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居家每日呼吸肌训练对慢性卒中患者吞咽结局的影响:一项随机对照试验方案

Effects of Home-Based Daily Respiratory Muscle Training on Swallowing Outcomes in Patients with Chronic Stroke: Protocol for a Randomized Controlled Trial.

作者信息

Zapata-Soria Mónica, Cabrera-Martos Irene, Heredia-Ciuró Alejandro, Prados-Román Esther, Martín-Nuñez Javier, Valenza Marie Carmen

机构信息

Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 60 Av. Illustration, 18016 Granada, Spain.

出版信息

J Clin Med. 2024 Sep 19;13(18):5547. doi: 10.3390/jcm13185547.

DOI:10.3390/jcm13185547
PMID:39337034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11432737/
Abstract

(1) Swallowing disorders are common following a stroke. This study aims to evaluate the effects of a home-based daily intervention focused on inspiratory and expiratory muscle training on swallowing outcomes in patients with chronic stroke. (2) This manuscript presents the protocol of a single-blind randomized clinical trial. Patients with chronic stroke will be randomly assigned to either an experimental or a control group. The experimental group will undergo daily home-based respiratory muscle training in addition to standard speech and language therapy, while the control group will receive only the standard intervention. The main outcome measures will include the aspiration risk, the strength of respiratory muscles, and peak cough flow. (3) It is hypothesized that patients receiving home-based respiratory training in addition to standard therapy will achieve significant improvements in aspiration risk, respiratory muscle strength, and cough efficacy in comparison with those included in the control group. The results will be published as a manuscript. (4) This study aims to provide evidence on the effectiveness of home-based respiratory muscle training in enhancing swallowing function and respiratory parameters in patients with chronic stroke.

摘要

(1) 吞咽障碍在中风后很常见。本研究旨在评估以吸气和呼气肌肉训练为重点的居家日常干预对慢性中风患者吞咽结果的影响。(2) 本手稿介绍了一项单盲随机临床试验的方案。慢性中风患者将被随机分配到实验组或对照组。实验组除接受标准的言语和语言治疗外,还将进行每日居家呼吸肌训练,而对照组仅接受标准干预。主要结局指标将包括误吸风险、呼吸肌力量和咳嗽峰值流量。(3) 假设除标准治疗外接受居家呼吸训练的患者与对照组患者相比,在误吸风险、呼吸肌力量和咳嗽效能方面将取得显著改善。研究结果将作为一篇手稿发表。(4) 本研究旨在为居家呼吸肌训练对增强慢性中风患者吞咽功能和呼吸参数的有效性提供证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f8/11432737/e4281cca7a62/jcm-13-05547-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f8/11432737/e4281cca7a62/jcm-13-05547-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f8/11432737/e4281cca7a62/jcm-13-05547-g001.jpg

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本文引用的文献

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The Prognostic Test Accuracy of the Short and Standard Forms of the Montreal Cognitive Assessment.蒙特利尔认知评估简短版和标准版的预后测试准确性
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The Effect of Respiratory Muscle Training on Swallowing Function in Patients With Stroke: A Systematic Review and Meta-Analysis.呼吸肌训练对脑卒中患者吞咽功能的影响:系统评价和荟萃分析。
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Effect of respiratory training on swallowing function in swallowing disorders: a systematic review and meta-analysis.呼吸训练对吞咽障碍吞咽功能的影响:系统评价和荟萃分析。
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Maximal Respiratory Pressure Reference Equations in Healthy Adults and Cut-off Points for Defining Respiratory Muscle Weakness.健康成年人最大呼吸压力参考方程及其定义呼吸肌无力的截断值。
Arch Bronconeumol. 2023 Dec;59(12):813-820. doi: 10.1016/j.arbres.2023.08.016. Epub 2023 Sep 29.
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Post-stroke Everything.中风后一切。
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Effectiveness of Home-Based Telerehabilitation Interventions for Dysphagia in Patients With Head and Neck Cancer: Systematic Review.基于家庭的远程康复干预对头颈部癌症患者吞咽困难的有效性:系统评价。
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