Effect Of Breather On Pulmonary And Physical Function In Post Stroke Survivors

Stroke is the second major cause of death and disability worldwide with over 13 million new cases annually.Egypt, a low-middle-income country, is the most populated nation in the Middle East with a high overall crude prevalence rate of stroke (963/100,000 inhabitants), accounting for 6.4% of all deaths and the incidence of stroke annually is approximately 150,000-210,000.Stroke has a direct impact on health systems, resulting in high costs, and is also considered a global public health problem due to serious disabilities, functional limitations and compromised quality of life (QoL).The Breather a drug-free, evidence-based inspiratory/expiratory respiratory muscle training (RMT) device used by Dysphagia, COPD, CHF, Parkinson's, and neuromuscular disease patients, as well as children 4+ and adults interested in healthy aging.

Inclusion Criteria:Sixty patients were selected from both sexes.Their age were from 50 to 65 years oldAll patients were medically stable.All patients had the ability to understand and follow simple verbal instructions.All patients were in subacute stage from about 3 to 6 months post lesion.Exclusion Criteria:Patients with severe acute illness.Chronic unstable pulmonary and/or cardiac disease.Impaired level of consciousness and evidence of gross cognitive problems.Patients undergoes chemotherapy.Active hemoptysis, untreated pneumothorax, recent esophageal surgery.Recent oral, facial or skull trauma / surgery, acute sinusitis, epistaxis.Smokers.Any oral dysfunction that interfere with using the breather.Un controlled BP systole more than180 or diastole more than 90.