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Journal of clinical medicine
May 20, 2022;11 (10):

Breathing Exercises for Improving Cognitive Function in Patients with Stroke.

Eui-Soo Kang, Jang Soo Yook, Min-Seong Ha
Author Information
  1. Eui-Soo Kang: Department of Sports Science Convergence-Graduate School, Dongguk University-Seoul, 30, Pildong-ro 1-gil, Jung-gu, Seoul 04620, Korea. ORCID
  2. Jang Soo Yook: Center for Functional Connectomics, Brain Research Institute, Korea Institute of Science and Technology (KIST), Hwarang-ro 14-gil 5, Seongbuk-gu, Seoul 02792, Korea.
  3. Min-Seong Ha: Department of Sports Culture, College of the Arts, Dongguk University-Seoul, 30, Pildong-ro 1-gil, Jung-gu, Seoul 04620, Korea. ORCID
PMID: 35629013 DOI: 10.3390/jcm11102888

Abstract

Patients with stroke may experience a certain degree of cognitive decline during the period of recovery, and a considerable number of such patients have been reported to show permanent cognitive damage. Therefore, the period of recovery and rehabilitation following stroke is critical for rapid cognitive functional improvements. As dysfunctional breathing has been reported as one of the factors affecting the quality of life post stroke, a number of studies have focused on the need for improving the breathing function in these patients. Numerous breathing exercises have been reported to enhance the respiratory, pulmonary, cognitive, and psychological functions. However, scientific evidence on the underlying mechanisms by which these exercises improve cognitive function is scattered at best. Therefore, it has been difficult to establish a protocol of breathing exercises for patients with stroke. In this review, we summarize the psychological, vascular, sleep-related, and biochemical factors influencing cognition in patients and highlight the need for breathing exercises based on existing studies. Breathing exercises are expected to contribute to improvements in cognitive function in stroke based on a diverse array of supporting evidence. With relevant follow-up studies, a protocol of breathing exercises can be developed for improving the cognitive function in patients with stroke.

