional rehabilitation therapy,while the observation group received EDP treatment in addition to conventional rehabilitation therapy for 4 weeks.Independent sample t-tests and rank-sum tests were used to compare the modified trunk impairment scale(mTIS)scores,forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1),FEV1/FVC change in percentage of vital capacity from sitting to supine position(△VC),diaphragmatic excursion of quiet breath(DE-QB),diaphragmatic excursion of deep breath(DE-DB),and thickening fraction(TF)between the two groups of patients.Pearson correlation analysis was employed to explore the correlations among these indicators.Result:After 4 weeks of treatment,the mTIS,FVC,FEV1,and DE-DB of the control group were significant-ly improved than before(P＜0.05).The mTIS,FVC,FEV1,FEV1/FVC,DE-QB,DE-DB,and TF of the ob-servation group were significantly improved than before(P＜0.05);Except for DE-QB,the differences in the in-dicators before and after treatment in the observation group were significantly greater than those in the control group(P＜0.05).The mTIS scores of all 30 patients both before and after treatment were positively correlated with DE-QB,DE-DB,and TF(P＜0.05),while △VC was negatively correlated with mTIS and DE-DB(P＜0.05).Conclusion:EDP treatment can promote the recovery of respiratory function and trunk balance in stroke pa-tients.Additionally,the trunk balance ability in stroke patients displays a correlation with diaphragm function,but not with pulmonary function.
