Respiratory Muscle Training Terhadap Kekuatan Otot Pernapasan Pada Rehabilitasi Paca Stroke

##plugins.themes.academic_pro.article.sidebar##

Published Mar 30, 2023
https://doi.org/10.20527/jdk.v11i1.60
Download
pdf
Statistic

Downloads

Download data is not yet available.
Vol. 11 No. 1 (2023): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan

##plugins.themes.academic_pro.article.main##

Emiliani Elsi Jerau
a:1:{s:5:"en_US";s:44:"Magister Keperawatan, Universitas Diponegoro";}
Untung Sujianto
Divisi Keperawatan Dewasa, Departemen Ilmu Keperawatan, Fakultas Kedokteran Universitas Diponegoro, Semarang, Jawa Tengah, Indonesia
Fitria Handayani
Divisi Keperawatan Dewasa, Departemen Ilmu Keperawatan, Fakultas Kedokteran Universitas Diponegoro, Semarang, Jawa Tengah, Indonesia

Abstract

Fungsi pernapasan yang menurun dapat membatasi aktivitas dan meningkatkan risiko komplikasi pernapasan. Gangguan otot pernapasan merupakan masalah umum dan serius yang mempengaruhi pemulihan dan rehabilitasi. Penanganan yang tepat serta rehabilitasi yang cepat akan memberikan pemulihan yang optimal. Salah satu intervensi mengatasi gangguan otot pernapasan pada pasien stroke adalah Respiratory Muscle Training (RMT). Tujuan yaitu untuk membahas jenis-jenis RMT yang mempengaruhi kekuatan otot pernapasan pada rehabilitasi pasca stroke. Telaah literature menggunakan pendekatan scoping review dan metode pencarian artikel menggunakan database elektronik Science Direct, Scopus, Pubmed, dan google scholar dengan rentang tahun 2017 hingga 2022. Hasil review dari 6 artikel didapatkan bahwa jenis RMT yaitu Inspiratory Muscle Training (IMT) atau gabungan IMT dan EMT (Expiratory Muscle Training) mampu meningkatkan kekuatan otot pernapasan namun karena otot inspirasi maupun ekspirasi penting untuk fungsi pernapasan yang efektif sehingga latihan gabungan IMT dan EMT lebih efektif daripada hanya melakukan latihan IMT saja. Kesimpulan: RMT terbukti efektif dalam meningkatkan kekuatan otot pernapasan pasien stroke dan dapat direkomendasikan pada rehabilitasi pasca stroke.


 


 

##plugins.themes.academic_pro.article.details##

How to Cite
1.
Jerau EE, Sujianto U, Handayani F. Respiratory Muscle Training Terhadap Kekuatan Otot Pernapasan Pada Rehabilitasi Paca Stroke. jdk [Internet]. 2023 Mar. 30 [cited 2026 Oct. 1];11(1):36-47. Available from: https://jdk.ulm.ac.id/index.php/jdk/article/view/60

