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By: Deepjyoti Barman, Kangkan Talukdar, and Ankur Jyoti Bora.
1.MPT Scholar, Department of Physiotherapy, Jorhat Medical College, Jorhat
2.Lecturer, Department of Physiotherapy, Jorhat Medical College, Jorhat
3.Senior physiotherapist cum course co-ordinator, Department of physiotherapy,Jorhat Medical College, Jorhat
Background: Stroke is considered one of the major causes of impairments in activities of daily living. Respiratory dysfunction in stroke patients, especially those with bilateral hemisphere involvement, is often overlooked despite its critical role in recovery. This study focuses on the prevalence and impact of respiratory impairment in cerebrovascular accident (CVA) patients with bilateral hemispheric involvement. Objectives: The objective of this study was to determine the prevalence of respiratory impairment in stroke patients with bilateral hemisphere involvement. Materials and Methods: A cross-sectional study was conducted on 37 stroke patients with bilateral CVA admitted to the Jorhat Medical College & Hospital. Variables such as Peak Expiratory Flow Rate (PEFR), inspiratory muscle strength (IMS), expiratory muscle strength (EMS), and the rate of dyspnea (RDOS) were assessed. Statistical analysis was conducted using SPSS software, and chi-square tests and Spearman’s correlation were applied to evaluate relationships between variables. Regression analysis was used to model the relationship between PEFR and RDOS. Results: Statistical analysis revealed no significant associations between sex, age, or type of CVA and respiratory function (p > 0.05). However, a strong negative correlation (r = -0.885) was found between PEFR and RDOS, indicating that lower respiratory function was associated with increased dyspnea. Regression analysis provided the equation Y = 6.208 – 0.013X for predicting RDOS from PEFR. Conclusion: The results suggest that respiratory impairment is significant in stroke patients with bilateral hemisphere involvement. Lower PEFR was strongly associated with higher dyspnea rates, reinforcing the need for respiratory-focused interventions in stroke rehabilitation.
Keywords: Stroke, Cerebrovascular Accident, Respiratory Impairment, PEFR, Dyspnea, Bilateral Hemisphere, Rehabilitation
Citation:
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