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

Abstract

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.

Awareness of injury among young athletic in western region of Saudi Arabia

“…The related rehabilitation injury that presented in this paper provided a model for the implementation a psychological intervention, and a motivational model also provide implications for the socioeconomic support based on rehabilitation models and interventions. The literature consists with this finding and asserted that this model may be helpful to give more information about athletes' emotional and feelings aspects within the rehabilitation procedure [38][39][40]. In addition, the psychology side might provide further knowledge about sport injury rehabilitation with a comprehensive and sufficient service to the athletes.…”

Efficacy of Wheelchair Skills Training Program in Enhancing Sitting Balance and Pulmonary Function in Chronic Tetraplegic Patients: A Randomized Controlled Study

“…Given that PEF measures the maximum speed of forced exhalation, an improvement in PEF following WSTP suggests stronger respiratory muscles, which improve the ability to exhale air forcefully and quickly [ 37 ]. Interestingly, the data suggest that the 8 week program may lead to even greater improvements, possibly because of the extended period of muscle training and adaptation [ 16 , 40 ]. Our study primarily focused on the effects of WSTP on mobility skills.…”

“…While the potential impact of the WSTP on pulmonary function remains understudied, it is reasonable to hypothesize that the WSTP could have a positive effect on respiratory health. This is based on the notion that wheelchair propulsion involves significant engagement of the upper body, which could potentially contribute to better pulmonary muscle strength and endurance [ 14 , 15 , 16 ]. Nevertheless, there is limited conclusive research in this area, underlining the need for more focused investigation.…”

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“…A modern ECG cannot be imagined without the use of computer technology. Thanks to such technology, an acquisition and an automatic processing of normal and long-term ECGs is carried out, a digital coding of the received signals is implemented, and effective methods of filtering and signals analysis, mathematical and electronic modeling, and mapping of electronic potentials are applied [10][11][12][13][14][15]. Because of an increase in the level of automation of ECG study using computer technology, the speed of ECG processing increased with an increase in the completeness and an increase in the convenience of using data with the use of individual storage cards of information for individual use, universal modems, network solutions, etc [16][17][18].…”