Objectification of the Importance of Beating Exercise in Subjects with Spinal Cord Injury
Authors:
A. Vetkasov; B. Hošková; I. Sobotková
Authors‘ workplace:
Katedra zdravotní tělesné výchovy a tělovýchovného lékařství FTVS UK, Praha
vedoucí katedry doc. PhDr. B. Hošková, CSc.
Published in:
Rehabil. fyz. Lék., 21, 2014, No. 2, pp. 68-72.
Category:
Original Papers
Overview
It is known, from clinical practice and research, that breathing exercises have a positive effect on people with spinal cord injury (SCI). The purpose of this study was to perform special breathing exercises in persons with SCI and evaluate their effectiveness by using X-ray of lungs and other tests. Sample consisted of 15 respondents with SCI, 8 men and 7 women, mostly middle-aged and elderly. Intervention program took 6 months, with the frequency of exercise five times a week, in the range of 20-30 minutes. The study has included: 1 ) Chest X-Ray in a sitting position during inhalation and exhalation; 2) chest excursion; 3) determination of forced vital capacity (FVC) and forced expiratory volume during the first second (FEV1 ); 4) measurement of respiratory rate. Pretest X-ray showed that the difference between the movement of the lower ribs during inhalation and exhalation was 2-35 mm. Measurement of chest circumference showed a limitation of chest expansion related to normal values corrected with age and sex. Tetraplegic patient’s FVC decreased by 30-50 % compared with the values of healthy population and paraplegics FVC reduced about 80 %. Respiratory rate was 13 to 22 breaths/ min. for all respondents with SCI. We have repeated the tests after six months. X-ray examination showed that the difference between the movement of the lower ribs during inhalation and exhalation has increased by 49% (6 to 45 mm). It has become obvious that circumference of the chest during inspiration increased by 3.5 % and chest circumference during exhalation decreased by 1.27%. One-second vital capacity increased by 5.68% and forced vital lung capacity by 7.61 %. Respiratory rate decreased on average by 16.22 %. In this study, by using X-ray and other tests, we have noticed the objective influence of breathing exercises on the respiratory muscles in persons with SCI.
Keywords:
breathing exercise, spinal cord injury, X-ray
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Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2014 Issue 2
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