References

  1. Kuriakose D, Xiao Z. Pathophysiology and treatment of stroke: Present status and future perspectives. Int J Mol Sci [Internet]. 2020;21(20):1-6p. Available from: https://doi.org/10.3390/ijms21207609
  2. Kementerian Kesehatan RI. Laporan Riskesdas 2018 [Internet]. Riskesdas. 2018. Available from: https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
  3. Whitiana GD, Vitriana, Cahyani A. Level of Activity Daily Living in Post Stroke Patients. Althea Med J [Internet]. 2017;4(2):261–6. Available from: 10.15850/amj.v4n2.1068
  4. Han YJ, Lee J, Sohn DG, Park GY, Kim Y, Park HY, et al. Cut-off values of the respiratory muscle power and peak cough flow in post-stroke dysphagia. Med [Internet]. 2020;56(12):1–13. Available from: doi: 10.3390/medicina56120635
  5. Sutbeyaz. S., Koseoglu. F, Inan. L, Coskun. O. Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke: a randomized controlled trial. Clin Rehabil [Internet]. 2010;24(3):240–50. Available from: 10.1177/0269215509358932
  6. Yoo HJ, Pyun SB. Efficacy of bedside respiratory muscle training in patients with stroke. Am J Phys Med Rehabil [Internet]. 2018;97(10):691–7. Available from: doi: 10.1097/PHM.0000000000000933
  7. Na EH, Han SJ, Yoon TS. Effect of active pulmonary rehabilitation on pulmonary function in patients with brain lesion. NeuroRehabilitation [Internet]. 2014;35(3):459–66. Available from: doi: 10.3233/NRE-141137
  8. Almeida SRM, Bahia MM, Lima FO, Paschoal IA, Cardoso TAMO, Li LM. Predictors of pneumonia in acute stroke in patients in an emergency unit. Arq Neuropsiquiatr [Internet]. 2015;73(5):415–9. Available from: doi:10.1590/0004-282X20150046
  9. Jang SH, Bang HS. Effect of thoracic and cervical joint mobilization on pulmonary function in stroke patients. J Phys Ther Sci [Internet]. 2016;28(1):257–60. Available from: doi: 10.1589/jpts.28.257
  10. Kulnik ST, Rafferty GF, Birring SS, Moxham J, Kalra L. A pilot study of respiratory muscle training to improve cough effectiveness and reduce the incidence of pneumonia in acute stroke: Study protocol for a randomized controlled trial. Trials [Internet]. 2014;15(123):1-10p. Available from: doi: 10.1186/1745-6215-15-123
  11. Jung KM, Bang DH. Effect of inspiratory muscle training on respiratory capacity and walking ability with subacute stroke patients: A randomized controlled pilot trial. J Phys Ther Sci [Internet]. 2017;29(2):336–9. Available from: doi: 10.1589/jpts.29.336
  12. Menezes KKP, Nascimento LR, Avelino PR, Alvarenga MTM, Teixeira-Salmela LF. Efficacy of interventions to improve respiratory function after stroke. Respir Care [Internet]. 2018;63(7):920–33. Available from: https://doi.org/10.4187/respcare.06000
  13. Kubo H, Nozoe M, Yamamoto M, Kamo A, Noguchi M, Kanai M, et al. Recovery process of respiratory muscle strength in patients following stroke: A Pilot Study. Phys Ther Res [Internet]. 2020;23(2):123–31. Available from: doi: 10.1298/ptr.E10006
  14. Kim. J, Park. J., Yim. J. Effects of respiratory muscle and endurance training using an individualized training deviceon pulmonary function and exercise capacity in stroke patients. Med Sci Monit [Internet]. 2014;(20):2543–9. Available from: doi: 10.12659/MSM.891112
  15. Joo S, Shin D, Song C. The effects of game-based breathing exercise on pulmonary function in stroke patients: A preliminary study. Med Sci Monit [Internet]. 2015;22(21):1806–11. Available from: doi: 10.12659/MSM.893420
  16. Menezes KKP, Nascimento LR, Ada L, Polese JC, Avelino PR, Teixeira-Salmela LF. Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: A systematic review. J Physiother [Internet]. 2016;62(3):138–44. Available from: doi: 10.1016/j.jphys.2016.05.014
  17. Choi HE, Jo GY, Kwon Do H, On CW. Comprehensive respiratory muscle training improves pulmonary function and respiratory muscle strength in acute stroke patients. J Cardiopulm Rehabil Prev [Internet]. 2021;41(3):P166-171. Available from: doi: 10.1097/HCR.0000000000000526
  18. Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol Theory Pract [Internet]. 2005;8(1):1-15P. Available from: https://doi.org/10.1080/1364557032000119616
  19. Aydoğan Arslan S, Uğurlu K, Sakizli Erdal E, Keskin ED, Demirgüç A. Effects of Inspiratory Muscle Training on Respiratory Muscle Strength, Trunk Control, Balance and Functional Capacity in Stroke Patients: A single-blinded randomized controlled study. Top Stroke Rehabil [Internet]. 2022;29(1):40–8. Available from: https://doi.org/10.1080/10749357.2020.1871282
  20. Cho JE, Lee HJ, Kim MK, Lee WH. The improvement in respiratory function by inspiratory muscle training is due to structural muscle changes in patients with stroke: a randomized controlled pilot trial. Top Stroke Rehabil [Internet]. 2018;25(1):37–43. Available from: doi: 10.1080/10749357.2017.1383681
  21. Liaw MY, Hsu CH, Leong CP, Liao CY, Wang LY, Lu CH, et al. Respiratory muscle training in stroke patients with respiratory muscle weakness, dysphagia, and dysarthria - a prospective randomized trial. Medicine (Baltimore) [Internet]. 2020;99(10):p e19337. Available from: doi: 10.1097/MD.0000000000019337
