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Revista Mexicana de Neurociencia

Academia Mexicana de Neurología, A.C.
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2008, Number 3

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Rev Mex Neuroci 2008; 9 (3)

Efficiency of the program of respiratory rehabilitation for persons with fundamental cervical injuries

Real-González Y, López-Hernández M, Cabrera-Gómez JA, González-Murgado M, Díaz-Márquez R, Armenteros-Herrera N, Álvarez-Lami L
Full text How to cite this article

Language: Spanish
References: 7
Page: 184-188
PDF size: 48.59 Kb.


Key words:

Fundamental cervical injuries, program of respiratory rehabilitation.

ABSTRACT

Introduction: The persons with fundamental cervical injuries present a respiratory restrictive insufficiency of type, demonstrating symptoms as: air lack during the changes of position or transfers, hipofonía, weakness to cough and to expel the secretions, low physical capacity, motion sicknesses, nauseas, alterations of fluencia verbally, among others. There was created a program of respiratory rehabilitation to increase the respiratory capacity and the coordination fonorrespiratoria. I target: To evaluate the efficiency of a program of respiratory rehabilitation for persons with fundamental cervical injuries. Method: Study of quasiexperimental intervention with a group, in persons attended in the Clinic Raquimedular. They were evaluated to the beginning and after the intervention, comparing the results. The system SPSS, it was used for the statistical analysis. Results: men’s predominance 67.5%, average ages 29.95 ± 10.33 (15-55) years, time of evolution 31.98 ± 24.67 (4-96) months. The most affected cervical segments were: C5-C6. In the coordination telephone number respiratory there was significant improvement: emission(issue) of series of words (15.6 ± 11.8) to the beginning versus (20.5 ± 12) p = 0.0000068; emission(issue) of series of numbers (20.8±12.2) to the beginning versus (32.8±18.2) p = 0.0000005 ultimately; maximum time of phonation (12.1 ± 6.1) to the beginning versus (16.6 ± 9.6) p = 0.0008 ultimately. In the respiratory capacity, there was significant improvement: inspirometría (1102.5 ± 171.7) vs. (1140 ± 139.2) p = 0.05; spirometry (1557.5 ± 787.0) vs. (1902.5 ± 853.5) p = 0.000098. Conclusions: The program of respiratory rehabilitation increases significantly the respiratory capacity and the phonorespiratory coordination in persons with fundamental cervical injuries.


REFERENCES

  1. Mazaira J, Labanda F, Romero J y cols. Epidemiología de la lesión medular y otros aspectos. Rehabilitación (Madr) 1998; 32: 365-72.

  2. Brown Robert, F DiMarco Anthony, D Hoit Jeannette, Garshick Eric. Respiratory Dysfunction and Management in Spinal Cord Injury. Respiratory Care 2006; 51: 853-70.

  3. ASIA impairment scale, clinical syndromes, and standard neurological classification of spinal cord injury. http://www.asiaspinalinjury.org/publications/index.html.

  4. SW Kang, JC Shin, JH Moon, DW Rha. Relationship between inspiratory muscle strength and cough capacity in cervical spinal cord injured patients. Spinal Cord Injury 2006; 44: 242-8.

  5. Widdicombe JG. Neurophysiology of the cough reflex. Eur Respir J 1995; 8: 1993-2002.

  6. Torres D, Vergara LP, Hurtados M, Febles S. Fisioterapia respiratoria en el lesionado medular. Rev Cubana Ortop Traumatol 2001; 15: 1-2.

  7. Mazaira J, Labanda F, Romero J, García ME y cols. Epidemiología de la lesión medular y otros aspectos. Rehabilitación (Madril) 1998; 32: 365-72.




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Rev Mex Neuroci. 2008;9