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http://dx.doi.org/10.13067/JKIECS.2013.8.11.1785

Effects of the Inspiratory Muscle Strengthening Training on the Respiratory Functions and the Quality of Life in Patients with Cervical Spinal Cord Injury Patients  

Shim, Yu-Jin (한국국제대학교 물리치료학과)
Moon, Ok-Kon (군장대학교 물리치료과)
Choi, Wan-Suk (한국국제대학교 물리치료학과)
Kim, Bo-Kyung (한국국제대학교 물리치료학과)
Publication Information
The Journal of the Korea institute of electronic communication sciences / v.8, no.11, 2013 , pp. 1785-1792 More about this Journal
Abstract
For patients suffering from spinal cord injuries, both of the possibility of having complications with the respiratory system and the related fatal rate are still high, while pneumonia is the most important cause of these fatalities. This research was carried out to find out what effects does a breathing exercise have on the respiratory functions and the improvement in the quality of life. The study was carried out for male patients suffering cervical spinal cord injuries for the purpose of inspiratory muscle strengthening. The objects of the study were 17 non-smoking-at-present male patients with C4 to C6 cervical spinal cord injuries. They had practiced inspiratory muscle strengthening training for three times a week for six weeks. The quality of life and the dyspnea (breathing difficulty) were self-measured before and after the training. As a result, the change in respiratory function was only significantly reduced (p<0.01) within the chronic group. In terms of the changes in the quality of life, the sub-acute group has only seen a significant improvement (p<0.05) for the VT(vitality), while the chronic group has seen significant improvements(p<0.05, p<0.01) in: GH(general health); BP(back pain); and VT(vitality). In this research, the inspiratory muscle strengthening has reduced the dyspnea (breathing difficulties) and improved the quality of life.
Keywords
Cervical Cord Injury Patients; Breathing Exercise; Inspiratory Muscle Training;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Walker J, Cooney M, Norton S, "Improved pulmonary function in chronic quadriplegics after pulmonary therapy and arm ergometry", Paraplegia, Vol. 27, No. 4, pp. 278-283, 1989.   DOI   ScienceOn
2 Wanke T, Formanek D, Lahrmann H, Brath H, Wild M, Wagner C, Zwick H, "Effects of Combined Inspiratory Muscle and Cycle Ergometer Training on Exercise Performance in Patients with COPD", Eur Respir J, Vol. 12, No. 7, pp. 2205-2211. 1994.
3 Fujiwara T, Hara Y, Akahoshi K, Chino N, "Relationship between shoulder muscle strength and functional independence measure score among C6 tetraplegics", Spinal Cord, Vol. 37, No. 1, pp. 58-61, 1999.   DOI   ScienceOn
4 Lee EJ, "The effect of music therapy with a respiratory training on respiratory rehabilitation and improving the quality of life of patients suffering from pneumoconiosis", Graduate school of sungshin women's university, 2009.
5 Lee CK, "Effects of an inpatient pulmonary rehabilitation program on dyspnea, exercise capacity, and health related quality of life for patients with chronic lung disease", Taehan Kanho Hakhoe Chi, Vol. 37, No. 3, pp. 343-352, 2007.   과학기술학회마을   DOI
6 Winkler G, Zifko U, Nader A, Frank W, Zwick H, Toifl K, Wanke T., "Dose Dependent Effects of Inspiratory Muscle Training in Neuromuscular Disorders", Muscle Nerve. Vol. 23, No. 8, pp. 1257-1260. 2000.   DOI
7 Park BY, Ko DS, Park HS, "Relationship between Job Characteristic and Quality of Life among some Elderly", The Journal of The Korea Institute of Electronic Communication Sciences, Vol. 8, No. 6, pp. 941-948, 2013.   DOI
8 Seo EJ, Beak HH, Kim JJ, "The Effect of Direct Swallowing Treatment on the Swallowing Function and Quality of Life of the Stroke Patient", The Journal of The Korea Institute of Electronic Communication Sciences,, Vol. 8, No. 9, pp. 1413-1420, 2013.   과학기술학회마을   DOI   ScienceOn
9 Kim JW, Oh MH, Chung HA, "Disabled People of activities of daily living and quality of life relationship", The Journal of The Korea Institute of Electronic Communication Sciences, Vol. 8, No. 1, pp. 173-180, 2013.   과학기술학회마을   DOI   ScienceOn
10 Claxton R, Wong D, Chung F, Fehlings M, "Predictors of hospital mortality and mechanical ventilation in patients with cervical spinal cord injury", Can J Anaesth, Vol. 45, No. 2, pp. 144-149, 1998.   DOI
11 Chen C, Lien I, Wu M, "Respiratory function in patients with spinal cord injuries", Effects of Posture, Paraplegia, Vol. 28, No. 2, pp. 81-86, 1990.
12 Ehrlich M, Manns P, Poulin C, "Respiratory training for a person with c3-c4 tetraplegia", Aust J Physiother, Vol. 45, No. 4, pp. 301-307, 1999.   DOI
13 Reiter M, Totzauer A, Werner I, Koessler W, Zwick, H, Wanke T, "Evaluation of inspiratory muscle function in a healthy austrian population- practical aspects", Respiration, Vol. 73, No. 5, pp. 590-596, 2006.   DOI   ScienceOn
14 Koessler W, Wanke T, Winkler G, Nader A, Toifl K, Zwick H, "2 Years' experience with inspiratory muscle training in patients with neuromuscular disorders" Chest, Vol. 120, No. 3, pp. 765-769, 2001.   DOI   ScienceOn
15 Lee YK, Youn HS, "Usefulness of modified Borg scale in assessing dyspnea", Clin Nur Res, Vol. 10, No. 2, pp. 173-185, 2005.
16 Dell'Ago P, Gaspar R, Chiappa G, Stein R, Ribeiro J, "Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness; a randomized trial", J Am Coll Cardiol, Vol. 47, No. 4, pp. 757-763, 2006.   DOI   ScienceOn
17 Song CS, "A grounded theory approach to the adaption process of the spinal cord injuried persons", Graduate school of ajou university, 2010.
18 Cho AR, "Effect of the respiratory trainingfocused music therapy program on physical respiratory function and the quality of life for cervical spinal cord injured patients", Graduate school of sungshin women's university, 2010.
19 Kim TD, "Effect of the intergrated rehabilitation program on activities of daily living function and health-related quality of living among the elderly with stroke", Graduate school of hanyoung theological university, 2009.
20 Choi SA, "A Study on the Factor affecting health-related quality of life in chronic stroke patients", Sungkyunkwan University, 2004.
21 Gross D, Ladd H, Riley E, Macklem P, Grassino A, "The effect of training on strength and endurance of the diaphragm in quadriplegia", AM J Med, Vol. 68, No. 1, pp. 27-68, 1980.   DOI   ScienceOn
22 Kang SW, Shin JC, Park CI, Moon JH, Rha DW, Cho DH, "Relationship between inspiratory muscle strength and cough capacity in cervical spinal cord injured patients", Spinal Cord, Vol. 44, No. 4, pp. 242-248, 2006.   DOI   ScienceOn
23 Berlowitz D, Tamplin J, "Respiratory muscle training for cervical spinal cord injury", Cochrane Database Syst Rev. Vol. 19, No. 7, 2013.