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ertry03vc08
Posted: Sun 1:20, 07 Jul 2013
Post subject: Improved pulmonary function in chronic quadriplegi
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,
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, 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,
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, 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,
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, 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,
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, 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,
Oakley Pas Cher
, 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,
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, 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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