The effect of respiratory muscle training on balance and walking ability in stroke patients

The aim of our study is; The aim of this study is to investigate the effect of respiratory muscle training on balance and walking ability in stroke patients. 34 cases diagnosed as stroke were included in the study. Cases were randomized into 2 groups with 17 people in one group and all evaluations were performed before and after treatment. The exercise program consisting of diaphragmatic breathing and core stabilization exercises resistant to Group 1 was applied in addition to conventional exercises three times a week for 4 weeks. Group 2 was enrolled in a conventional exercise program for 4 weeks. Balance was assessed with Berg Balance Scale, walking ability with Tinetti Balance and Walking Scale, and quality of life with SF-12 Quality of Life Scale, Activities of daily living with the Barthel Activities of Daily Living Scale, depression with the Beck Depression Scale. At the end of treatment, the group that received respiratory muscle training (Group 1) compared to the group that received conventional exercise therapy (Group 2) more significant improvements were achieved in the values of balance and activities of daily living. The groups' walking scores improved after treatment; however, this improvement was not found to be significant between the groups. There was no significant difference between depression values in the comparison of treatment outcomes in both groups. According to the results of this study; In addition to conventional exercise therapy in improving balance and walking ability in stroke patients; the application of resistant diaphragmatic breathing and core stabilization exercises is a safe and effective method.Keywords: Stroke, Respiratory Muscle Training, Balance, Walking Ability