PTRCTJournal of physical therapy science2017

Comparison of the effects of core stabilization and chest mobilization exercises on lung function and chest wall expansion in stroke patients.

Shin-Jun Park, Ju-Hwan Lee, Kyung-Ok Min

PMID 28744034

WHAT IT FOUND

In chronic stroke patients, core stabilization and chest mobilization exercises produced similar lung function and chest expansion changes.

Neither was clearly better, though both groups improved some measures.

Key findings

01There was no significant difference between the core stabilization and chest mobilization groups in pulmonary function or chest-wall expansion.

02The core stabilization group showed a significant increase in FEV1, FVC, and PEF after intervention.

03The chest mobilization group showed a significant increase in FEV1, FVC, upper chest expansion, and lower chest expansion.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only 30 patients from one convalescent hospital were studied, so the result may not apply to other settings or larger populations. Participants had to be cognitively intact and have limited spasticity, and they could not have respiratory disease or rib fractures, so the study may not apply to more impaired stroke patients. The study compared two exercise groups and did not include a group receiving no exercise, so it cannot show that either exercise is better than doing nothing. One researcher performed both the exercises and the outcome measurements, and the supplied text does not describe an independent blinded assessor. The intervention lasted only 4 weeks, so longer-term effects are not known.

The easy way to misread this

Do not conclude that chest mobilization is better for chest expansion or core stabilization is better for peak flow just because each group improved its own measures. The between-group comparison was not significant, and no control group was included.

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