Document Detail


Breathlessness and exercise in spinal cord injury.
MedLine Citation:
PMID:  10751134     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
After spinal cord injury (SCI), breathlessness during daily activities is common. In 308 individuals with SCI, the authors measured pulmonary function and administered a survey regarding health status, participation in wheelchair athletics, and breathlessness during different activities. The following questions were included: A. Are you troubled by shortness of breath when hurrying on the level or going up a slight hill?; B. Do you have to go slower than people of your own age on the level because of breathlessness?; C. Do you ever have to stop for breath when going at your own pace on the level?; and D. Do you ever have to stop for breath after going about 100 yards on the level? The analysis was restricted to 183 subjects with neurologically motor complete or incomplete SCI who, to get around, used hand-propelled wheelchairs more than 50% of the time. Of these, 56 (31%) reported breathlessness during some types of activities. Subjects with neurologically motor complete cervical or high thoracic SCI (T-6 and above) were more likely to report breathlessness than others (39% compared with 25%, p = .039). Among wheelchair athletes, the prevalence of breathlessness was 8/49 (16%) versus 48/134 (36%) for non-athletes (p = .011). Adjusting for smoking, neurological level, and history of obstructive lung disease, non-athletes were 2.3 times more likely to report breathlessness than athletes were (p = .049 to .075, depending on regression model). This relationship persisted when adjusted for percent predicted forced expiratory volume (FEV1) and maximal expiratory and inspiratory pressures. Therefore in SCI, wheelchair athletes are less likely to report breathlessness than non-athletes, but the mechanism does not appear to be improvement in respiratory muscle performance or pulmonary function.
Authors:
M F Wien; E Garshick; C G Tun; S L Lieberman; A Kelley; R Brown
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  22     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  1999  
Date Detail:
Created Date:  2000-06-01     Completed Date:  2000-06-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  297-302     Citation Subset:  IM    
Affiliation:
Pulmonary and Critical Care Medicine Section, VA Boston Healthcare System, West Roxbury, Massachusetts 02132, USA.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living / classification
Adult
Aged
Body Mass Index
Dyspnea / physiopathology*
Exercise / physiology*
Female
Forced Expiratory Volume / physiology
Humans
Male
Middle Aged
Motor Neurons / physiology
Neurologic Examination
Physical Fitness / physiology
Risk Factors
Spinal Cord Injuries / physiopathology*
Wheelchairs

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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