The Significance of Posture on Assessment of Pulmonary Function after Pulmonary Rehabilitation in Tetraplegia.
- Author:
Yong Rae KIM
1
;
Sang Jin LEE
;
Hyung Jun KIM
;
Sung Beom LEE
Author Information
1. Department of Rehabilitation Medicine, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Korea. khj6647@hanmail.net
- Publication Type:Original Article
- Keywords:
Pulmonary rehabilitation;
Pulmonary function;
Tetraplegia;
Spinal cord injury
- MeSH:
Forced Expiratory Volume;
Humans;
Insufflation;
Posture*;
Quadriplegia*;
Rehabilitation*;
Spinal Cord Injuries;
Supine Position;
Tidal Volume;
Vital Capacity
- From:Journal of the Korean Academy of Rehabilitation Medicine
2003;27(4):513-518
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: In patients with cervical spinal cord injury (SCI), it is known that vital capacity of the supine position is larger than that of the sitting position, but after pulmonary rehabilitation treatment, the effect on assessment of vital capacity according to the posture is not yet clearly known. In this study, we evaluated the significance of posture on assessment of pulmonary function after pulmonary rehabilitation treatment in patients with cervical SCI. METHOD: Twenty-eight patients with cervical SCI were participated in this study. The pulmonary function was evaluated by measuring vital capacity (VC), tidal volume (TV), maximum insufflation capacity (MIC) and forced expiratory volume at the first second (FEV1) in both supine and sitting position, before and after the 4 weeks pulmonary rehabilitation treatment. The parameters of pulmonary function were analyzed and compared according to the posture. RESULTS: Before pulmonary rehabilitation treatment, VC, TV, MIC and FEV1 of the supine position were significantly larger than those of the sitting position (p<0.05). After pulmonary rehabilitation treatment, VC, TV, MIC and FEV1 of the supine position were also significantly larger than those of the sitting position (p<0.05). Vital capacity, TV, MIC and FEV1 were significantly improved after pulmonary rehabilitation treatment both supine and sitting position (p<0.05), but the improvement ratio of VC, TV, MIC and FEV1 between supine and sitting position were not significantly different (p>0.05). CONCLUSION: For the proper assessment of the pulmonary function after pulmonary rehabilitation treatment in patients with cervical SCI, the significance of posture should be considered.