  22. Lee K, Park D, Lee GC. Progressive Respiratory Muscle Training for Improving Trunk Stability in Chronic Stroke Survivors: A Pilot Randomized Controlled Trial. J Stroke Cerebrovasc Dis [Internet]. 2019;28(5):1200–11. Available from: doi: 10.1016/j.jstrokecerebrovasdis.2019.01.008
  23. Parreiras de Menezes KK, Nascimento LR, Ada L, Avelino PR, Polese JC, Mota Alvarenga MT, et al. High-Intensity Respiratory Muscle Training Improves Strength and Dyspnea Poststroke: A Double-Blind Randomized Trial. Arch Phys Med Rehabil [Internet]. 2019;100(2):205–12. Available from: doi: 10.1016/j.apmr.2018.09.115
  24. Martín-Valero R, De La Casa Almeida M, Casuso-Holgado MJ, Heredia-Madrazo A. Systematic review of inspiratory muscle training after cerebrovascular accident. Respir Care [Internet]. 2015;60(11):1652–9. Available from: doi: 10.4187/respcare.03981
  25. Lista Paz A, González Doniz L, Ortigueira García S, Saleta Canosa JL, Moreno Couto C. Respiratory Muscle Strength in Chronic Stroke Survivors and Its Relation with the 6-Minute Walk Test. Arch Phys Med Rehabil [Internet]. 2016;97(2):266–72. Available from: doi: 10.1016/j.apmr.2015.10.089
  26. Jandt SR, da Sil Caballero RM, Junior LAF, Dias AS. Correlation between trunk control, respiratory muscle strength and spirometry in patients with stroke: An observational study. Physiother Res Int [Internet]. 2011;16(4):218–24. Available from: doi: 10.1002/pri.495
  27. Kim NS. Correlation between grip strength and pulmonary function and respiratory muscle strength in stroke patients over 50 years of age. J Exerc Rehabil. 2018;14(6):1017–23.
  28. Britto RR, Rezende NR, Marinho KC, Torres JL, Parreira VF, Teixeira-Salmela LF. Inspiratory muscular training in chronic stroke survivors: A randomized controlled trial. Arch Phys Med Rehabil [Internet]. 2011;92(2):184–90. Available from: doi: 10.1016/j.apmr.2010.09.029.
  29. Fabero-Garrido R, del Corral T, Angulo-Díaz-Parreño S, Plaza-Manzano G, Martín-Casas P, Cleland JA, et al. Respiratory muscle training improves exercise tolerance and respiratory muscle function/structure post-stroke at short term: A systematic review and meta-analysis. Ann Phys Rehabil Med [Internet]. 2022;65(5):101596. Available from: doi: 10.1016/j.rehab.2021.101596
  30. Jung H-Y. Rehabilitation in Subacute and Chronic Stage After Stroke. In: Lee SH, editor. Stroke Revisited: Diagnosis and Treatment of Ischemic Stroke [Internet]. Singapore: Springer; 2017. p. 351–60. Available from: https://link.springer.com/book/10.1007/978-981-10-1424-6#editorsandaffiliations
  31. Zhang X, Zheng Y, Dang Y, Wang L, Cheng Y, Zhang X, et al. Can inspiratory muscle training benefit patients after stroke? A systematic review and meta-analysis of randomized controlled trials. Clin Rehabil [Internet]. 2020;34(7):866–76. Available from: doi: 10.1177/0269215520926227
  32. Romer LM, McConnell AK. Specificity and reversibility of inspiratory muscle training. Med Sci Sports Exerc [Internet]. 2003;35(2):237–44. Available from: doi: 10.1249/01.MSS.0000048642.58419.1E.
  33. Lynch E, Hillier S, Cadilhac D. When should physical rehabilitation commence after stroke: A systematic review. Int J Stroke. 2014;9(4):468–78.
  34. Van Der Palen J, Rea TD, Manolio TA, Lumley T, Newman AB, Tracy RP, et al. Respiratory muscle strength and the risk of incident cardiovascular events. Thorax [Internet]. 2004;59(12):1063–1067. Available from: doi: 10.1136/thx.2004.021915
  35. Hannawi Y, Hannawi B, Rao CPV, Suarez JI, Bershad EM. Stroke-associated pneumonia: Major advances and obstacles. Cerebrovasc Dis [Internet]. 2013;35(5):430–43. Available from: doi: 10.1159/000350199
  36. Zheng Y, Zhang Y, Li H, Qiao L, Fu W, Yu L, et al. Comparative Effect of Liuzijue Qigong and Conventional Respiratory Training on Trunk Control Ability and Respiratory Muscle Function in Patients at an Early Recovery Stage From Stroke: A Randomized Controlled Trial. Arch Phys Med Rehabil [Internet]. 2021;102(3):423–30. Available from: doi: 10.1016/j.apmr.2020.07.007.
  37. Widdicombe JG, Addington WR, Fontana GA, Stephens RE. Voluntary and reflex cough and the expiration reflex; implications for aspiration after stroke. Pulm Pharmacol Ther [Internet]. 2011;24(3):312–7. Available from: doi: 10.1016/j.pupt.2011.01.015
  38. Guillén-Solà A, Messagi Sartor M, Bofill Soler N, Duarte E, Barrera MC, Marco E. Respiratory muscle strength training and neuromuscular electrical stimulation in subacute dysphagic stroke patients: A randomized controlled trial. Clin Rehabil [Internet]. 2017;31(6):761–71. Available from: doi: 10.1177/0269215516652446
  39. Schoser B, Fong E, Geberhiwot T, Hughes D, Kissel JT, Madathil SC, et al. Maximum inspiratory pressure as a clinically meaningful trial endpoint for neuromuscular diseases: A comprehensive review of the literature. Orphanet J Rare Dis [Internet]. 2017;12(1):52. Available from: doi: 10.1186/s13023-017-0598-0