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Improved pulmonary function in chronic quadriplegi
PostPosted: Sun 1:20, 07 Jul 2013
ertry03vc08

 
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Improved pulmonary function in chronic quadriplegics after pulmonary therapy and arm ergometry
Top of pageAbstractQuadriplegics suffer from restrictive lung disease due to neural damage, spasticity,[link widoczny dla zalogowanych], and prolonged immobilisation. These studies were undertaken to see whether respiratory therapy can improve expiratory capacity in quadriplegics. Fifteen patients with chronic quadriplegia participated in a programme of pulmonary therapy and resistance exercise for 7 to 12 weeks. Pulmonary therapy consisted of incentive spirometry for 15 minutes a day 3 to 5 days per week. Resistance exercise consisted of pedalling an arm ergometer up to 30 minutes three times a week.
Forced vital capacity was measured with the subject in a wheelchair wearing a nose clip. The volume of expired air (max Ve) was as determined with a paramagnetic analyser during arm ergometry. The volume of expired air was divided by the number of breaths,[link widoczny dla zalogowanych], giving the volume of expired air per breath (Ve). The results indicated that a combination of incentive spirometry and arm ergometry improves vital capacity and increased the maximum volume of expired air during exercise. These methods are non-invasive,[link widoczny dla zalogowanych], and such modalities should constitute part of the rehabilitation of patients with neuromuscular disease.
Keywords: Spinal cord injury; Quadriplegia; Pulmonary function
Top of pageReferences
Bergofsky E H 1964 Mechanism for respiratory insufficiency after cervical cord injury: A source of alveolar hypoventilation. Annals of Internal Medicine 61: 435 | PubMed |Clough P,[link widoczny dla zalogowanych], Lindenauer D, Hayes M, et al 1986 Guidelines for routine respiratory care of patients with spinal cord injury. Physical Therapy 66: 1395 | PubMed |Comroe J H 1974 Respiratory Physiology. Medicine and Science in Sports and Exercise 18: 501 | PubMed |De Troyer A, Deisser P 1981 The effects of intermittent positive pressure breathing on patients with respiratory muscle weakness. American Review of Respiratory Disease 124: 132 | PubMed |Fugl-Meyer A R 1971 Effects of respirtory muscle paralysis in tetraplegic and paraplegic patients. Scandinavian Journal of Rehabilitation Medicine 3: 141 | PubMed |Giantz S A 1981 Primer of Biostatistics. American Journal of Medicine 60: 27 | ArticleGuttmann L G 1976 Spinal cord injuries:comprehensive management and research. Journal of Applied Physiology 41: 508 | PubMed |Pollock M L, Miller H S, Linnerud A C,[link widoczny dla zalogowanych], et al 1974 Arm pedaling as an endurance training regimen for the disabled. Archives of Physical Medicine and Rehabilitation 55: 418 | PubMed |Roussos C S, Macklem P T 1977 Diaphragmatic fatigue in man. Journal of Applied Physiology: Respiratory,[link widoczny dla zalogowanych], Environmental and Exercise Physiology 43: 189 | PubMed |Silver J R, Gibbon N O 1968 Prognosis in tetraplegia. British Medical Journal 4: 79. | Article | PubMedWalker J, Cooney M M 1987. Improved respiratory function in quadriplegics after pulmonary therapy and arm ergometry. New England Journal of Medicine 316: 486 | Article | PubMed
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