Respiratory Muscle Strength in Chronic Stroke Survivors and Its Relation With the 6-Minute Walk Test.
OBJECTIVES
To compare respiratory muscle strength in stroke survivors (SS) with that in a control group (CG) of healthy people matched by age and sex, as well as to investigate any relation between respiratory muscle strength and the distance walked during the 6-minute walk test (6MWT).


DESIGN
Cross-sectional study.


SETTING
This study comprised patients from a private neurological rehabilitation center and a public association for patients with acquired brain injury.


PARTICIPANTS
Chronic SS with a diagnosis of hemiplegia/hemiparesis who were able to walk (n=30) and healthy individuals matched by sex and age (n=30) (N=60).


INTERVENTIONS
Not applicable.


MAIN OUTCOME MEASURES
Respiratory muscle strength was assessed using maximal expiratory pressure (MEP) and maximal inspiratory pressure (MIP) with a pressure transducer and a diver nozzle. The distance walked during the 6MWT was also registered for both groups. The motricity index and the Scale Impact of Stroke version 16.0 were also measured in SS.


RESULTS
The Student t test revealed significantly lower values of MIP and MEP in SS than in the CG (MEP, 95.93±43.12cmH2O in SS vs 158.43±41.6cmH2O in the CG; MIP, 58.7±24.67cmH2O in SS vs 105.7±23.14cmH2O in the CG; P<.001). Moreover, these findings were clinically relevant because both MIP and MEP in SS were <60% of the predicted values. A positive correlation between the 6MWT and MIP was found using the Pearson coefficient (r=.43; P<.018).


CONCLUSIONS
Respiratory muscle weakness should be considered in a holistic approach to stroke rehabilitation.
['Lista Paz|Ana|A|', 'González Doniz|Luz|L|', 'Ortigueira García|Serafín|S|', 'Saleta Canosa|Jesús Luis|JL|', 'Moreno Couto|Christian|C|']
D016022:Case-Control Studies D003430:Cross-Sectional Studies D005080:Exercise Test D005260:Female D006429:Hemiplegia D006801:Humans D008297:Male D008875:Middle Aged D053580:Muscle Strength D012132:Respiratory Muscles D020521:Stroke D014159:Transducers
Respiratory muscles Stroke Rehabilitation Physical therapy modalities Respiratory function tests