Keywords

breathing exercise cerebrovascular disease cognitive function hemiplegia stroke

References

Stroke. 2003 Aug;34(8):1864-9 [PMID: 12843357]
Neuropsychologia. 2012 Jun;50(7):1521-35 [PMID: 22433287]
J Neuropsychiatry Clin Neurosci. 2013 Fall;25(4):255-63 [PMID: 24247852]
Breathe (Sheff). 2017 Dec;13(4):298-309 [PMID: 29209423]
Health Qual Life Outcomes. 2018 Jan 18;16(1):18 [PMID: 29347951]
Psychosom Med. 2003 Sep-Oct;65(5):757-63 [PMID: 14508017]
Complement Ther Med. 2006 Jun;14(2):120-6 [PMID: 16765850]
Eur J Neurol. 2021 Jan;28(1):238-247 [PMID: 32920964]
Medicine (Baltimore). 2014 Dec;93(29):e336 [PMID: 25546682]
Int J Stroke. 2014 Dec;9(8):1017-25 [PMID: 25117911]
Lancet Respir Med. 2018 Jan;6(1):19-28 [PMID: 29248433]
Sci Rep. 2016 Nov 14;6:37069 [PMID: 27841345]
Indian J Med Res. 2004 Aug;120(2):115-21 [PMID: 15347862]
Vasc Health Risk Manag. 2016 Mar 24;12:105-16 [PMID: 27069366]
J Gerontol Nurs. 2007 Feb;33(2):17-23 [PMID: 17310659]
Brain Behav. 2021 Jan;11(1):e01855 [PMID: 33314645]
Crit Care. 2020 Apr 7;24(1):139 [PMID: 32264942]
ASAIO J. 2020 Mar;66(3):277-282 [PMID: 30973402]
Biol Psychiatry. 2002 Aug 1;52(3):253-64 [PMID: 12182931]
Atherosclerosis. 2013 Aug;229(2):489-95 [PMID: 23684511]
Proc Am Thorac Soc. 2008 Feb 15;5(2):173-8 [PMID: 18250209]
Acta Neurol Scand. 2005 Jun;111(6):360-5 [PMID: 15876336]
J Am Coll Cardiol. 2019 Mar 12;73(9):989-999 [PMID: 30846109]
J Alzheimers Dis. 2014;40(4):1029-38 [PMID: 24577459]
Physiother Res Int. 2013 Dec;18(4):212-9 [PMID: 23359511]
Psychol Med. 2019 Mar;49(4):685-696 [PMID: 30107864]
Tohoku J Exp Med. 2018;245(2):79-88 [PMID: 29848898]
Arch Phys Med Rehabil. 2011 Feb;92(2):184-90 [PMID: 21272713]
Hypertension. 2005 Oct;46(4):714-8 [PMID: 16129818]
Am J Emerg Med. 2007 Jan;25(1):32-8 [PMID: 17157679]
Stroke. 2008 Sep;39(9):2425-31 [PMID: 18635863]
BMJ Open. 2017 Dec 22;7(12):e013983 [PMID: 29275335]
Arch Intern Med. 2008 Feb 11;168(3):297-301 [PMID: 18268171]
BMC Neurol. 2021 Mar 4;21(1):100 [PMID: 33663430]
J Hypertens. 2001 Dec;19(12):2221-9 [PMID: 11725167]
Dement Geriatr Cogn Disord. 2008;26(4):356-63 [PMID: 18852488]
Psych J. 2016 Mar;5(1):69-77 [PMID: 26377754]
PLoS One. 2016 Mar 15;11(3):e0151625 [PMID: 26978782]
Curr Opin Neurol. 2002 Feb;15(1):79-84 [PMID: 11796954]
J Neurol Sci. 2002 Nov 15;203-204:11-5 [PMID: 12417350]
JAMA. 2000 Apr 12;283(14):1829-36 [PMID: 10770144]
J Int Neuropsychol Soc. 2004 Sep;10(5):772-85 [PMID: 15327723]
Respir Physiol Neurobiol. 2011 Sep 15;178(2):196-201 [PMID: 21679778]
Circulation. 1999 Jul 13;100(2):164-70 [PMID: 10402446]
Am J Physiol Heart Circ Physiol. 2005 Apr;288(4):H1747-55 [PMID: 15576435]
J Altern Complement Med. 2013 May;19(5):397-402 [PMID: 23210469]
Neuroepidemiology. 2005;24(1-2):87-95 [PMID: 15459515]
J Biomech. 2001 Mar;34(3):347-53 [PMID: 11182126]
Sleep Breath. 2020 Dec;24(4):1315-1325 [PMID: 31940122]
Chest. 2004 Oct;126(4):1248-54 [PMID: 15486389]
Eur Respir J. 2020 Aug 13;: [PMID: 32817258]
Sao Paulo Med J. 2015 Mar-Apr;133(2):78-83 [PMID: 25271880]
