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KMID : 0357220110230050023
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Journal of Korean Society Physical Therapy
2011 Volume.23 No. 5 p.23 ~ p.28
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Comparison of Pulmonary and Gait Function in Subacute or Chronic Stroke Patients and Healthy Subjects
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Kim Chang-Beom
Choi Jong-Duk
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Abstract
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Purpose: The aim of this study was to evaluate functional gait and pulmonary function of patients with subacute or chronic stroke for aperiod after the onset of stroke. Healthy people of similar ages served as a control group. The study focused on the clinical importance of intervention with cardiopulmonary rehabilitation treatment in patients with stroke.
Methods: The standard time period used to differentiate the subacute and the chronic stroke groups was six months. Each group, including the control, was allocated 11 subjects. Vital capacity (VC), forced vital capacity (FVC), and forced expiratory volume at one second (FEV1) were measured with a spirometer for each subject. Walk tests (10 m and 6 min) and functional gait tests were then conducted.
Results: Significant differences were noted for VC, FVC, and FEV1 between the subacute stroke group and the normal group and between the chronic stroke group and the normal group (p<0.05), but no significant difference was evident between the subacute stroke group and the chronic stroke group (p>0.05). No significant difference was seen between the subacute stroke group and the chronic stroke group in the 6min walk test (p>0.05), whereas a significant difference was observed between the subacute stroke group and the chronic stroke group in the 10 m walk test (p<0.05).
Conclusion: The general rehabilitation treatment is effective with respect tofunctional aspects, but it has limited effect in improving pulmonary function and muscular endurance. Therefore, additional intervention of cardiopulmonary rehabilitation is necessary in the rehabilitation treatment process of patients with stroke.
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KEYWORD
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Gait, Respiratory, Stroke
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