Motor and Sensory Function as a Predictor of Respiratory Function Associated With Ventilator Weaning After High Cervical Cord Injury.
10.5535/arm.2018.42.3.457
- Author:
Tae Wan KIM
1
;
Jung Hyun YANG
;
Sung Chul HUH
;
Bon Il KOO
;
Jin A YOON
;
Je Sang LEE
;
Hyun Yoon KO
;
Yong Beom SHIN
Author Information
1. Department of Rehabilitation Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. yi0314@gmail.com
- Publication Type:Original Article
- Keywords:
Spinal cord injuries;
Cervical cord;
Respiratory function tests;
Physical examination
- MeSH:
Cervical Cord*;
Diaphragm;
Fluoroscopy;
Humans;
Physical Examination;
Recovery of Function;
Rehabilitation;
Respiration;
Respiratory Function Tests;
Sensation*;
Spinal Cord Injuries;
Spinal Injuries;
Spirometry;
Supine Position;
Ventilator Weaning*;
Ventilators, Mechanical*;
Vital Capacity
- From:Annals of Rehabilitation Medicine
2018;42(3):457-464
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To analyze the respiratory function of high cervical cord injury according to ventilator dependence and to examine the correlations between diaphragm movement found on fluoroscopy and sensory and motor functions. METHODS: A total of 67 patients with high cervical spinal cord injury (SCI), admitted to our hospital were enrolled in the study. One rehabilitation physician performed sensory and motor examinations on all patients while each patient was in the supine position on the American Spinal Injury Association (ASIA) standard. In addition, fluoroscopic diaphragm movement studies and bedside spirometry were performed. RESULTS: Bedside spirometry and diaphragm fluoroscopic tests were analyzed according to ventilator dependence. Forced vital capacity and maximal inspiratory pressure were significantly higher in the ventilator weaned group. Natural breathing during the fluoroscopic diaphragm examinations and ventilator weaning showed statistical significance with the movement on the right, while deep breathing showed statistical significance with the movement on both sides. Deep breathing movement has correlation with the C5 key muscle. Diaphragm movement has correlation with right C3 and bilateral C4 sensory functions. CONCLUSION: The present expansion study showed that, through simple bedside physical examinations, rehabilitation physicians could relatively easily predict diaphragm movement and respiratory function recovery, which showed significance with ventilator weaning in patients with high cervical SCI.
