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KMID : 0361420020260040403
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Journal of Korean Academy of Rehabilitation Medicine
2002 Volume.26 No. 4 p.403 ~ p.408
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The Efficacy of Pulmonary Rehabilitation Using Mechanical In-Exsufflator in Cervical Cord Injured Patients
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박창일/Chang Il Park
신지철/강성웅/이병호/최용석/김용래/전상철/Ji Cheol Shin/Seong Woong Kang/Byung Ho Lee/Young Seok Choi/Yong Rae Kim/Sang Chul Jeon
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Abstract
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Objective: It is known that Mechanical in-exsufflator (MI-E) can reduce pulmonary complications such as pneumonia, atelectasis in tetraplegia by increasing inspiratory and expiratory capacity. The aim of this study is to clarify the
effectiveness
of MI-E on pulmonary function and coughing capacity in tetraplegia.
Method: Thirty tetraplegic patients who had neither history nor radiologic finding of pulmonary disease were divided into two groups; control (n=15) and experimental (n=15) groups. Control group received conventional pulmonary
rehabilitation,
while experimental group received additional MI-E therapy for one month. The pulmonary function was evaluated by measuring percentage of predicted value of vital capacity (% VC), maximal in sufflation capacity (MIC), unassisted peak cough flow
(UPCF),
volume assisted peak cough flow (VPCF), manual assisted peak cough flow (MPCF), manual and volume assisted peak cough flow (MVPCF). These data of pulmonary function before and after treatment were compared between two groups.
Results: 1) There are significant improvement of pulmonary function in both groups (p＜0.05) except UPCF in control group before and after treatment. 2) The experimental group showed more improvement in MIC, VPCF, MPCF and MVPCF than
control
group (p＜0.05).
Conclusion: MI-E therapy can be used as an effective therapeutic modality for the improvement of pulmonary function in combination with conventional pulmonary rehabilitation.
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KEYWORD
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