Pulmonary Function Impairment After Stroke: An Integrative Review
DOI:
https://doi.org/10.14295/idonline.v19i79.4295Keywords:
Stroke, Pulmonary Function, Respiratory Muscle WeaknessAbstract
Abstract: Stroke induces pulmonary dysfunction, resulting from weakness of the respiratory muscles, and critically affects essential functions such as coughing, swallowing, postural stability, and cardiorespiratory capacity. Objective: To synthesize recent scientific knowledge on the implications of pulmonary function impairment in post-stroke patients. Methodology: A search was conducted in the PubMed, Cochrane Library, and BVS databases. 12 studies were included for this review. Results: Post-stroke pulmonary impairment is a prevalent and clinically relevant finding, the severity of which is correlated with the severity of the brain injury. The main intervention finding is the effectiveness of Respiratory Muscle Training. Conclusion: Pulmonary function impairment is a significant sequela of stroke. Respiratory Muscle Training is an essential and highly effective intervention that should be incorporated early into the rehabilitation plan.
Downloads
References
ATICI, E. et al. Immediate Effect of Manual Therapy on Respiratory Functions and Respiratory Muscle Strength in Stroke Patients. Türk Fizyoterapi ve Rehabilitasyon Dergisi, v. 35, n. 3, p. 335–341, 23 dez. 2024. Disponivel em:<https://doi.org/10.21653/tjpr.1454728> Acessado em: 21 de setembro de 2025. DOI: https://doi.org/10.21653/tjpr.1454728
CAO, H. et al. Repetitive transcranial magnetic stimulation combined with respiratory muscle training for pulmonary rehabilitation after ischemic stroke--A randomized, case-control study. Frontiers in Aging Neuroscience, v. 14, p. 1–9, 23 set. 2022. Disponivel em: < https://doi.org/10.3389/fnagi.2022.1006696> Acessado em: 03 de setembro de 2025. DOI: https://doi.org/10.3389/fnagi.2022.1006696
COELHO, V. M. et al. Alterações cardiorrespiratórias em indivíduos hemiparéticos crônicos pós-acidente vascular cerebral. Revista da Sociedade Brasileira de Clínica Médica, v. 18, n. 3, p. 130–133, 2020. Disponivel em: < https://docs.bvsalud.org/biblioref/2022/03/1361501/130-133.pdf> Acessado em: 06 de setembro de 2025.
DRAKOPANAGIOTAKIS, F. et al. Pulmonary Function Tests Post-Stroke. Correlation between Lung Function, Severity of Stroke, and Improvement after Respiratory Muscle Training. Neurology International, v. 16, n. 1, p. 139–161, 11 jan. 2024. Disponivel em: < https://doi.org/10.3390/neurolint16010009> Acessado em: 20 de setembro de 2025. DOI: https://doi.org/10.3390/neurolint16010009
DUARTE, E. et al. Cerebral infarct site and affected vascular territory as factors in breathing weakness in patients with subacute stroke. Journal of Rehabilitation Medicine, v. 52, n. 10, p. jrm00116, 2020. Disponivel em: < https://doi.org/10.2340/16501977-2751> Acessado em: 03 de setembro de 2025. DOI: https://doi.org/10.2340/16501977-2751
KURIAKOSE, D.; XIAO, Z. Pathophysiology and Treatment of stroke: Present Status and Future Perspectives. International Journal of Molecular Sciences, v. 21, n. 20, p. 7609, 2020. Disponivel em:< https://doi.org/10.3390/ijms21207609> Acessado em: 07 de setembro de 2025. DOI: https://doi.org/10.3390/ijms21207609
LARSSON, P. et al. Cardiorespiratory fitness, physical activity, and fatigue three months after first-ever ischemic stroke. Topics in Stroke Rehabilitation, p. 1–11, 27 mar. 2024. Disponivel em: < https://doi.org/10.1080/10749357.2024.2333191> Acessado em: 13 de setembro de 2025.
LEE, D.-H.; JEON, H.-J. Effects of inspiratory muscle training on pulmonary function, trunk stability, and balance in stroke patients: a stratified randomized controlled trial. Journal of Exercise Rehabilitation, v. 21, n. 3, p. 131–139, 25 jun. 2025. Disponivel em: < https://doi.org/10.12965/jer.2550256.128> Acessado em: 14 de setembro de 2025. DOI: https://doi.org/10.12965/jer.2550256.128
LIAW, M.-Y. et al. Respiratory muscle training in stroke patients with respiratory muscle weakness, dysphagia, and dysarthria - a prospective randomized trial. Medicine (Baltimore), p. e19337–e19337, 2020. Disponivel em: < https://dx.doi.org/10.1097/MD.0000000000019337> Acessado em: 27 de setembro de 2025. DOI: https://doi.org/10.1097/MD.0000000000019337
PAI, H.-C.; LI, C.-C. Relationship between trunk control ability and respiratory function in stroke patients: A scoping review and meta-analysis. Asian Nursing Research, abr. 2023. Disponivel em: < https://doi.org/10.1016/j.anr.2023.04.001> Acessado em: 28 de setembro de 2025. DOI: https://doi.org/10.1016/j.anr.2023.04.001
PENG, X. et al. Information-motivation-behavioral guided nursing for stroke patients with pulmonary dysfunction: A randomized controlled trial. World Journal of Clinical Cases, v. 12, n. 24, p. 5549–5557, 10 jul. 2024. Disponivel em: <https://dx.doi.org/10.12998/wjcc.v12.i24.5549> Acessado em: 27 de setembro de 2025. DOI: https://doi.org/10.12998/wjcc.v12.i24.5549
PEREIRA, V. A. et al. Biomedical system to evaluate pulmonary function in patients with post-stroke hemiparesis. Fisioter. Mov. (Online), p. e003338–e003338, 2020. Disponivel em: < https://doi.org/10.1590/1980-5918.033.AO38> Acessado em: 07 de setembro de 2025. DOI: https://doi.org/10.1590/1980-5918.033.ao38
WU, M. et al. Implications for respiratory muscle training in patients with stroke-associated pneumonia: a meta-analysis. Disability and rehabilitation, p. 1–7, 8 fev. 2024. Disponivel em: <https://doi.org/10.1080/09638288.2024.2314159> Acessado em: 14 de setembro de 2025.
ZHANG, Q. et al. The impact of electrical stimulation at the back-shu acupoint with an extrinsic diaphragmatic pacing mode on respiratory function and extubation success rate in tracheostomized stroke patients: An observational study. Medicine (Baltimore), p. e38595–e38595, 2024. Disponivel em: <https://dx.doi.org/10.1097/MD.0000000000038595> Acessado em: 13 de setembro de 2025. DOI: https://doi.org/10.1097/MD.0000000000038595
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Lorenna ketley Matos ribeiro, Jéssica, Márjorie, Queila, La´ise
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Os autores detêm os direitos autorais sem restrições, devendo informar a publicação inicial nesta revista, em caso de nova publicação de algum trabalho.
