Evaluation of Respiratory Muscle Strength in the Acute Phase of Stroke: The Role of Aging and Anthropometric Variables

Background During hospitalization, stroke patients are bedridden due to neurologic impairment, leading to loss of muscle mass, weakness, and functional limitation. There have been few studies examining respiratory muscle strength (RMS) in the acute phase of stroke. Objective This study aimed to eval...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2017-10, Vol.26 (10), p.2300-2305
Main Authors: Luvizutto, Gustavo José, PhD, dos Santos, Maria Regina Lopes, PT, Sartor, Lorena Cristina Alvarez, PT, da Silva Rodrigues, Josiela Cristina, PT, da Costa, Rafael Dalle Molle, PT, Braga, Gabriel Pereira, PhD, de Oliveira Antunes, Letícia Cláudia, PhD, Souza, Juli Thomaz, MsC, de Carvalho Nunes, Hélio Rubens, MsC, Bazan, Silméia Garcia Zanati, PhD, Bazan, Rodrigo, PhD
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
aging
Aging - physiology
Anthropometry
Cardiovascular
Cross-Sectional Studies
Female
Hemodynamics
Humans
Linear Models
Male
Maximal Respiratory Pressures
MEP
Middle Aged
MIP
Muscle Strength - physiology
Neurology
obesity
Obesity - complications
Obesity - physiopathology
respiratory muscle strength
Respiratory Muscles - physiopathology
Risk Factors
Severity of Illness Index
Stroke
Stroke - complications
Stroke - diagnosis
Stroke - physiopathology
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Summary:Background During hospitalization, stroke patients are bedridden due to neurologic impairment, leading to loss of muscle mass, weakness, and functional limitation. There have been few studies examining respiratory muscle strength (RMS) in the acute phase of stroke. Objective This study aimed to evaluate the RMS of patients with acute stroke compared with predicted values and to relate this to anthropometric variables, risk factors, and neurologic severity. Methods This is a cross-sectional study in the acute phase of stroke. After admission, RMS was evaluated by maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP); anthropometric data were collected; and neurologic severity was evaluated by the National Institutes of Health Stroke Scale. The analysis of MIP and MEP with predicted values was performed by chi-square test, and the relationship between anthropometric variables, risk factors, and neurologic severity was determined through multiple linear regression followed by residue analysis by the Shapiro-Wilk test; P  
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2017.05.014