Is the diaphragm thickness related to gait speed in patients with hemiplegia caused by cerebrovascular accident?
Diaphragm
Gait speed
Patients with hemiplegia caused by cerebrovascular accident
Journal
Journal of physical therapy science
ISSN: 0915-5287
Titre abrégé: J Phys Ther Sci
Pays: Japan
ID NLM: 9105359
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
08
02
2021
accepted:
10
03
2021
entrez:
28
6
2021
pubmed:
29
6
2021
medline:
29
6
2021
Statut:
ppublish
Résumé
[Purpose] We aimed to determine the relationship between gait speed and diaphragm thickness in community-residing patients with hemiplegia caused by cerebrovascular accidents. [Participants and Methods] We recruited 11 elderly participants (six male and five female, mean age 71.1 ± 13.6 years) from an outpatient rehabilitation unit. The inclusion criteria were as follows: patients with hemiplegia caused by cerebrovascular accidents, those able to walk without assistance, and those able to understand our instructions. We measured the diaphragm thickness on both the paretic and non-paretic sides in each participant during maximum exhalation and inhalation during three laboured breaths by ultrasonography with a 7.5-MHz linear scanner. The liner scanner was placed on the eighth or ninth rib between the anterior and middle axillary lines. And their gait speed was measured during a 10 m walk. [Results] There was a strong positive correlation between gait speed and the ratio of diaphragm thickness between the paretic and the non-paretic sides during maximal inspiration. The other measured parameters did not show significant correlation with gait speed. [Conclusion] The symmetrical thickness of the diaphragm is a key factor in increasing gait speed in patients with hemiplegia. These findings may contribute to the development of trunk muscle strength-training programs that improve trunk function and gait speed in patients with hemiplegia.
Identifiants
pubmed: 34177107
doi: 10.1589/jpts.33.450
pii: 2021-011
pmc: PMC8219597
doi:
Types de publication
Journal Article
Langues
eng
Pagination
450-454Informations de copyright
2021©by the Society of Physical Therapy Science. Published by IPEC Inc.
Déclaration de conflit d'intérêts
There are no conflicts of interest to declare.
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