THE RELATIONSHIP OF VENTILATORY MUSCLE STRENGTH TO CHEST WALL EXCURSION IN NORMAL SUBJECTS AND PERSONS WITH CERVICAL SPINAL CORD INJURY.

1998 ◽  
Vol 9 (4) ◽  
pp. 20 ◽  
Author(s):  
D Feldman ◽  
M Ouellette ◽  
A Villamez ◽  
M Massery ◽  
L Cahalin
2020 ◽  
Vol 37 (4) ◽  
pp. 275-280
Author(s):  
Eunbyul Cho ◽  
Hyeonjun Woo ◽  
Nam geun Cho

This study reports the effectiveness of traditional Korean medicine in treating tetraplegia and respiratory symptoms (including dyspnea) after traumatic cervical spinal cord injury surgery. The patient was treated with complex Korean medical treatment including electroacupuncture, pharmacopuncture, and herbal medicine. The manual muscle test (expanded Medical Research Council system) was used to measure the patient’s muscle strength. The Korean version of the modified Barthel index and the functional independent measure were used to evaluate the patient’s independence in performing daily activities. Following 2 hospitalizations and treatments, the patient’s muscle strength improved > 4+ score for all joints, and the Korean version of the modified Barthel index and functional independent measure scores increased from 26 to 79 and 56 to 95, respectively. Symptoms of dyspnea, coughing, and sputum gradually improved and finally disappeared during hospitalization. This study suggests complex Korean medicine treatment may be effective in the rehabilitation of post-surgical cervical spinal cord injury patients.


1990 ◽  
Vol 33 (4) ◽  
pp. 798-807 ◽  
Author(s):  
Jeannette D. Hoit ◽  
Robert B. Banzett ◽  
Robert Brown ◽  
Stephen H. Loring

Ten men with cervical spinal cord injury were studied using magnetometers to record surface motions of the chest wall during speech breathing. Individual speech breathing patterns reflected inspiratory and expiratory muscular sparing. Subjects compensated for expiratory muscle impairment by speaking at large lung volumes, presumably to take advantage of the higher recoil pressures available at those volumes. Similarly, subjects used larger lung volumes to increase loudness. Abnormal chest wall behavior was attributed in large part to loss of abdominal muscle function. Because of this, speech breathing in individuals with cervical spinal cord injury may be improved by the use of abdominal binders.


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