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Relationship between inspiratory muscle strength and cough capacity in cervical spinal cord injured patients

Authors
 SW Kang  ;  JC Shin  ;  CI Park  ;  JH Moon  ;  DW Rha  ;  D-h Cho 
Citation
 SPINAL CORD, Vol.44(4) : 242-248, 2006 
Journal Title
SPINAL CORD
ISSN
 1362-4393 
Issue Date
2006
MeSH
Adult ; Breathing Exercises* ; Bronchi/innervation ; Bronchi/physiopathology Cervical Vertebrae/injuries ; Female ; Humans ; Inhalation/physiology ; Inspiratory Capacity/physiology ; Male ; Muscle Contraction/physiology ; Muscle Weakness/etiology ; Muscle Weakness/prevention & control* ; Muscle Weakness/rehabilitation* ; Neural Pathways/injuries ; Neural Pathways/physiopathology ; Pneumonia/ethnology ; Pneumonia/etiology ; Pneumonia/prevention & control ; Prospective Studies ; Reflex/physiology ; Respiratory Distress Syndrome, Adult/etiology ; Respiratory Distress Syndrome, Adult/prevention & control ; Respiratory Distress Syndrome, Adult/rehabilitation ; Respiratory Insufficiency/etiology ; Respiratory Insufficiency/prevention & control* ; Respiratory Insufficiency/rehabilitation* ; Respiratory Muscles/innervation ; Respiratory Muscles/physiopathology ; Respiratory Paralysis/etiology ; Respiratory Paralysis/prevention & control ; Respiratory Paralysis/rehabilitation ; Spinal Cord/physiopathology ; Spinal Cord Injuries/complications* ; Spinal Cord Injuries/physiopathology
Keywords
spinal cord injuries ; cough capacity ; maximal inspiratory pressure
Abstract
Study design: Prospective single centre study.
Objectives: Pulmonary rehabilitation focuses on improving the expiratory muscle function in order to increase the reduced cough capacity in patients with cervical spinal cord injuries (SCI). However, an improvement in the inspiratory function is also important for coughing effectively. Therefore, this study was to examine the significance of the inspiratory muscle strength on the cough capacity in the patients with a cervical SCI.
Setting: SCI unit, Yonsei Rehabilitation Hospital, Seoul, Korea.
Methods: The vital capacity (VC), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP) were measured. Moreover, the unassisted peak cough flow (PCF) and assisted PCF under three conditions were evaluated.
Results: All three assisted cough methods showed a significantly higher value than the unassisted method (P<0.001). The VC correlated with the voluntary cough capacity and the MIP (R=0.749) correlated more significantly with the VC than the MEP (R=0.438) (P<0.01). The MIP showed a higher correlation with both the unassisted PCF and all three assisted PCFs than the MEP (P<0.001).
Conclusions: The management of the inspiratory muscle strength should be considered in the pulmonary rehabilitation at cervical SCI patients.
Full Text
http://www.nature.com/sc/journal/v44/n4/full/3101835a.html
DOI
10.1038/sj.sc.3101835
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seong Woong(강성웅) ORCID logo https://orcid.org/0000-0002-7279-3893
Rha, Dong Wook(나동욱) ORCID logo https://orcid.org/0000-0002-7153-4937
Moon, Jae Ho(문재호)
Park, Chang Il(박창일)
Shin, Ji Cheol(신지철) ORCID logo https://orcid.org/0000-0002-1133-1361
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110855
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