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Ventilation Efficiency and Pulmonary Function After a Wheelchair Interval-Training Program in Subjects With Recent Spinal Cord Injury Export

Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 8. (August 2005), pp. 1582-1586.

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functional_training interval-training middle_ages neurology_physical_therapy physical_therapy program pulmonary_function randomised_controlled_trial rehabilitation spinal_cord_injury ventilation wheelchair

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Le Foll-de Moro D, Tordi N, Lonsdorfer E, Lonsdorfer J. Ventilation efficiency and pulmonary function after a wheelchair interval-training program in subjects with recent spinal cord injury. To study the effect of a wheelchair interval-training program on the ventilatory function of subjects with recent spinal cord injury (SCI). Evaluation trial before and after a training program. Center of reeducation and university hospital. Six subjects (5 men, 1 woman) hospitalized after a recent SCI. On a wheelchair ergometer, subjects with SCI performed 30 minutes of interval training 3 times a week for 6 weeks. The training program was part of their reeducation program. Spirometric values at rest and dynamic ventilatory responses were studied before and after this training program with a spirometric test, a maximal exercise test that increased by 5W every 2 minutes, and a submaximal test. Spirometric values at rest did not change after training. At maximal exercise, peak ventilation (V e peak, 7.5%), peak breathing frequency (f peak) (−13.4%), peak tidal volume (V t peak +28.9%), and the ventilatory reserve (12.9%) improved after training. The oxygen cost of V̇ e decreased significantly (−20%) after training. We observed for the wheelchair tests that, at the same workload after training, V̇ e and f decreased and V t increased. After 6 weeks of our interval-training program in subjects with recent SCI, the increase of V t and the decrease of oxygen cost of V̇ e indicated better ventilatory efficiency.


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