My. Liaw et al., Resistive inspiratory muscle training: Its effectiveness in patients with acute complete cervical cord injury, ARCH PHYS M, 81(6), 2000, pp. 752-756
Objective: To evaluate if resistive inspiratory muscle training (RIMT) can
improve lung function in patients with complete tetraplegia within half a y
ear after trauma.
Design: A prospective study. The experimental patients received training wi
th a Diemolding Healthcare Division inspiratory muscle trainer for 15 to 20
minutes per session, twice per day, 7 days a week for 6 weeks.
Setting: Hospital-based rehabilitation units.
Patients: Twenty patients who were in their first 6 months of complete cerv
ical cord injury were randomly enrolled into RIMT(10 patients) and control(
10 patients) groups.
Main Outcome Measure: Spirometry, lung volume test, maximal inspiratory pre
ssure, maximal expiratory pressure, and modified Borg scale measurements at
rest were performed before training and at the end of 6 weeks of training.
Results: Most of the pulmonary parameters showed statistically significant
improvements within the RIMT and control groups, but the improvements were
greater in the RIMT group. In addition, the improvements in total lung capa
city, total lung capacity predicted percentage. viral capacity, minute vent
ilation, forced expiratory volume in 1 second predicted percentage, and the
resting Borg scale in the RIMT group showed significantly greater improvem
ent.
Conclusion: RIMT can improve ventilatory function, respiratory endurance, a
nd the perceived difficulty of breathing in patients with complete cervical
spinal cord injury within half a year after trauma.