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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
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