呼吸肌力量与脑卒中及脊髓损伤患者的功能能力、生活质量、人口统计学特征和合并症的相关性。

Respiratory Muscle Strength Correlation with Functional Capacity, Quality of Life, Demographics and Co-morbidities in Stroke and Spinal Cord Injury.

机构信息

2nd Physical Medicine and Rehabilitation Clinic, National Rehabilitation Centre, Ilion, Greece.

Laboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, KAT Hospital, Athens, Greece.

出版信息

J Musculoskelet Neuronal Interact. 2024 Dec 1;24(4):361-369.

PMID:39616505

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11609559/

Abstract

OBJECTIVES

To record Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP) in neuro-rehabilitation patients and establish correlation with functional status, quality of life, demographics and co-morbidities.

METHODS

Respiratory muscle strength was measured in 50 stroke patients and 50 spinal cord injury (SCI) patients. Both groups were evaluated with the Modified Barthel Index (MBI-Shah version) and the 36-Item Short Form Survey. Demographics, medical history, history of moderate physical activity prior to injury and American Spinal Injury Association (ASIA) classification were recorded.

RESULTS

Respiratory muscle strength declined with age and males exhibited higher MIP and MEP in the SCI group and higher MEP, but not MIP, in stroke. In the ASIA D SCI subgroup, the MBI total score was moderately positively correlated with MIP and MEP values. In stroke, MBI total score and MEP were positively correlated in both sexes and MBI total score and MIP in females. Diabetes mellitus absence correlated with higher MIP and MEP in SCI. Prior physical activity was linked to higher MIP, MEP in stroke and to higher MIP in SCI.

CONCLUSIONS

Age, sex, functional capacity, SCI classification, quality of life components, history of physical activity and diabetes influence respiratory muscle strength in the studied population.

摘要

目的

记录神经康复患者的最大吸气压力（MIP）和最大呼气压力（MEP），并建立与功能状态、生活质量、人口统计学和合并症的相关性。

方法

对 50 例脑卒中患者和 50 例脊髓损伤（SCI）患者进行呼吸肌力量测量。两组均采用改良巴氏指数（MBI-Shah 版）和 36 项简短调查问卷进行评估。记录人口统计学资料、病史、受伤前中等到体力活动史以及美国脊髓损伤协会（ASIA）分类。

结果

呼吸肌力量随年龄增长而下降，男性 SCI 组的 MIP 和 MEP 较高，而脑卒中组的 MEP 较高，但 MIP 较低。在 ASIA D SCI 亚组中，MBI 总分与 MIP 和 MEP 值呈中度正相关。在脑卒中患者中，MBI 总分和 MEP 在男女两性中均呈正相关，而 MBI 总分和 MIP 在女性中呈正相关。糖尿病的缺失与 SCI 中的 MIP 和 MEP 较高有关。既往体力活动与脑卒中患者的 MIP、MEP 较高以及 SCI 患者的 MIP 较高有关。