Does locomotor training improve pulmonary function in patients with spinal cord injury?

Tiftik, Tülay; Gokkaya, Naile; Malas, Fevziye Ünsal; Tunç, Hakan; Yalçın, Süha; Ekiz, Timur; Erden, Ender; Akkuş, Selami

doi:10.1038/sc.2014.251

Cited by 21 publications

(38 citation statements)

References 22 publications

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“…However, no measures of ventilation during exercise were reported. 21 Additionally, a case report 38 described improved locomotor-respiratory coupling in a participant with an incomplete C1/C2 injury walking at 1.0 miles per hour, noting a 10L reduction in V E and a reduction in both B f and V T . These data demonstrate that locomotor training, under similar walking speeds but not intensity (that is, weight-bearing), is a plausible method for improving pulmonary function in this population.…”

Section: Discussionmentioning

confidence: 99%

“…Various forms of training, including locomotor training, 21 aerobic training 22 and inspiratory muscle training, 23,24 have been shown to increase lung volumes in the SCI population. However, to our knowledge, no studies have reported on the pulmonary response of individuals with chronic motor iSCI (miSCI) during volitional treadmill walking before and after overground locomotor training (OLT).…”

Section: Introductionmentioning

confidence: 99%

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Effects of overground locomotor training on the ventilatory response to volitional treadmill walking in individuals with incomplete spinal cord injury: a pilot study

Panza

Guccione

Chin

et al. 2017

Spinal Cord Ser Cases

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INTRODUCTION:Although there has been substantial emphasis on the neuromuscular and cardiovascular adaptations following rehabilitation, pulmonary adaptations in individuals with incomplete SCI (iSCI) in response to locomotor training have been less frequently studied. In healthy individuals, effective transition from rest to work is accomplished by a hyperpneic response, which exhibits an exponential curve with three phases. However, the degree to which our current understanding of exercise hyperpnea can be applied to individuals with iSCI is unknown. The purpose of this case series was to characterize exercise hyperpnea during a rest to constant work rate (CWR) transition before and after 12-15 weeks of overground locomotor training (OLT). CASE PRESENTATION: Six subjects with cervical motor incomplete spinal cord injury participated in 12-15 weeks of OLT. Subjects were trained in 90-min sessions twice a week. All training activities were weight-bearing and under volitional control without the assistance of body-weight support harnesses, robotic devices or electrical stimulation. Six minutes of CWR treadmill walking was performed at self-selected pace with cardiorespiratory analysis throughout the tests before and after OLT. Averaged group data for tidal volume, breathing frequency or V E showed no difference before and after training. V E variability was decreased by 46.7% after OLT. DISCUSSION: CWR V E from rest to work was linear throughout the transition. Following OLT, there was a substantial reduction in V E variability. Future research should investigate the lack of a phasic ventilatory response to exercise, as well as potential mechanisms of ventilatory variability and its implications for functional performance.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of overground locomotor training on the ventilatory response to volitional treadmill walking in individuals with incomplete spinal cord injury: a pilot study

Panza

Guccione

Chin

et al. 2017

Spinal Cord Ser Cases

View full text Add to dashboard Cite

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“…Hastanemizde yapılmış olan çalışmada ise robotik yürüme eğiti-mi alan komplet ve inkomplet hastalarda konvansiyonel tedavi alan gruba göre pulmoner fonksiyonlarda iyileşme yönünde anlamlı değişiklikler saptanmıştır (42).…”

Section: İnkomplet Omurilik Yaralanması-robot Yardımlı Yürüme Eğitimiunclassified

Robot-Assisted Gait Training for Patients with Spinal Cord Injury

Demir¹

2015

Turk J Phys Med Rehab

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Regaining one's ability to walk is of great importance in spinal cord injury (SCI) patients, and it is the major goal of all rehabilitation programs. In recent years, several pharmacological treatments and rehabilitative approaches have been initiated to enhance the locomotion capacity of SCI patients. Robot-assisted gait training is re-education of the gait movements in a functional and task-oriented way through robotic systems. It has been suggested that this method be combined with other rehabilitation approaches to yield better results in SCI rehabilitation.

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“…Progressive resistive exercises are recommended for increasing respiratory muscle strength and endurance in cervical and high thoracic spinal injuries, so that locomotor training is an effective procedure for improving pulmonary function in patients with SCI due to improvement in respiratory muscle function (1). However, respiratory muscle training resulted in improved values of vital capacity (VC), maximal inspiratory mouth pressure (PImax) and maximal expiratory mouth pressure (PEmax) in patients with cervical SCI (16).…”

Section: Introductionmentioning

confidence: 99%

“…Spinal cord injury (SCI) characterized with respiratory difficulties, which is the most common cause of morbidity, and mortality as the prognosis for the patient sustaining spinal cord injury has until this century remained poor (1,2). Individuals with spinal cord injury have high risk of pulmonary complications because of neurological deficits (3,4).…”

Section: Introductionmentioning

confidence: 99%

Impact of respiratory muscle training on blood gases and pulmonary function among patients with cervical spinal cord injury

Kader

2018

Electron J Gen Med

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Background: Pulmonary difficulties is the most common cause of morbidity and mortality following spinal cord injury, which is the main cause of chronic respiratory failure in young adults. Objective: This study aimed to investigate the effect of resistive respiratory muscle training on blood gases and pulmonary function of patients with cervical spinal cord injury. Methods: Thirty six patients with complete spinal cord injury at level from C5 to C8 of both sexes (23 males and 9 females), their age ranged from 23-41 years (30.51±6.82 year) were selected from ICU of Cairo University Hospital participated in this study. Their height ranged between 149-185cm. Participants equally enrolled to either training group (group A) or control group (group B). The respiratory muscle resisted training program was started for group (A) after the clinical stability of patient condition with a threshold positive expiratory pressure device using a three-way valve system via flanged mouthpiece. The patient performed six work sets, five minutes in duration, with a rest period in between for three minutes. All patients received a 45 minutes training/day, five days/ week for six weeks. The arterial blood gases and pulmonary function test are measured before and after exercise program. Results: The mean value of heart rate (HR), respiratory rate (RR), partial pressure of arterial carbon dioxide (PaCO2) and PH revealed significant reduction, where forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and partial pressure of arterial oxygen (PaO2) revealed significant increase in group (A) at the end of the study. However, changes in group (B) were not significant. Moreover, there were significant differences between both groups at the end of the study (P<0.05). Conclusion: Resistive respiratory muscle training improves blood gases and pulmonary function suggesting this intervention as an efficacious therapy for patients with cervical spinal cord injury.

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Does locomotor training improve pulmonary function in patients with spinal cord injury?

Cited by 21 publications

References 22 publications

Effects of overground locomotor training on the ventilatory response to volitional treadmill walking in individuals with incomplete spinal cord injury: a pilot study

Effects of overground locomotor training on the ventilatory response to volitional treadmill walking in individuals with incomplete spinal cord injury: a pilot study

Robot-Assisted Gait Training for Patients with Spinal Cord Injury

Impact of respiratory muscle training on blood gases and pulmonary function among patients with cervical spinal cord injury

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