慢性頸髓損傷患者肺功能訓練之初步研究

The Effect of Pulmonary Function Training in Chronic Tetraplegic Patients: Pilot Study

陳泰安(Tai-Ann Chen) ； 黃郁翔(Yu-Xang Huang) ； 李偉強(Wai-Keung Lee) ； 韋有維(Yau-Wai Wai)

《中華民國復健醫學會雜誌》 31卷3期 (2003/09) Pp. 133-138

摘要

Pulmonary complication is the main cause of death in the persons with spinal cord injury (SCI). The purpose of this study was to evaluate if pulmonary function training can improve lung function in chronic (onset more than 1 year) tetraplegic patients. There are 14 subjects (9male and 5 female), including C4 to C7 (11 complete; 3 incomplete), mean duration of injury is 5.14 years. They were arranged the rehabilitation training including respiratory muscle training for 4 weeks. Spirometry records such as vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), forced vital capacity (FVC), forced expired volume in 1 second (FEV1), and maximal voluntary ventilation (MVV) were taken before and after training in the erect seated position. Paired-t test was used in the data analysis. There are significant (p＜0.05) improvements in VC, FVC, FEV1, and MVV. The pulmonary functional training can improve ventilation function in patients with chronic SCI. therefore daily abdominal weight exercise is suggested to prevent pulmonary complications in chronic tetraplegic patients.

關鍵字

頸髓損傷 ； 肺功能測試 ； 肺功能異常 ； 重量訓練 ； 併發症

並列摘要

Pulmonary complication is the main cause of death in the persons with spinal cord injury (SCI). The purpose of this study was to evaluate if pulmonary function training can improve lung function in chronic (onset more than 1 year) tetraplegic patients. There are 14 subjects (9male and 5 female), including C4 to C7 (11 complete; 3 incomplete), mean duration of injury is 5.14 years. They were arranged the rehabilitation training including respiratory muscle training for 4 weeks. Spirometry records such as vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), forced vital capacity (FVC), forced expired volume in 1 second (FEV1), and maximal voluntary ventilation (MVV) were taken before and after training in the erect seated position. Paired-t test was used in the data analysis. There are significant (p＜0.05) improvements in VC, FVC, FEV1, and MVV. The pulmonary functional training can improve ventilation function in patients with chronic SCI. therefore daily abdominal weight exercise is suggested to prevent pulmonary complications in chronic tetraplegic patients.

並列關鍵字

cervical cord injury ； pulmonary function test ； abnormal pulmonary function ； weight training ； complication