J Altern Complement Med. 2005 Aug;11(4):711-7 [PMID: 16131297]
J Am Coll Cardiol. 2017 Feb 21;69(7):841-858 [PMID: 28209226]
Curr Opin Neurol. 2006 Dec;19(6):559-64 [PMID: 17102694]
Circ Res. 2017 Feb 3;120(3):472-495 [PMID: 28154098]
Front Psychol. 2017 Jun 06;8:874 [PMID: 28626434]
Neurology. 2010 Nov 16;75(20):1803-9 [PMID: 21079182]
Int J Stroke. 2013 Feb;8(2):124-30 [PMID: 22568454]
J Voice. 2020 Mar;34(2):243-249 [PMID: 30447797]
J Psychosom Res. 2006 Feb;60(2):113-24 [PMID: 16439263]
Neurology. 2001 Jan 9;56(1):42-8 [PMID: 11148234]
N Engl J Med. 2000 May 11;342(19):1378-84 [PMID: 10805822]
Heart. 2020 Dec 14;: [PMID: 33318082]
J Stroke Cerebrovasc Dis. 2019 May;28(5):1200-1211 [PMID: 30712955]
Int J Stroke. 2014 Dec;9(8):1026-36 [PMID: 25156411]
Neurobiol Aging. 2005 Apr;26(4):511-20 [PMID: 15653179]
Ann Rehabil Med. 2014 Feb;38(1):29-37 [PMID: 24639923]
Conscious Cogn. 2010 Jun;19(2):597-605 [PMID: 20363650]
Stroke. 2021 May;52(5):1895-1904 [PMID: 33794655]
Exp Ther Med. 2017 Sep;14(3):1919-1928 [PMID: 28962104]
Aust Nurs J. 2012 Oct;20(4):40-1 [PMID: 23252114]
Int J Cardiol. 2014 Mar 15;172(2):466-9 [PMID: 24452224]
Chest. 2020 Nov;158(5):2233 [PMID: 33160536]
Arch Phys Med Rehabil. 2020 Nov;101(11):1991-2001 [PMID: 32445847]
Stroke. 2009 Sep;40(9):3086-90 [PMID: 19520990]
Cerebrovasc Dis. 2009;27(6):552-8 [PMID: 19390180]
J Stroke. 2019 Jan;21(1):42-59 [PMID: 30558400]
JAMA. 2020 Apr 14;323(14):1389-1400 [PMID: 32286648]
Stroke. 2008 Sep;39(9):2511-4 [PMID: 18617656]
J Clin Sleep Med. 2016 Jul 15;12(7):1019-26 [PMID: 27092703]
Physiother Res Int. 2011 Dec;16(4):218-24 [PMID: 21157882]
Sleep. 2003 May 1;26(3):298-307 [PMID: 12749549]
Acta Neurol Scand. 2016 Jul;134(1):29-34 [PMID: 26411629]
PLoS One. 2020 Apr 13;15(4):e0231262 [PMID: 32282859]
Cerebrovasc Dis. 2017;43(1-2):1-8 [PMID: 27750246]
J Altern Complement Med. 2005 Feb;11(1):189-201 [PMID: 15750381]
J Clin Med. 2021 Jan 26;10(3): [PMID: 33530621]
Circulation. 2014 Jan 21;129(3):e28-e292 [PMID: 24352519]
Neurology. 2008 Dec 2;71(23):1862-8 [PMID: 18971451]
J Neurosci. 2016 Dec 7;36(49):12448-12467 [PMID: 27927961]
Complement Ther Med. 2000 Sep;8(3):151-6 [PMID: 11068344]
Psychosom Med. 1996 Jan-Feb;58(1):32-7 [PMID: 8677286]
J Educ Health Promot. 2019 Jul 29;8:145 [PMID: 31463330]
Front Hum Neurosci. 2021 Jun 10;15:654750 [PMID: 34177491]
BMJ. 2010 Jul 26;341:c3666 [PMID: 20660506]
Neurorehabil Neural Repair. 2008 Mar-Apr;22(2):122-35 [PMID: 17761809]
Stroke. 2006 Jun;37(6):1583-633 [PMID: 16675728]
Eur J Appl Physiol. 2014 Nov;114(11):2233-9 [PMID: 25034626]
J Altern Complement Med. 2009 Jul;15(7):711-7 [PMID: 19534616]
Int J Geriatr Psychiatry. 2010 Dec;25(12):1288-95 [PMID: 21086539]
Age Ageing. 2006 May;35(3):273-9 [PMID: 16638767]
Sleep. 2016 Jun 01;39(6):1179-85 [PMID: 27091540]
J Med Virol. 2020 Nov;92(11):2283-2285 [PMID: 32343429]
Am J Respir Cell Mol Biol. 2021 Oct;65(4):403-412 [PMID: 34014798]
Eur Neurol. 2016;75(1-2):75-81 [PMID: 26848569]
N Engl J Med. 2005 Nov 10;353(19):2034-41 [PMID: 16282178]
