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Updated: Jan 8, 2026

Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment RMCA in Individuals with Chronic Spinal Cord Injury
Published on: July 19, 2013
Navigating the Complexities of Implementing Evidence-Based Respiratory Muscle Training in Post-Mechanical Ventilation
Jianing Yin1, Xiaomin Guan2, Qi Zhang2
1Department of Nursing, Hangzhou First People's Hospital, Hangzhou, China.
Aim:
This study aimed to explore the perceptions of medical personnel and patients regarding respiratory muscle training (RMT) for patients after mechanical ventilation withdrawal.
Design:
A qualitative study.
Methods:
Semi-structured interviews were conducted with 12 medical staff and 9 eligible patients between August and December 2023. Guided by the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, the interviews focused on facilitators and barriers to RMT. Data were coded according to the i-PARIHS domains (context, innovation and recipients) and analysed thematically.
Results:
Three main themes emerged: (1) recipients-encompassing medical staff attitudes, knowledge training, patient physical factors, and willingness to engage in RMT, (2) context-including interdisciplinary collaboration, quality control, human resources, incentives, training facilities, leadership focus and the role of respiratory therapists and (3) innovation-highlighting the advantages of RMT and challenges in the continuity of evidence-based application.
Conclusion:
This study identified key barriers and facilitators to respiratory muscle training in post-mechanical ventilation care, providing an evidence base for developing intervention strategies in the future.
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