Santos Rafaela Sant'anna Dos, Dall'alba Sara Carolina Fontoura, Forgiarini Soraia Genebra Ibrahim, Rossato Daniele, Dias Alexandre Simões, Forgiarini Junior Luiz Alberto
Centro Universitário Metodista, Porto Alegre, RS, Brasil.
Centro Universitário Metodista, Curso de Fisioterapia, Porto Alegre, RS, Brasil.
Arq Neuropsiquiatr. 2019 Jul 15;77(6):387-392. doi: 10.1590/0004-282X20190048.
Stroke often leads to abnormalities in muscle tone, posture, and motor control that may compromise voluntary motor function, thus affecting the motor control required for maintaining the synergy of both peripheral and respiratory muscles. To evaluate respiratory muscle strength, pulmonary function, trunk control, and functional independence in patients with stroke and to correlate trunk control with the other variables.
This was a cross-sectional study of patients diagnosed with stroke. We assessed respiratory muscle strength, trunk control as assessed by the Trunk Impairment Scale, spirometric variables, and the Functional Independence Measure.
Forty-four patients were included. Pulmonary function and respiratory muscle strength were significantly lower than predicted for the study population, and the mean Trunk Impairment Scale score was 14.3 points. The following significant correlations were found between the variables: trunk control vs. maximal inspiratory pressure (r = 0.26, p < 0.05); trunk control vs. forced vital capacity (r = 0.28, p < 0.05); trunk control vs. forced expiratory volume in one second (r = 0.29, p < 0.05), and trunk control vs. the Functional Independence Measure (r = 0.77, p < 0.05).
The present study showed that respiratory muscle strength, pulmonary function, functional independence, and trunk control are reduced in patients diagnosed with stroke.
中风常导致肌张力、姿势和运动控制异常，这可能会损害自主运动功能，从而影响维持外周肌肉和呼吸肌协同作用所需的运动控制。评估中风患者的呼吸肌力量、肺功能、躯干控制能力和功能独立性，并将躯干控制能力与其他变量进行关联。
这是一项对确诊为中风患者的横断面研究。我们评估了呼吸肌力量、通过躯干损伤量表评估的躯干控制能力、肺功能指标以及功能独立性测量。
纳入了44例患者。肺功能和呼吸肌力量显著低于研究人群的预测值，躯干损伤量表平均得分为14.3分。在各变量之间发现了以下显著相关性：躯干控制能力与最大吸气压力（r = 0.26，p < 0.05）；躯干控制能力与用力肺活量（r = 0.28，p < 0.05）；躯干控制能力与一秒用力呼气量（r = 0.29，p < 0.05），以及躯干控制能力与功能独立性测量（r = 0.77，p < 0.05）。
本研究表明，确诊为中风的患者呼吸肌力量、肺功能、功能独立性和躯干控制能力均下降。
