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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

Respiratory function in chronic stroke patients: an observational study
Conclusion: Our results showed that chronic stroke patients show significant impairment in pulmonary function, cough effectiveness, and respiratory muscle strength compared to the control group, and as a consequence, a loss of functionality at this level.
Source: European Respiratory Journal - November 25, 2021 Category: Respiratory Medicine Authors: Prados Roman, E., Cabrera Martos, I., Zapata Soria, M., Ortiz Rubio, A., Calvache Mateo, A., Valenza, M. C. Tags: Rehabilitation and chronic care Source Type: research

Cut-off Values of the Respiratory Muscle Power and Peak Cough Flow in Post-Stroke Dysphagia.
Conclusions: Our study has provided cut-off values that are associated with increased risk of dysphagia. Among the three parameters, PCF showed increased association with post-stroke dysphagia. PMID: 33255271 [PubMed - in process]
Source: Medicina (Kaunas) - November 24, 2020 Category: Universities & Medical Training Authors: Han YJ, Lee J, Sohn DG, Park GY, Kim Y, Park HY, Jung SA, Im S Tags: Medicina (Kaunas) Source Type: research

A True Hematologic Emergency
​BY GREGORY TAYLOR, DO, & JACKLYN M​CPARLANE, DO​A 33-year-old woman with a past medical history of sickle cell SS presented to the emergency department with chest pain, difficulty breathing, and a cough for two days. Her chest pain was diffuse, without radiation, and partially reproducible. Her cough was nonproductive, and she also reported fever and chills.The patient noted this was different from her normal back and leg pain from past sickle cell crises. She was following up with a sickle cell specialist, and was compliant with her hydroxyurea treatment.Her temperature was 102.8°F, blood pressure was 94/60 mm...
Source: The Case Files - June 26, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Effects of bidi smoking on all-cause mortality and cardiorespiratory outcomes in men from south Asia: an observational community-based substudy of the Prospective Urban Rural Epidemiology Study (PURE)
We examined the effects of bidi smoking on baseline respiratory impairment, and prospectively collected data for all-cause mortality and cardiorespiratory events in men from this region. Methods This substudy of the international, community-based Prospective Urban Rural Epidemiology (PURE) study was done in seven centres in India, Pakistan, and Bangladesh. Men aged 35–70 years completed spirometry testing and standardised questionnaires at baseline and were followed up yearly. We used multilevel regression to compare cross-sectional baseline cardiorespiratory symptoms, spirometry measurements, and follow-up events (all-c...
Source: The Lancet Global Health - January 16, 2017 Category: Global & Universal Source Type: research

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
This study investigates a novel strategy based on an exercise intervention for cough rehabilitation.Trial registration: Current Controlled Trials ISRCTN40298220
Source: BioMed Central - April 12, 2014 Category: Journals (General) Authors: Stefan Tino KulnikGerrard Francis RaffertySurinder S BirringJohn MoxhamLalit Kalra Source Type: research