Tag: stroke rehab

Breathing Therapy After Stroke: Enhancing Recovery & Quality of Life

Breathing Therapy After Stroke: Enhancing Recovery & Quality of Life 

Stroke is a debilitating condition that can cause significant muscle weakness throughout the body, including the muscles responsible for respiration. This can severely impact a patient’s ability to perform daily activities. Respiratory dysfunction occurs in 60% of stroke cases—what’s more, research has found an association between post-stroke apnea and cognitive decline.1  Fortunately, innovative devices like the ACPlus® Respiratory Assessment (ARA) and OmniFlow® Breathing Therapy Biofeedback System are designed to proactively identify and address these respiratory issues, enhancing recovery and improving quality of life for stroke patients. 

Proactively Identifying Breathing Issues with ACPlus® Respiratory Assessment (ARA) 

Stroke-induced respiratory dysfunction (SIRD) is associated with a higher 1-year mortality rate and worse functional outcomes, making it critical to catch as early as possible. ACPlus Respiratory Assessment (ARA) is uniquely designed to help clinicians proactively identify undiagnosed respiratory deficits. A clinician can conduct breathing tests that capture baseline metrics using an iPad and Bluetooth spirometer. ARA interprets that data to suggest possible lung disease patterns and severity levels. The clinical team can then use that data to develop the best treatment plan for that patient.

Delivering Targeted Interventions with OmniFlow® 

Once respiratory deficits are identified, targeted interventions can be initiated. The OmniFlow Breathing Therapy Biofeedback System offers a variety of engaging exercises designed to improve respiratory muscle function, including: 

OmniFlow Breathing Therapy Biofeedback System
  • Rhythmic Breathing: Focuses on rhythmical inspiratory and expiratory breathing 
  • Deep Inhalation: Improves inspiratory muscle power and inspiratory vital capacity (IVC) 
  • Forced Expiration: Targets expiratory muscle power 
  • Controlled Expiration: Improves controlled expiratory volume and flow 
  • ACBT/Huff Technique: Teaches patients the Active Cycle of Breathing (ACBT)/Huff technique to clear secretions from the lungs 

OmniFlow provides valuable inhalation and exhalation data, helping clinicians better assess the patient’s condition and guide their treatment accordingly.

Benefits of Breathing Therapy Post-Stroke 

Incorporating clinically appropriate breathing therapy into post-stroke rehabilitation offers numerous benefits. Respiratory muscle training effectively improves pulmonary function, strength of expiratory and inspiratory muscles, and walking ability, which can help patients perform daily activities more efficiently.2 Better respiratory control can also reduce the risk of complications like pneumonia. Including innovative tools like ARA and OmniFlow in treatment plans can help stroke patients recover faster and more effectively.

  1. 1. Patrizz, A., El Hamamy, A., Maniskas, M., Munshi, Y., Atadja, L., Ahnstedt, H., Howe, M., Mulkey, D., McCullough, L., & Li, J. (2023). Stroke-induced respiratory dysfunction is associated with cognitive decline. Stroke, 54(7), 1863-1874. https://doi.org/10.1161/STROKEAHA.122.041239  ↩︎
  2. 2. Pozuelo Carrascosa, D., Carmona-Torres, J.M., Alberto Laredo-Aguilera, J.A., Pedro Ángel Latorre Román, P.A., Párraga Montilla, J. A., Cobo-Cuenca, A.I. (2020). Effectiveness of respiratory muscle training for pulmonary function and walking ability in patients with stroke: A systematic review with meta-analysis. International Journal of Environmental Research and Public Health, 17(15), 5356. https://doi.org/10.3390/ijerph17155356 ↩︎

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Did you know that respiratory dysfunction occurs in 60% of stroke cases? What’s more, research has found an association between post-stroke apnea and cognitive decline. Fortunately, innovative devices like the ACPlus Respiratory Assessment (ARA) and OmniFlow Breathing Therapy Biofeedback System are designed to proactively identify and address these respiratory issues, enhancing recovery and improving quality of life for stroke patients.

Relieving Pain & Restoring Mobility After Stroke

Relieving Pain & Restoring Mobility After Stroke 

This 66-year-old patient was referred to a skilled nursing facility for stroke rehabilitation. While hospitalized, he required a thrombectomy (procedure to remove blood clot), and he experienced right-sided weakness and general debility after being discharged. Before his stroke, he lived at home with his spouse, was independent with all functional mobility, and walked with a rolling walker. 

Therapy Protocol

Physical & Occupational Therapy

  • 4-5x/week x 4 weeks

OmniVersa® Electrotherapy & Ultrasound System

  • Patterned Electrical Neuromuscular Stimulation (PENS) to the right arm and leg to decrease shoulder pain and for neuromuscular re-education and strengthening of the arm and leg

OmniVR® Virtual Rehabilitation System

  • Virtual reality exercise (bingo and flower garden) to improve transfers, balance, and gait

OmniCycle® Connect Advanced Active-Assist Cycle

  • Upper and lower extremity cycling neuro mode to promote improved endurance, strength, and reciprocal motor activity

Additional Interventions

  • Gait training, transfer training, balance re-education, therapeutic exercise, self-care retraining, and therapeutic activities

OmniVersa®

Electrotherapy & Ultrasound System

OmniVR®

Virtual Rehabilitation System

OmniCycle® Connect

Advanced Active-Assist Cycle

Following the 4-week stroke rehabilitation program the patient made significant strides: 

Relieving Pain & Restoring Mobility After Stroke

This patient is thrilled with the care he received and is so happy to be able to return home. He feels his therapy team really used all their tools to get him better as quickly as possible.

PENS really helped to improve his pain so he could participate in therapy with greater intensity, and it was also a big contributor to improving his strength on the affected side.

Therapist

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This 66-year-old patient was referred to a skilled nursing facility for stroke rehabilitation after experiencing weakness on his right side and general debility. Before his stroke, he lived at home with his spouse, was independent with all functional mobility, and walked with a rolling walker. Keep reading to learn more about the innovative tools and strategies his care team used to maximize his outcomes and help him return home.