지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 457 - 464 (8page)
이용수
초록· 키워드
오류제보하기
Objective To analyze the respiratory function of high cervical cord injury according to ventilator dependence and to examine the correlations between diaphragm movement found on fluoroscopy and sensory and motor functions.Methods A total of 67 patients with high cervical spinal cord injury (SCI), admitted to our hospital were enrolled in the study. One rehabilitation physician performed sensory and motor examinations on all patients while each patient was in the supine position on the American Spinal Injury Association (ASIA) standard. In addition, fluoroscopic diaphragm movement studies and bedside spirometry were performed.Results Bedside spirometry and diaphragm fluoroscopic tests were analyzed according to ventilator dependence. Forced vital capacity and maximal inspiratory pressure were significantly higher in the ventilator weaned group. Natural breathing during the fluoroscopic diaphragm examinations and ventilator weaning showed statistical significance with the movement on the right, while deep breathing showed statistical significance with the movement on both sides. Deep breathing movement has correlation with the C5 key muscle. Diaphragm movement has correlation with right C3 and bilateral C4 sensory functions.Conclusion The present expansion study showed that, through simple bedside physical examinations, rehabilitation physicians could relatively easily predict diaphragm movement and respiratory function recovery, which showed significance with ventilator weaning in patients with high cervical SCI.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Brown R / 2006 / Respiratory dysfunction and management in spinal cord injury / Respir Care 51:853~870
Galeiras Vazquez R / 2013 / Respiratory management in the patient with spinal cord injury / Biomed Res Int 2013:168757
Shavelle RM / 2006 / Long-term survival of persons ventilator dependent after spinal cord injury / J Spinal Cord Med 29:511~519
Jackson AB / 1994 / Incidence of respiratory complications following spinal cord injury / Arch Phys Med Rehabil 75:270~275
Ditunno JF Jr / 1997 / Functional outcomes in spinal cord injury (SCI): quality care versus cost containment / J Spinal Cord Med 20:1~7
Galeiras Vazquez R / 2013 / Respiratory management in the patient with spinal cord injury / Biomed Res Int 2013:168757
Shavelle RM / 2006 / Long-term survival of persons ventilator dependent after spinal cord injury / J Spinal Cord Med 29:511~519
Jackson AB / 1994 / Incidence of respiratory complications following spinal cord injury / Arch Phys Med Rehabil 75:270~275
Ditunno JF Jr / 1997 / Functional outcomes in spinal cord injury (SCI): quality care versus cost containment / J Spinal Cord Med 20:1~7
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