Changes of ventilatory parameters in the positional training of persons after cervical spinal cord injury
Journal Title: Rehabilitacja Medyczna - Year 2009, Vol 13, Issue 1
Abstract
Background: Cervical spinal cord injury (CSCI) is followed by mixed respiratory dysfunction.Purpose: Evaluation of the ventilatory parameters of CSCI patients in postures typical for positional training. Material: 51 CSCI patients in a mean age of 34.4 (SD=14.6) years; complete motor deficite (CMD) 66.6%; injury of C5 level or above – 68.6%. Control group(CG): 10 healthy volunteers. Method: Spirometry and flow-volume examination in recumbent (R), sitting (S) and vetrical 60o tilt (V) positions. Main results: Expiratory reserve volume (ERV) undergoes significant positional changes in CG (R: 1.34 L, H: 0.25 L, V: 0.79 L; p=0.02), but not in CSCI patients. Transition from R to S in CMD persons results in a significant decrease in vital capacity (VC) (from 2.45 to 1.75 L; p=0.0008); inspiratory capacity (IC) (from 2.48 to 1.41 L; p=0.0008); forced expiratory volume in 1 second (FEV1) (from 2.21 to 1.64 L; p=0.002); forced vital capacity (FVC) (from 2.55 to 1.78 L; p=0.0004). The FEV1/FVC rate does not depend on positional changes ranging from 89.7% to 93.9% of the reference values. Ventilatory parameters in the incomplete motor deficite (ICMD) group do not differ significantly between the examined body positions. Transition between R and S in the CMD group results in a significant decrease in the peak expiratory flow (PEF) (from 4.23 to 3.53 L/s) and the peak inspiratory flow (PIF) (from 3.89 to 3.43 L/s), while in ICMD the PEF increases from 4.01 to 4.39 L/s and the PIF increases from 3.66 to 4.18 L/s.Conclusions: Transition from R to S in CSCI patients results in increased restriction. CMD patients express a reduction of peak flows while in the ICMD peak flows increase after transition between R and S. Shifting from S to a 60o vertical tilt with standard trunk stabilization does not change significantly the ventilatory parameters in CSCI patients.
Authors and Affiliations
Piotr Tederko, Marek Krasusk
Keywords
Related Articles
- EP ID EP82028
- DOI -
- Views 77
- Downloads 0
The effect of oncological treatment in breast cancer patients on functional effi ciency of the upper limb and the principles of physiotherapeutic management
Introduction: Breast cancer is the most common malignant tumour and the second cause of death among women in Poland following lung cancer. Its therapy includes a number of procedures, including surgical treatment, the ch...
Effectivness of diadynamic currents in treatment of lumbosacral pain
Low back pain occurs in the vast majority of people during their lives, i.e. 45- 85%. Most often, they are working people aged 30 to 60, who have no evidence of any abnormalities apart from overload-degenerative lesions...
Changes in the somatagnosis of children with developmental disharmony who have undergone psychomotor therapy by means of the Procus and Block method
Introduction: For many years somatagnosis has been a subject of interest for researchers as well as the topic of numerous academic reports. Somatagnostic disturbances have their permanent consequences in a child’s devel...
Porównanie ubytku oraz odbudowy funkcji ręki w grupie pacjentów z całkowitym uszkodzeniem ścięgna prostownika długiego kciuka i w grupie z uszkodzeniem ścięgna zginacza długiego kciuka leczonych operacyjnie
Kciuk stanowi o 40% funkcji całej ręki, a uszkodzenie ścięgna prostownika długiego kciuka (EPL) i/lub ścięgna zginacza długiego kciuka (FPL) prowadzi do jej znacznego ograniczenia. Głównymi czynnikami wpływającymi na usz...
Perspectives of use of bone marrow cells in future therapy of brain diseases
Medical problems associated with the increasing number of patients suffering from brain diseases have resulted in a constant search for effective therapeutics. Considering the complicated pathological processes occurring...