脊髓损伤患者的功能性坐姿平衡和人体测量与吸气肌肉表现有关。

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2024-01-01 Epub Date: 2024-08-08 DOI:10.46292/sci23-00052
Pallavi, Shambhovi Mitra, Anne E Palermo
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引用次数: 0

摘要

背景:呼吸系统并发症是脊髓损伤(SCI)后死亡的主要原因。除呼吸外,呼吸肌还在维持坐位平衡方面发挥作用。伤后呼吸会影响呼吸肌功能。初步证据表明,在社区居住的慢性 SCI 患者的呼吸肌功能与坐姿平衡之间存在关系,但平衡与身体习惯之间的关系尚未得到探讨:目的:探讨 SCI 患者的吸气肌肉功能、功能性坐姿平衡(FSB)和身体习性之间的关系:在 2022 年 11 月至 2023 年 3 月期间,对年龄在 18 至 60 岁之间、使用轮椅的 SCI(C5-T12)住院患者进行了方便抽样调查。不包括患有其他神经系统疾病或需要呼吸支持的患者。呼吸肌功能测量包括最大吸气压力(MIP)、持续吸气压力(SMIP)和疲劳指数测试(FIT)。坐位功能测试(FIST)对 FSB 进行评分。体型用腋:脐(A:U)比值进行评估。斯皮尔曼相关性探讨了两者之间的关系:在 42 名经过筛选的参与者中,有 38 人符合条件并参与其中(男性 32 人)。受伤程度从 C5 到 T12 不等。样本的平均(标清)年龄和受伤时间分别为 25.61 (6.68) 岁和 31.03 (28.69) 个月。SMIP 和 FIT 与 FSB 显著相关(r s= .441,p = .01 和 r s= .434,p = .006)。我们还观察到 SMIP 与 A:U 比值之间存在明显的相关性(r s= -.330,p = .043):我们观察到吸气压力参数与功能性坐位平衡和身体习性之间存在明显的相关性,为呼吸肌的姿势作用提供了更多证据。
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Functional Sitting Balance and Anthropometric Measures Are Related to Inspiratory Muscle Performance in People with Spinal Cord Injury.

Background: Respiratory complications are a leading cause of mortality post spinal cord injury (SCI). Along with breathing, respiratory muscles have a role in maintaining seated balance. Postinjury breathing influences respiratory muscle function. Preliminary evidence indicates a relation between respiratory muscle function and seated balance in people with chronic SCI dwelling in the community, but the relationship between balance and body habitus has not been explored.

Objectives: To explore the relationships among inspiratory muscle function, functional seated balance (FSB), and body habitus in people with SCI.

Methods: A convenience sample of inpatients with SCI (C5-T12) aged 18 to 60 years who were using a wheelchair was recruited from November 2022 to March 2023. Those with additional neurological disorders or respiratory support were excluded. Respiratory muscle function measures included maximal inspiratory pressure (MIP), sustained MIP (SMIP), and Fatigue Index Test (FIT). FSB was scored using the Function in Sitting Test (FIST). Body habitus was assessed using the axillary: umbilical (A:U) ratio. Spearman correlations explored the relationships.

Results: Thirty-eight of 42 screened participants were eligible and participated (male, 32). Levels of injury ranged from C5 to T12. The mean (SD) age and duration of injury of the sample was 25.61 (6.68) years and 31.03 (28.69) months, respectively. SMIP and FIT correlated significantly with FSB (r s= .441, p = .01, and r s= .434, p = .006, respectively). A significant correlation between SMIP and A:U ratio (r s= -.330, p = .043) was observed.

Conclusion: We observed a significant correlation between inspiratory pressure parameters and both functional seated balance and body habitus, adding to evidence on postural role of respiratory muscles.

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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
期刊最新文献
Cerebrovascular Reactivity Following Spinal Cord Injury. Functional Sitting Balance and Anthropometric Measures Are Related to Inspiratory Muscle Performance in People with Spinal Cord Injury. Predicting Complete versus Incomplete Long-Term Functional Independence after Acute AIS Grade D Spinal Cord Injury: A Prospective Cohort Study. Management of Sleep-Disordered Breathing in a Spinal Cord Injury Rehabilitation Center: Model of Care Adaptation and Implementation Comparison of One-Year Postinjury Mobility Outcomes Between Locomotor Training and Usual Care After Motor Incomplete Spinal Cord Injury
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