Practical Geriatrics ›› 2023, Vol. 37 ›› Issue (5): 444-448.doi: 10.3969/j.issn.1003-9198.2023.05.004

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Clinical study on the effects of modified Wuqinxi in improving respiratory function in elderly patients with stroke

BAO Ying-ying, ZHUANG Yong-mei, CHE Pei, JI Ying-ying, CHEN Lan,XIAO Yue, LU Jun, ZHAO Ruo-xin, XU Guang-xu   

  1. School of Rehabilitation Medicine, Nanjing Medical University, Nanjing 210029, China(BAO Ying-ying);
    Jiangsu Health Development Research Center, National Health and Family Planning Commission Contraceptives Adverse Reaction Surveillance Center, Nanjing 210036, China(ZHUANG Yong-mei);
    Department of Rehabilitation Medicine, Wuxi Tongren Rehabilitation Hospital, Wuxi 214151, China(CHE Pei, JI Ying-ying, CHEN Lan);
    Rehabilitation Medicine Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China(XIAO Yue, LU Jun, ZHAO Ruo-xin, XU Guang-xu)
  • Received:2022-09-06 Online:2023-05-20 Published:2023-05-22
  • Contact: XU Guang-xu,Email:xuguangxu1@126.com

Abstract: Objective To investigate the effects of modified Wuqinxi on the respiratory function in the elderly patients with stroke. Methods A total of 40 in-hospital elderly patients with stroke from June 2021 to June 2022 were enrolled in this study. They were divided into the experimental group and the control group randomly.The patients in the control group(n=20) received routine rehabilitation training,and the patients in the experimental group(n=20) received modified Wuqinxi training based on routine rehabilitation training. Before and after the intervention, forced expiratory volume in the first second(FEV1), forced vital capacity(FVC)and peak expiratory flow(PEF) were used to assess the pulmonary ventilation performance.The peak inspiratory flow(PIF) and maximum inspiratory pressure(MIP) were used to assess the inspiratory muscle function.Diaphragmatic excursion(DE) and diaphragmatic thickening fraction(DTF) detected by diaphragmatic ultrasound were used to evaluate the diaphragmatic function. Results No statistical difference was found between the two groups in the levels of FEV1, FVC, PEF, PIF, MIP, DE and DTF before the intervention(P>0.05). After the intervention, the levels of FEV1, FVC, PEF, PIF, MIP, DE and DTF in the experimental group were significantly higher than those before the intervention(P<0.05), which were also significantly higher than those in the control group except DTF(P<0.05). Conclusions The modified Wuqinxi training promotes the respiratory function in the elderly patients with stroke by improving the pulmonary ventilation function, inspiratory muscle function and diaphragm mobility.

Key words: Wuqinxi, aged, stroke, respiratory function, diaphragmatic function

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