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Can you learn to cough after having a stroke?
A strong cough, requires powerful coordinated contraction of expiratory (abdominal) muscles. The expiratory muscles contract to build up high positive intrapleural and intra-airway pressures for development of peak expiratory Flow rates. Expiratory muscle strength training (EMST) has been shown to improve parameters related to pulmonary function, speech, and cough.However, no one has investigated what changes occur in the activation of abdominal muscles after training. The aim of this study is to clarify which role plays the coordination of abdominal muscles in expiratory flows. The null hypothesis was that stroke patients...
Source: European Respiratory Journal - December 1, 2022 Category: Respiratory Medicine Authors: Dominguez Sanz, N. Tags: 09.02 - Physiotherapists Source Type: research

Post-COVID and the BHRUT one-stop shop MDT approach to managing the longterm sequale of a novel disease process
Conclusions: Patients reported significant physical, functional and psychological issues. These results led to a newly established one-stop face-to-face and virtual MDT clinic with respiratory physician, occupational and physiotherapist and psychologist including digital rehabilitation programmes.
Source: European Respiratory Journal - November 25, 2021 Category: Respiratory Medicine Authors: Kumar, P., Nyberg, S., Jiwan, R., Ainley, A. Tags: Rehabilitation and chronic care Source Type: research

Case Report: Postacute Rehabilitation of Guillain-Barr é Syndrome and Cerebral Vasculitis-Like Pattern Accompanied by SARS-CoV-2 Infection
Conclusion: In this report, we present the case of a patient with peripheral and central neurological damage occurred later severe pneumonia induced by SARS-CoV-2. The Immunoglobulin G therapy allowed the patient to benefit considerably from early rehabilitation, reaching the walking, increasing the independence in daily living tasks, and enabling safe discharge from hospital to home. Related neurologic complications of SARS-CoV-2 infection suffer a lack of understanding and further investigations should be conducted.
Source: Frontiers in Neurology - January 7, 2021 Category: Neurology Source Type: research

The Trunk Control Test: relations with respiratory muscle strength and peak expiratory cough flow
Conclusion: Trunk muscle function is associated with impairments on cough effectiveness which may increase the risk to develop chest infections. Interventions aiming to improve respiratory and trunk muscles function must be considered in stroke patients.
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Messaggi Sartor, M., Marco, E., Neira-Fernandez, N., Ramirez-Fuentes, C., Boza, R., Duarte, E., Guillen-Sola, A. Tags: Physiotherapists Source Type: research

Effect of expiratory muscle strength training on cough and swallowing in patients with dysphagia following stroke
Conclusion: EMT had improved on not only the coughing function but also swallowing function for a stroke patient with dysphagia. These results suggest that EMT leads to improvement of airway clearance and reduction of aspiration risk, and may be expected as a means to prevent aspiration pneumonia.
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Tawara, Y., Fujishima, I., Katagiri, N., Arizono, S., Ohgi, S., Kozu, R. Tags: Physiotherapists Source Type: research

Ditch the Machine to Improve Accuracy in Blood Pressure Measurement and Diagnostics
Conclusion For the patient in this case, the decision to forego the convenience of a machine in favor of the skills of a knowledgeable paramedic was lifesaving. Much like the comparison often drawn between the old-fashioned barbell and more sophisticated exercise machines, newer, more complex, and more expensive might make a process more comfortable, but doesn’t always equate to superior results. As we surrender more and more of our hands-on skills to the ease of automated technology, we risk more than the loss of the aptitudes that form the foundation of sound patient assessment—we place our patients in jeopardy of mi...
Source: JEMS Special Topics - October 24, 2018 Category: Emergency Medicine Authors: Mark Rock, NRP Tags: Exclusive Articles Cardiac & Resuscitation Source Type: news