Respiratory and functional status of inpatients with stroke: a cross-sectional study.

IF 2.3 4区医学 Q1 REHABILITATION

Topics in Stroke Rehabilitation Pub Date : 2026-07-01 Epub Date: 2025-10-29 DOI:10.1080/10749357.2025.2579912

Steve Freitas, Corália Pinto, Joana Magano, Miguel P Almeida

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引用次数: 0

Abstract

Background: Respiratory function and functional status are often impaired after stroke, yet respiratory assessment before rehabilitation is frequently overlooked. Few studies explore these parameters in the acute and subacute phases, which are critical for recovery. Understandingtheir relationship may guide more effective rehabilitation.

Objectives: To characterize respiratory function and functional status in stroke inpatients at rehabilitation admission. Secondary objectives were to examine correlations between them, and to assess the influence of sex, age, comorbidities, body mass index, stroke type, and time since stroke on these correlations.

Methods: A cross-sectional study included stroke inpatients admitted to rehabilitation between 2023 and 2024. Demographics, Maximal Inspiratory Pressure (MIP), Maximal Expiratory Pressure (MEP), Peak Cough Flow (PCF), Trunk Impairment Scale (TIS), and Functional Independence Measure (FIM) were collected.

Results: Eighty-four participants (67% male; 49% aged 60-69; 48% > 25 kg/m²; 70% ischemic stroke; 38 median days post-stroke) were included. Respiratory function was: MIP (median: 48.5 cmH₂O; interquartile range [IQR]: 28.5;66), MEP (mean: 65.1 cmH₂O; standard deviation [SD]: 26.1) and PCF (mean: 218.5 L/min; SD: 142.1), which were majorly below reference values, except for PCF. Functional status was as follows: FIM (median: 84; IQR: 70.75;93) and TIS (median: 14; IQR: 10.75;18). Correlation analysis showed weak correlation between PCF and FIM (R = 0.35) and TIS (R = 0.30), and moderate correlations between FIM and MIP (R = 0.47) and MEP (R = 0.42). Demographics and stroke subtypes did not significantly impact these correlations.

Conclusions: Respiratory and functional impairments are common early after stroke. Their significant correlation supports routine respiratory assessment at rehabilitation admission to guide individualized interventions, regardless of demographics or stroke subtypes.

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脑卒中住院患者的呼吸和功能状态：一项横断面研究。

背景：卒中后呼吸功能和功能状态经常受损，但康复前的呼吸评估经常被忽视。很少有研究探讨这些参数在急性和亚急性期，这是恢复的关键。了解他们之间的关系可以指导更有效的康复。目的：了解脑卒中住院患者康复入院时的呼吸功能和功能状态。次要目的是检查它们之间的相关性，并评估性别、年龄、合并症、体重指数、中风类型和中风后时间对这些相关性的影响。方法：一项横断面研究纳入了2023年至2024年间入院康复的脑卒中住院患者。收集统计数据、最大吸气压力（MIP）、最大呼气压力（MEP）、咳嗽峰值流量（PCF）、躯干损伤量表（TIS）和功能独立性量表（FIM）。结果：84名参与者（67%为男性，49%为60-69岁，48%体重为25 kg/m2, 70%为缺血性卒中，卒中后中位天数为38天）被纳入研究。呼吸功能：MIP（中位数：48.5 cmH2O；四分位间距[IQR]: 28.5;66）， MEP（平均值：65.1 cmH2O；标准差[SD]: 26.1）和PCF（平均值：218.5 L/min; SD: 142.1），除PCF外，其余均低于参考值。功能状态如下：FIM（中位数：84；IQR: 70.75;93）和TIS（中位数：14；IQR: 10.75;18）。相关性分析显示PCF与FIM （R = 0.35）、TIS （R = 0.30）呈弱相关性，FIM与MIP （R = 0.47）、MEP （R = 0.42）呈中等相关性。人口统计学和中风亚型对这些相关性没有显著影响。结论：卒中后早期常见呼吸和功能障碍。它们的显著相关性支持在康复入院时进行常规呼吸评估，以指导个性化干预，而不考虑人口统计学或卒中亚型。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Topics in Stroke Rehabilitation 医学-康复医学

CiteScore

5.10

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.