Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jun 2009
Randomized Controlled TrialRationale of the combined use of inspiratory and expiratory devices in improving maximal inspiratory pressure and maximal expiratory pressure of patients with chronic obstructive pulmonary disease.
To examine the rationale of the combined use of a new expiratory device in association with a previously assessed inspiratory device in improving 3 indicators of the respiratory muscle strength, for example, maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and dyspnea grade. ⋯ This study suggests that home exercise with the combined use of our expiratory and inspiratory devices leads to a significant improvement of respiratory muscle function in patients with mild to very severe COPD.
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Arch Phys Med Rehabil · Jun 2009
Family functioning is associated with depressive symptoms in caregivers of acute stroke survivors.
To determine whether family functioning is uniquely associated with caregiver depressive symptoms in the immediate aftermath of stroke. ⋯ Forty-one percent of caregivers experienced prominent depressive symptoms after their family member's stroke. Higher depression severity in caregivers was associated with caring for a man, and having worse health and poor family functioning. After stroke, the assessment of caregivers' health and family functioning may help determine which caregivers are most at risk for a depressive syndrome.