Published Paper Details:

Background of the study: Of the common disabilities of stroke survivors, motor weakness is the most prevalent and disabling. Hemiplegia is the most common and is the primary indication for rehabilitation. Consequences of hemiplegia may include abnormalities in muscular tone, as well as postural and motor control that lead to inadequate functioning of the entire body and could compromise voluntary motor function. It also compromises core strength which affects the normal functioning of respiratory muscles leading to respiratory insufficiency. This insufficiency causes dyspnea which indirectly reduces functional capacity of the individual leading to decreased quality of life. Thereby this study is proposed to determine the effect of threshold inspiratory muscle trainer along with abdominal in drawing maneuver for respiratory muscle weakness among hemiplegia. Methods and Measures: 16 patients with hemiplegia were selected based on the inclusion and exclusion criteria and were randomly allocated into 2 groups. Group A and Group B, Group A was treated with respiratory muscle training along with abdominal in drawing maneuver. Group B was treated with respiratory muscle training. Both the group patients were tested for (FEV1), (FVC), (MVV) using spirometer and Dyspnea scored using Borg scale as a pretest and after which patients were given stroke rehabilitation for 40 minutes and respiratory muscle training for 20 minutes per session per day for five days per week for a total period of 4 weeks following which outcomes were tested for posttest same as of pretest. Result: In comparison between the mean values of group A and group B, group A was found to be effective than group b with p-value <0.001 which is considered as statistically significant. In comparison within the group, both the groups showed a significant difference between pre-test and post-test values. Conclusion: Therefore, it is concluded that threshold inspiratory muscle trainer along with abdominal in-drawing maneuver is effective in improving forced expiratory volume, forced vital capacity and maximum voluntary ventilation in hemiplegia.