Effect of neuromuscular electrical stimulation on cough capacity and pulmonary function in patients with acute cervical cord injury. Export

@article{citeulike:4933991, abstract = {OBJECTIVE: To assess the effectiveness of neuromuscular electrical stimulation (NMES) on cough capacity and prevention of pulmonary complication in patients with acute cervical cord injury. DESIGN: A randomized controlled trial. SUBJECTS: Twenty-six tetraplegic patients with cervical spinal cord injury, 13 in the NMES therapy group and 13 in the control group. METHODS: NMES was applied to the clavicular portion of the pectoralis major and abdominal muscle. Pulmonary function tests were performed before and after therapy, and at 3 months and 6 months follow-up. The pulmonary complications in this 6-month follow-up period were also recorded. RESULTS: After the 4-week therapy, and at 3 months and 6 months follow-up testing, patients in the NMES therapy group displayed significant improvement in their peak expiratory flow, forced expiratory volume in 1 second, forced vital capacity, maximal expiratory pressure and maximal inspiratory pressure, compared with those in the control group (p<0.05). Patients in the NMES therapy group also had fewer pulmonary complications in the follow-up period. CONCLUSION: NMES over the pectoralis and abdominal muscles might improve cough capacity and pulmonary function in cervical spinal cord injury with tetraplegia. This improvement might last for 6 months. With this improvement, pulmonary complications were reduced.}, author = {Cheng, P. T. and Chen, C. L. and Wang, C. M. and Chung, C. Y.}, citeulike-article-id = {4933991}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/16548084}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=16548084}, issn = {1650-1977}, journal = {Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine}, keywords = {cough\_efficacy, fev, fvc, intervention, neurological\_physical\_therapy, nmes, other\_than\_paralysis, pulmonary\_complications, pulmonary\_function, respiratory\_management, spinal\_cord\_injury, vc}, month = {January}, number = {1}, pages = {32--36}, posted-at = {2009-06-23 15:07:37}, priority = {2}, title = {Effect of neuromuscular electrical stimulation on cough capacity and pulmonary function in patients with acute cervical cord injury.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/16548084}, volume = {38}, year = {2006} }

TY - JOUR ID - citeulike:4933991 L3 - citeulike-article-id:4933991 N2 - OBJECTIVE: To assess the effectiveness of neuromuscular electrical stimulation (NMES) on cough capacity and prevention of pulmonary complication in patients with acute cervical cord injury. DESIGN: A randomized controlled trial. SUBJECTS: Twenty-six tetraplegic patients with cervical spinal cord injury, 13 in the NMES therapy group and 13 in the control group. METHODS: NMES was applied to the clavicular portion of the pectoralis major and abdominal muscle. Pulmonary function tests were performed before and after therapy, and at 3 months and 6 months follow-up. The pulmonary complications in this 6-month follow-up period were also recorded. RESULTS: After the 4-week therapy, and at 3 months and 6 months follow-up testing, patients in the NMES therapy group displayed significant improvement in their peak expiratory flow, forced expiratory volume in 1 second, forced vital capacity, maximal expiratory pressure and maximal inspiratory pressure, compared with those in the control group (p<0.05). Patients in the NMES therapy group also had fewer pulmonary complications in the follow-up period. CONCLUSION: NMES over the pectoralis and abdominal muscles might improve cough capacity and pulmonary function in cervical spinal cord injury with tetraplegia. This improvement might last for 6 months. With this improvement, pulmonary complications were reduced. IS - 1 JF - Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine SN - 1650-1977 EP - 36 TI - Effect of neuromuscular electrical stimulation on cough capacity and pulmonary function in patients with acute cervical cord injury. VL - 38 SP - 32 KW - cough_efficacy KW - fev KW - fvc KW - intervention KW - neurological_physical_therapy KW - nmes KW - other_than_paralysis KW - pulmonary_complications KW - pulmonary_function KW - respiratory_management KW - spinal_cord_injury KW - vc AU - Cheng, PT AU - Chen, CL AU - Wang, CM AU - Chung, CY PY - 2006/01// UR - http://view.ncbi.nlm.nih.gov/pubmed/16548084 ER -