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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

How the work of respiratory physiotherapists changes the tracheostomy management and decannulation in a NICU department: an Italian experience
We described the number of decannulations, the length of stay in NICU and decannulation time; the diagnosis of decannulated patients and the number of deaths. 928 total patients were analysed: 468 in P1, 460 in P2. Total length of stay or number of deaths did not change significantly between the two periods, while the number of decannulated patients before the discharge was higher in P2 143 (64%), compared with P1 79 (36%) p<0.001. More patients with neurological pathologies involving possible swallowing disorders, such as cerebral haemorrhage, head trauma and stroke, have been successfully decannulated in P2 than in P1...
Source: Monaldi Archives for Chest Disease - November 25, 2022 Category: Respiratory Medicine Authors: Davide Papi Giulia Montigiani Luca Bucciardini 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

Airway clearance practice in people with bronchiectasis: A Northern Ireland (NI) survey
Conclusions: In this study of bronchiectasis patients in NI, most received their first consultation on ACT from a physiotherapist in the outpatient setting and were using ACT +/- ACT adjunct + exercise.Acknowledgements: Study funded by Northern Ireland Chest Heart and Stroke.
Source: European Respiratory Journal - November 25, 2021 Category: Respiratory Medicine Authors: ONeill, K., ONeill, B., Boyd, J., Grath, R. M., Chalmers, J. D., De Soyza, A., Bradley, J. M. Tags: Physiotherapists Source Type: research

Bacteriological and therapeutic features of lung abscess
Conclusion: The identification of the responsible bacteria in lung abcess remains difficult. Management is based mainly on antibiotics wich is often probabilistic, in some cases associated with physiotherapy, percutaneous scan-guided drainage or rarely surgery.
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Kallel, N., khemakhem, R., Abdelmouleh, K., Moussa, N., Yangui, I., Kammoun, S. Tags: Respiratory infections Source Type: research

What Tools and Resources do Pulmonary Rehabilitation Teams use to Deliver Education?
Conclusions: Research needs to identify what patients want to know, and materials should be developed to ensure patients receive the information they need to manage their condition.
Source: European Respiratory Journal - October 28, 2020 Category: Respiratory Medicine Authors: Roberts, N. J., Kidd, L., Kirkwood, K., Cross, J., Partridge, M. Tags: Rehabilitation and chronic care Source Type: research

Effects of incremental inspiratory load on inspiratory muscles activity in stroke subjects in comparison to healthy individuals
Conclusion: Incremental inspiratory loads were able to increase muscles activity in stroke subjects and controls, differently. Reduce the activity of paretic side inspiratory muscle suggests the influence of the disease on muscular activity.
Source: European Respiratory Journal - November 20, 2019 Category: Respiratory Medicine Authors: Colaco, E., Peroni Gualdi, L., E.F. Da Gama, A., Wiesiolek, C., C. Brandao, D., A.F. Fregonezi, G., Dornelas De Andrade, A. Tags: Physiotherapists Source Type: research

Test-retest reliability of respiratory muscle testing in stroke
Conclusion: There was good test-retest reliability of MIP and MEP measures, but SNIP shows more variation and may require a practice session in stroke patients.
Source: European Respiratory Journal - November 20, 2019 Category: Respiratory Medicine Authors: Lewko, A., Kulnik, S. T., Sidaway, M., Krawczyk, M. Tags: Physiotherapists Source Type: research

Basic movements for postoperative exercise in patients with left ventricular assist devices.
Authors: Polastri M, Zagnoni G, Loforte A Abstract Patients with advanced heart failure refractory to medical therapy can be treated with left ventricular assist devices, implanted to augment or replace left ventricular function. The most common postoperative complications are infection; bleeding; thromboembolic events; device malfunction; depression, and neurological dysfunction (stroke, transient ischemic attacks, encephalopathy). Their onset contributes to the interruption and delay in commencing a physiotherapy program. During the initial postoperative phase, patients with left ventricular assist devices are no...
Source: Monaldi Archives for Chest Disease - April 12, 2019 Category: Respiratory Medicine Tags: Monaldi Arch Chest Dis 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

Regional lung ventilation and its distribution in patients with stroke-induced hemiparesis in sitting position
Conclusions: Global and regional lung ventilation is reduced in patients with hemiparesis during QB in sitting position. Despite the right-sided deficit, right lung and dorsal region respond to major proportion of ventilation.Keywords: electric impedance, quiet breathing, stroke
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Campos, S., Rattes, C., Leite, W., Goncalves, T., Morais, C., Brandao, D., Dornelas De Andrade, A. Tags: Physiotherapists Source Type: research

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