Effects of wheelchair use on pulmonary function and muscular respiratory strength in subjects with spinal cord injury: a case series

Introduction: People who suffer from spinal cord injuries (SCI) have a high prevalence of respiratory diseases. Their level of respiratory compromise depends on the degree of the injury, whether it is complete or incomplete, and on the age of the individual. Because these patients remain seated for...

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Principais autores: Torres-Castro, Rodrigo, Richards, Darío, Barraza, Felipe, Otto-Yáñez, Matías, Hidalgo, Gonzalo, Solis-Navarro, Lilian, Vera-Uribe, Roberto
Formato: Online
Idioma:eng
Publicado em: UFRN
Endereço do item:https://periodicos.ufrn.br/revistadefisioterapia/article/view/9824
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spelling oai:periodicos.ufrn.br:article-98242018-02-23T19:19:51Z Effects of wheelchair use on pulmonary function and muscular respiratory strength in subjects with spinal cord injury: a case series Torres-Castro, Rodrigo Richards, Darío Barraza, Felipe Otto-Yáñez, Matías Hidalgo, Gonzalo Solis-Navarro, Lilian Vera-Uribe, Roberto Postura capacidad vital forzada silla de ruedas medula espinal. Introduction: People who suffer from spinal cord injuries (SCI) have a high prevalence of respiratory diseases. Their level of respiratory compromise depends on the degree of the injury, whether it is complete or incomplete, and on the age of the individual. Because these patients remain seated for extended periods of time, it is essential to evaluate how a wheelchair affects their lung function. Our objective was to compare pulmonary function and respiratory muscle strength in patients with SCI evaluated while seated in a wheelchair with lumbar concavity (WLC) and while seated in a static chair with lumbar convexity (SLC).Methods: Forced vital capacity (FVC), forced expiratory volume during the first second (FEV1), peak expiratory flow (PEF), maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP) were assessed in subjects with SCI seated in WLC and SLC. For the statistical analysis, STATA 11.1 software was used. We applied t-test to compare the results, and a difference of <0.05 was considered significant.Results: We recruited seven male subjects, with a mean age of 42.4 ± 15.5 years (range 19 – 61) and level of injury between C7 and T10. The FVC was 4.21 ± 0.91 and 4.39 ± 0.89 L, for WLC and SLC, respectively, showing a significant difference (p = 0.04). FEV1, PEF, MIP, and MEP did not show any significant difference.Conclusion: The use of WLC diminished the FVC in subjects with SCI. The PEF, MIP, and MEP did not have a statistically significant difference but showed a marked tendency to the diminution. UFRN 2017-08-24 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo avaliado pelos Pares application/pdf https://periodicos.ufrn.br/revistadefisioterapia/article/view/9824 Journal of Respiratory and CardioVascular Physical Therapy; Vol. 5 No. 1 (2016); 22-26 Revista de Fisioterapia Respiratória e CardioVascular; v. 5 n. 1 (2016); 22-26 2238-4677 eng https://periodicos.ufrn.br/revistadefisioterapia/article/view/9824/9272 Copyright (c) 2017 Revista de Fisioterapia Respiratória e CardioVascular
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language eng
format Online
author Torres-Castro, Rodrigo
Richards, Darío
Barraza, Felipe
Otto-Yáñez, Matías
Hidalgo, Gonzalo
Solis-Navarro, Lilian
Vera-Uribe, Roberto
spellingShingle Torres-Castro, Rodrigo
Richards, Darío
Barraza, Felipe
Otto-Yáñez, Matías
Hidalgo, Gonzalo
Solis-Navarro, Lilian
Vera-Uribe, Roberto
Effects of wheelchair use on pulmonary function and muscular respiratory strength in subjects with spinal cord injury: a case series
author_facet Torres-Castro, Rodrigo
Richards, Darío
Barraza, Felipe
Otto-Yáñez, Matías
Hidalgo, Gonzalo
Solis-Navarro, Lilian
Vera-Uribe, Roberto
author_sort Torres-Castro, Rodrigo
title Effects of wheelchair use on pulmonary function and muscular respiratory strength in subjects with spinal cord injury: a case series
title_short Effects of wheelchair use on pulmonary function and muscular respiratory strength in subjects with spinal cord injury: a case series
title_full Effects of wheelchair use on pulmonary function and muscular respiratory strength in subjects with spinal cord injury: a case series
title_fullStr Effects of wheelchair use on pulmonary function and muscular respiratory strength in subjects with spinal cord injury: a case series
title_full_unstemmed Effects of wheelchair use on pulmonary function and muscular respiratory strength in subjects with spinal cord injury: a case series
title_sort effects of wheelchair use on pulmonary function and muscular respiratory strength in subjects with spinal cord injury: a case series
description Introduction: People who suffer from spinal cord injuries (SCI) have a high prevalence of respiratory diseases. Their level of respiratory compromise depends on the degree of the injury, whether it is complete or incomplete, and on the age of the individual. Because these patients remain seated for extended periods of time, it is essential to evaluate how a wheelchair affects their lung function. Our objective was to compare pulmonary function and respiratory muscle strength in patients with SCI evaluated while seated in a wheelchair with lumbar concavity (WLC) and while seated in a static chair with lumbar convexity (SLC).Methods: Forced vital capacity (FVC), forced expiratory volume during the first second (FEV1), peak expiratory flow (PEF), maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP) were assessed in subjects with SCI seated in WLC and SLC. For the statistical analysis, STATA 11.1 software was used. We applied t-test to compare the results, and a difference of <0.05 was considered significant.Results: We recruited seven male subjects, with a mean age of 42.4 ± 15.5 years (range 19 – 61) and level of injury between C7 and T10. The FVC was 4.21 ± 0.91 and 4.39 ± 0.89 L, for WLC and SLC, respectively, showing a significant difference (p = 0.04). FEV1, PEF, MIP, and MEP did not show any significant difference.Conclusion: The use of WLC diminished the FVC in subjects with SCI. The PEF, MIP, and MEP did not have a statistically significant difference but showed a marked tendency to the diminution.
publisher UFRN
publishDate 2017
url https://periodicos.ufrn.br/revistadefisioterapia/article/view/9824
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