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KMID : 0361420070310050529
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Journal of Korean Academy of Rehabilitation Medicine
2007 Volume.31 No. 5 p.529 ~ p.534
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Prevalence of Asthma-like Symptoms in Subjects with Chronic Cervical Spinal Cord Injury
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Shin Hyung-Ik
Lee Bum-Suk
Jung Yong-Seol
Park Heung-Woo
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Abstract
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OBJECTIVE: To evaluate clinical relevance of airway hyperresponsiveness (AHR) in subjects with chronic spinal cord injury (SCI) by investigating the prevalence of asthma-like symptoms.
METHOD: Two hundred twelve patients with SCI responded to the modified questionnaire of International Study of Asthma and Allergic disease in Children (ISSAC). Among them, 28 patients underwent a methacholine bronchial provocation test to measure AHR.
RESULTS: The prevalence of AHR was significantly higher in subject with chronic cervical SCI compared with that in subjects with chronic thoracic or lumbar SCI (73.3% vs. 23.1%, p=0.023). In tetraplegics, the prevalence of wheezing during last 12 months, post-exercise wheezing, sleep disturbance due to nocturnal cough or wheezing, and dust-induced breathlessness were 40.0%, 37.8%, 33.3%, and 31.1% respectively, which were significantly higher than paraplegics and general population in Korea (p<0.05, p=0.001, 0.013, 0.002, 0.004 respectively).
CONCLUSION: AHR in subjects with chronic cervical SCI might be a cause of symptomatic airway disturbances such as wheezing, cough, and breathlessness.
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KEYWORD
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Spinal cord injury, Airway hyperresponsiveness, Asthma
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