Gültekin, Özlem; Öneş, Kadriye; Harman, Halil; Yalçınkaya, Ebru Yılmaz
September 2013
Nobel Medicus Journal;Sep-Dec2013, Vol. 9 Issue 3, p82
Academic Journal
Objective: The present study aims to investigate the effects of respiratory rehabilitation programs on respiratory junction, chest expansion, and the quality of life among patients with thoracal level spinal cord injury (SCI); as well as examine the relation between the changes in these parameters and lower and upper thoracal vertebra injury level, duration of the disorder and spasticity. Material and Method: Twenty nine patients, who have been admitted to our rehabilitation hospital for the last 9 months, for SCI with a neurological lesion level T1-T12 vertebra were included in the study. The patients were categorized into lower and upper thoracal SCI. Patients were administered a respiratory functions test (KFT) and quality of coughing both prior to and following six week respiratory rehabilitation program. St. George's Respiratory Questionnaire (SGRQ), Short Form 36 (SF-36) and Functional Independence Measure (FIM) scores were calculated. Results: It was found that following a thoracal SCI, respiratory functions and coughing quality were affected more severely for patients who had a higher thoracal level. Patients with thoracal SCI showed statistically significant improvement after the respiratory rehabilitation in their RFT. Conclusions: Respiratory functions in thoracal SCI patients were affected seriously. The improvement in patients' respiratory functions may lead to an increase in their quality of life and functional independence.


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