| Titre : | Decreased Diaphragm Excursion in Stroke Patients With Dysphagia as Assessed by M-Mode Sonography (2015) |
| Auteurs : | Geun-Young Park, Auteur ; Seong-Rim Kim, Auteur ; Young Woo Kim, Auteur |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/1, 2015) |
| Article en page(s) : | p. 114-121 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Échographie ; Rééducation et réadaptation ; Toux ; Troubles de la déglutition |
| Mots-clés: | Cough ; Deglutition disorders ; Diaphragm ; Muscle diaphragme ; Stroke ; Ultrasonography |
| Résumé : |
Objective To record diaphragm excursion via M-mode ultrasonography in stroke patients with dysphagia and determine whether they present reduced diaphragm excursion during voluntary cough compared with stroke patients without dysphagia and healthy subjects. Design Prospective cross-sectional study. Setting University rehabilitation hospital. Participants Acute stroke patients with dysphagia (n=23), acute stroke patients without dysphagia (n=24), and healthy control participants (n=27) (N=74). Interventions Not applicable. Main Outcome Measures Diaphragm motions during quiet breathing, deep breathing, and voluntary coughing were recorded via ultrasonography using M-mode tracing (mm). Maximum inspiratory and expiratory pressures (cmH2O) and peak cough flow (L/min) during voluntary coughing were measured. Results The mean diaphragm movement (mm) of the hemiplegic side for all groups during quiet breathing, deep breathing, and voluntary coughing was 14.8+4.3, 17.6+4.8, and 20.9+3.7 (P<.001 and respectively. the differences were statistically significant. observed in maximum inspiratory expiratory pressures peak cough flow among groups. forward selection stepwise regression analysis which was performed to determine variables that help predict diaphragm excursion during voluntary coughing showed presence of dysphagia explained up hemiplegic movement patients with stroke.> Conclusions M-mode ultrasonography showed that stroke patients with dysphagia have decreased diaphragm excursion and compromised respiratory function during voluntary coughing. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314010338 |
Bibliothèques HE Vinci