Am J Respir Crit Care Med. 2003 Jul 1;168(1):109-13 [PMID: 12714347]
Dement Neuropsychol. 2012 Jul-Sep;6(3):152-157 [PMID: 29213789]
BMC Neurol. 2015 Mar 12;15:31 [PMID: 25879880]
J Clin Med. 2021 Jul 29;10(15): [PMID: 34362133]
Cerebrovasc Dis. 2003;15(1-2):56-62 [PMID: 12499712]
J Clin Sleep Med. 2018 Jan 15;14(1):101-108 [PMID: 29198305]
Am J Respir Crit Care Med. 2000 Dec;162(6):2039-42 [PMID: 11112110]
J Autoimmun. 2020 Jul;111:102452 [PMID: 32291137]
Digit Health. 2020 Jul 14;6:2055207620936441 [PMID: 32728474]
J Sleep Res. 2015 Feb;24(1):47-53 [PMID: 25040553]
Brain Circ. 2021 May 29;7(2):92-103 [PMID: 34189352]
Hypertens Res. 2010 Jul;33(7):708-12 [PMID: 20520613]
J Clin Sleep Med. 2010 Apr 15;6(2):131-7 [PMID: 20411688]
Ann Intern Med. 2019 Sep 17;171(6):389-396 [PMID: 31450238]
Indian J Physiol Pharmacol. 2003 Jan;47(1):27-33 [PMID: 12708121]
Complement Ther Med. 2021 Jan;56:102582 [PMID: 33197659]
Sleep. 2015 Sep 01;38(9):1431-7 [PMID: 25669178]
Aust Nurs J. 2004 Aug;12(2):27-9 [PMID: 19160562]
Eur J Neurol. 2015 Feb;22(2):229-38, e13-6 [PMID: 25492161]
Gen Hosp Psychiatry. 2017 Jul;47:48-60 [PMID: 28807138]
J Am Heart Assoc. 2018 Aug 21;7(16):e008841 [PMID: 30369321]
Clin Psychol Rev. 2011 Apr;31(3):449-64 [PMID: 21183265]
Am J Physiol Heart Circ Physiol. 2018 Jul 1;315(1):H141-H149 [PMID: 29652544]
Neurol Clin Pract. 2013 Jun;3(3):192-201 [PMID: 23914326]
J Clin Sleep Med. 2014 Jan 15;10(1):103-8 [PMID: 24426829]
Qual Life Res. 2011 Aug;20(6):799-806 [PMID: 21136298]
Stroke. 2007 Jan;38(1):105-10 [PMID: 17158334]
Cochrane Database Syst Rev. 2020 May 11;5:CD003689 [PMID: 32390167]
Aging Ment Health. 2015;19(12):1043-55 [PMID: 25574576]
Eur J Neurol. 2015 Sep;22(9):1288-94 [PMID: 26040251]
J Appl Physiol (1985). 2004 Feb;96(2):693-703 [PMID: 14565965]
BMC Neurol. 2016 Aug 26;16(1):154 [PMID: 27561255]
Stroke. 2005 Jun;36(6):1330-40 [PMID: 15879342]
Inflamm Allergy Drug Targets. 2013 Oct;12(5):315-21 [PMID: 23859697]
Compr Psychiatry. 2014 Jan;55(1):215-20 [PMID: 24199886]
Front Aging Neurosci. 2017 Jul 11;9:218 [PMID: 28744213]
J Stroke Cerebrovasc Dis. 2021 Jan;30(1):105460 [PMID: 33227579]
Laryngoscope. 2021 Feb;131(2):E659-E664 [PMID: 32473063]
Neurologist. 2010 Nov;16(6):329-39 [PMID: 21150380]
J Appl Physiol (1985). 2005 Oct;99(4):1293-300 [PMID: 15932956]
J Clin Sleep Med. 2016 Apr 15;12(4):533-41 [PMID: 26888587]
J Neuroimaging. 2017 Nov;27(6):630-636 [PMID: 28661060]
Am J Psychiatry. 2016 Mar 1;173(3):221-31 [PMID: 26684921]
Int J Cardiol. 2013 Nov 5;169(3):207-14 [PMID: 24161531]
Neurology. 2019 Feb 12;92(7):e648-e654 [PMID: 30635478]
JAMA Psychiatry. 2016 Oct 01;73(10):1032-1040 [PMID: 27603000]
Cerebrovasc Dis. 2004;18(4):283-9 [PMID: 15331874]
Lancet Neurol. 2015 Apr;14(4):377-87 [PMID: 25748102]
J Cardiopulm Rehabil Prev. 2021 May 1;41(3):166-171 [PMID: 33027217]
Neurobiol Aging. 2020 Nov;95:240-249 [PMID: 32866885]

Grants

  1. NRF- 2021S1A5A8069272/the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea
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