Inspiratory Muscle Training enhances Functional Sitting Balance more than Usual Care in Individuals with Spinal Cord Injury: A Randomized Controlled Trial.

IF 3.7 2区 医学 Q1 REHABILITATION
Kanishka Gambhir, Shambhovi Mitra, Anne E Palermo
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引用次数: 0

Abstract

Objective: To evaluate the effect of inspiratory muscle training (IMT) on functional sitting balance (FSB) in individuals with spinal cord injury (SCI).

Design: Rater-masked, parallel, two-group randomized clinical trial.

Setting: Tertiary care SCI rehabilitation hospital in Delhi, India.

Participants: Forty-four participants (aged 18-60) with C4-T6 injuries (AIS A-C) (cervical-SCI=25, thoracic-SCI=19, AIS A=33, B=11, C=0) in their first SCI-specific inpatient rehabilitation were randomized into experimental and control groups.

Interventions: Both groups received standard respiratory care and physiotherapy. The experimental group received additional flow-resistive IMT sessions over six weeks.

Main outcome measures: FSB was measured using the Function in Sitting Test-SCI (FIST-SCI), and respiratory function was assessed via maximal inspiratory pressure (MIP), sustained maximal inspiratory pressure (SMIP), and Fatigue Index Test (FIT) score at baseline, four weeks and six weeks. Data was analyzed using repeated measures general linear model framework in IBM SPSS version 21.

Results: Analysis showed significant improvements in FSB for both groups(p<0.001). SMIP, MIP, and FIT scores improved only for the experimental group(p<0.05). Post-hoc analyses of interaction effects showed significantly greater improvements in all variables in the experimental group.

Conclusion: This study is the first to show that FSB improves more with addition of IMT to standard care in individuals with SCI.

在脊髓损伤患者中,吸气肌训练比常规护理更能提高功能性坐位平衡:一项随机对照试验。
目的:探讨吸气肌训练(IMT)对脊髓损伤(SCI)患者功能性坐位平衡(FSB)的影响。设计:对照、平行、两组随机临床试验。地点:印度德里的三级护理SCI康复医院。对象:44例首次接受sci特异性住院康复的C4-T6损伤(AIS A-C)患者(颈- sci =25,胸- sci =19, AIS A=33, B=11, C=0),年龄18-60岁,随机分为实验组和对照组。干预措施:两组均接受标准的呼吸护理和物理治疗。实验组在六周内接受额外的流动阻力IMT治疗。主要结果测量:FSB使用坐位功能测试(FIST-SCI)测量,呼吸功能通过最大吸气压力(MIP)、持续最大吸气压力(SMIP)和疲劳指数测试(FIT)评分在基线、4周和6周进行评估。数据分析使用IBM SPSS version 21中的重复测量一般线性模型框架。结果:分析显示,两组患者的FSB均有显著改善(结论:本研究首次表明,在脊髓损伤患者的标准护理中加入IMT后,FSB改善更多。
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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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