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Journal of the Korean Academy of Rehabilitation Medicine 1994;18(2):15.
Improved Pulmonary Function in the Cervical Cord Injured after Respiratory Muscle Training
Seong Bum Pyun, M.D., Hee kyu kwon, M.D. , kyung Hee kim, M.D.*
Department of Rehabilitation Medicine, Korea University College of Medicine and Industrial Rehabilitation Hospital, Labor Welfare Corporation*
경수손상 환자에서 호흡운동치료에 의한 폐기증 증진에 관한 연구
편성범, 권희규, 김경희*
고려의대 재활의학교실 및 근로복지공사 산업재활원*

Cardiopulmonary problems outlank problems of the urinary system as the most common problems involved in the death of patients with spinal cord injury, both during the acute phase and also during later years, especially in quadriplegics. These studies were undertaken to see whether respiratory muscle training can improve pulmonary function in the cervical cord injured. Nineteen patients with cervical cord injury participated in a program of respiratory muscle training for 6 weeks. Respiratory muscle training consisted of spiroflow blow bottle, incentive spirometry and resistive exercise for sternocleidomastoid and upper trapezius muscles.

The pulmonary function test revealed restrictive type in 14 out of 19 subjects before respiratory muscle training and improved to normal range in 7 subjects after 2 weeks of training. The vital capacity, forced expiratory volume in 1 second and inspiratory reserve volume increased significantly by 2 weeks and the forced vital capacity increased progressively over the first 4 weeks but there is no significant interval change in tidal volume and expiratory reserve volume after respiratory muscle training. The difference in pulmonary function test between the complete and incomplete cervical cord injured are not significant.

The respiratory muscle training program is necessary to improve the pulmonary function and should be maintained at least 4 weeks and followed by continuous training program in the cervical cord injured.

Key Words: Cervical cord injuries, Pulmonary function, Respiratory muscle training


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