The Efficacy of Pulmonary Rehabilitation Using Mechanical In-Exsufflator in Cervical Cord Injured Patients.
- Author:
Chang Il PARK
1
;
Ji Cheol SHIN
;
Seong Woong KANG
;
Byung Ho LEE
;
Young Seok CHOI
;
Yong Rae KIM
;
Sang Chul JEON
Author Information
1. Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Tetraplegia(MI-E);
Pulmonary rehabilitation;
Mechanical in-exsufflator (MI-E)
- MeSH:
Cough;
Humans;
Insufflation;
Lung Diseases;
Pneumonia;
Pulmonary Atelectasis;
Quadriplegia;
Rehabilitation*;
Vital Capacity
- From:Journal of the Korean Academy of Rehabilitation Medicine
2002;26(4):403-408
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: It is known that Mechanical in-exsufflator (MI-E) can reduce pulmonary complications such as pneumonia, atelectasis in tetraplegia by increasing inspiratory and expiratory capacity. The aim of this study is to clarify the effectiveness of MI-E on pulmonary function and coughing capacity in tetraplegia. METHOD: Thirty tetraplegic patients who had neither history nor radiologic finding of pulmonary disease were divided into two groups; control (n=15) and experimental (n=15) groups. Control group received conventional pulmonary rehabilitation, while experimental group received additional MI-E therapy for one month. The pulmonary function was evaluated by measuring percentage of predicted value of vital capacity (% VC), maximal insufflation capacity (MIC), unassisted peak cough flow (UPCF), volume assisted peak cough flow (VPCF), manual assisted peak cough flow (MPCF), manual and volume assisted peak cough flow (MVPCF). These data of pulmonary function before and after treatment were compared between two groups. RESULTS: 1) There are significant improvement of pulmonary function in both groups (p<0.05) except UPCF in control group before and after treatment. 2) The experimental group showed more improvement in MIC, VPCF, MPCF and MVPCF than control group (p<0.05). Conclusion: MI-E therapy can be used as an effective therapeutic modality for the improvement of pulmonary function in combination with conventional pulmonary rehabilitation.
