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 81
- Downloads 0
Effect of static and dynamic back extensor muscles endurance exercise on pain intensity, activity limitation and participation restriction in patients with long-term mechanical low-back pain
Introduction: Long-Term Mechanical Low-Back Pain (LMLBP) constitutes a serious challenge to clinicians and researchers. This study evaluated the effect of static and dynamic back extensor muscles endurance exercise on pa...
Functional efficiency in persons with lumbar spine discopathy after treatment at a health resort
Lower back pain is the most common cause of limitation in different spheres of a person’s life. The aim of this study was to evaluate the influence of health-resort therapy on the functional efficiency in persons with di...
Kontynuacja rehabilitacji po udarze mózgu w domu według modelu EHSD
Rosnące koszty opieki zdrowotnej zmuszają organizatorów do poszukiwania nowych rozwiązań, które pozwoliłyby na zmniejszenie kosztów leczenia. W ostatnich latach pojawiła się obiecująca alternatywa dla rehabilitacji stacj...
Impact of timing and regularity of rehabilitation on gait disturbances in patients after a stroke
Introduction: The increasing stroke incidence due to demographic changes in society leads to a growing numbers of patients requiring post-stroke rehabilitation. Effective post-stroke rehabilitation should lead to improve...
Sprawność motoryczna osób z zespołem Downa jako element ich rehabilitacji
Wstęp: Zespół Downa (ZD) jest najczęstszą chromosomalną wadą rozwojową. Ze względu na występujące u osób z zespołem Downa nieprawidłowości rozwoju psychofizycznego konieczne jest wdrożenie ich rehabilitacji. Proces ten p...