带有生物反的隔膜呼吸练习对不完全椎脊髓损伤的呼吸功能的影响:一项随机对照研究
Soroush Hasnakipour1, Zahra Mosallanezhad1, Tahere Rezaeian2
1Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
American journal of physical medicine & rehabilitation
|February 12, 2025
概括
在脊髓损伤 (SCI) 患者中,带有生物反的隔膜呼吸练习显著改善了呼吸功能. 这种干预改善了肺功能测试,并减少了呼吸系统功能障碍的症状.
科学领域:
- 康复医学 康复医学 康复医学
- 呼吸系统生理学 呼吸系统生理学
- 神经学 神经学
背景情况:
- 不完整的椎脊髓损伤 (SCI) 通常会损害呼吸功能.
- 呼吸练习用于改善SCI患者的肺容量.
- 生物反可以提高呼吸干预措施的有效性.
研究的目的:
- 评估隔膜呼吸练习与视觉生物反相结合对有不完全宫SCI的个体呼吸功能的影响.
- 评估肺功能测试的变化和呼吸功能障碍的严重程度.
主要方法:
- 这是一项随机对照试验,涉及40名不完全宫SCI患者.
- 参与者被分为干预组 (带有生物反的隔膜呼吸) 和对照组.
- 使用1秒内强制呼气量 (FEV1),功能性生命能力 (FVC) 和最大自发通气量 (MVV) 来测量肺功能.
- 用尼姆根问卷 (NQ) 评估呼吸系统功能障碍.
主要成果:
- 干预组的FEV1,FVC和MVV在干预后和一个月的随访后显著改善 (p < 0.001).
- 对照组在肺功能测试中没有显著变化.
- 两组都经历了NQ得分的显著下降 (p < 0.001),干预组观察到的下降更大.
- 在各组之间,NQ分数的变化有显著差异 (p = 0.03).
结论:
- 包括视觉生物反在内的隔膜呼吸练习在不完全的宫SCI患者中有效提高肺功能.
- 这种干预可能会导致感知到呼吸障碍的减少,如NQ得分的改善所示.
- 生物反辅助呼吸练习是SCI患者呼吸系统康复的有希望的治疗策略.
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