Relationship between inspiratory muscle strength and cough capacity in cervical spinal cord injured patients
Relationship between inspiratory muscle strength and cough capacity in cervical spinal cord injured patients
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DOI：
10.1038/sj.sc.3101835
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发表时间：
2006-04-01
期刊：
影响因子：
2.2
通讯作者：
Cho, DH
中科院分区：
文献类型：
--
作者：
Kang, SW;Shin, JC;Cho, DH
研究设计：前瞻性单中心研究。 目的：肺康复的重点是改善呼气肌功能，以增加颈脊髓损伤（SCI）患者减少的咳嗽能力。然而，吸气功能的改善对于有效咳嗽也很重要。因此，本研究旨在探讨颈椎 SCI 患者吸气肌力量对咳嗽能力的重要性。地点：韩国首尔延世康复医院 SCI 科室。方法：测量肺活量 (VC)、最大吸气压力 (MIP) 和最大呼气压力 (MEP)。此外，还对三种情况下的无辅助咳嗽峰值流量（PCF）和辅助PCF进行了评估。结果：所有三种辅助咳嗽方法均显示出显着高于无辅助方法的值（P < 0.001）。 VC 与自主咳嗽能力相关，MIP (R = 0.749) 与 VC 的相关性比 MEP (R = 0.438) 更显着 (P < 0.01)。与 MEP 相比，MIP 与无辅助 PCF 和所有三种辅助 PCF 的相关性更高（P < 0.001）。结论：在颈椎 SCI 患者的肺康复中应考虑吸气肌力量的管理。
Study design: Prospective single centre study.Objectives: Pulmonary rehabilitation focuses on improving the expiratory muscle function in order to increase the reduced cough capacity in patients with cervical spinal cord injuries (SCI). However, an improvement in the inspiratory function is also important for coughing effectively. Therefore, this study was to examine the significance of the inspiratory muscle strength on the cough capacity in the patients with a cervical SCI.Setting: SCI unit, Yonsei Rehabilitation Hospital, Seoul, Korea.Methods: The vital capacity (VC), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP) were measured. Moreover, the unassisted peak cough flow (PCF) and assisted PCF under three conditions were evaluated.Results: All three assisted cough methods showed a significantly higher value than the unassisted method (P < 0.001). The VC correlated with the voluntary cough capacity and the MIP (R = 0.749) correlated more significantly with the VC than the MEP (R = 0.438) (P < 0.01). The MIP showed a higher correlation with both the unassisted PCF and all three assisted PCFs than the MEP (P < 0.001).Conclusions: The management of the inspiratory muscle strength should be considered in the pulmonary rehabilitation at cervical SCI patients.