Document Detail


Glossopharyngeal pistoning for lung insufflation in patients with cervical spinal cord injury.
MedLine Citation:
PMID:  19002147     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A prospective cohort study.
OBJECTIVES: To evaluate whether patients with cervical spinal cord injury (CSCI) are able to learn the technique of glossopharyngeal pistoning (breathing) for lung insufflation (GI) and if learned, to evaluate the effects of GI on pulmonary function and chest expansion after 8 weeks.
SETTING: Karolinska University Hospital, Stockholm, Sweden.
METHODS: Twenty-five patients with CSCI (21 men, four women) with a mean age of 46 years (21-70), from the Stockholm area, were used in this study. The participants performed 10 cycles of GI four times a week, for 8 weeks. Pulmonary function tests made before and after the GI training included vital capacity (VC), expiratory reserve volume (ERV), functional residual capacity (FRC; measured with nitrogen washout), residual volume (RV) and total lung capacity (TLC). Chest expansion was measured before and after training.
RESULTS: Five of the twenty-five participants had difficulty in performing GI and were excluded in further analysis. Performing a GI maneuvre increased participants' VC on average by 0.88+/-0.5 l. After 8 weeks of training, the participants had significantly increased their VC 0.23 l, (P<0.001), ERV 0.16 l, (P<0.01), FRC 0.86 l, (P<0.001), RV 0.70 l, (P<0.001) and TLC 0.93 l, (P<0.001). Chest expansion increased at the level of the xiphoid process by 1.2 cm (P<0.001) and at the level of the fourth costae by 0.7 cm (P<0.001).
CONCLUSIONS: After using GI for a period of 8 weeks, the participants with CSCI who could perform GI were able to improve pulmonary function and chest expansion.
Authors:
M Nygren-Bonnier; K Wahman; P Lindholm; A Markström; N Westgren; B Klefbeck
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-11-11
Journal Detail:
Title:  Spinal cord     Volume:  47     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-07     Completed Date:  2009-07-08     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  418-22     Citation Subset:  IM    
Affiliation:
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska University Hospital, Stockholm, Sweden. malin.nygren-bonnier@karolinska.se
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Breathing Exercises*
Cervical Vertebrae / injuries*
Expiratory Reserve Volume
Female
Functional Residual Capacity
Humans
Inspiratory Capacity*
Insufflation
Lung / physiopathology*
Male
Middle Aged
Prospective Studies
Recovery of Function
Residual Volume
Respiratory Function Tests
Respiratory Mechanics
Spinal Cord Injuries / complications*,  physiopathology,  rehabilitation*
Sweden
Time Factors
Total Lung Capacity
Vital Capacity
Young Adult

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


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