| Objective: To investigate the effect of systemic respiratory training on diaphragm movement and pulmonary function in patients with cervical spinal cord injury (SCI). Methods: A total of 60 patients with cervical SCI were randomly divided into experimental group (n=30) and control group (n=30). The control group was given routine rehabilitation training and health education (40 min each time, once a day, 5 times a week for 6 weeks), while the experimental group was given systemic respiratory training (40 min each time, once a day, 5 times a week for 6 weeks) on the basis of routine rehabilitation training. The observation period was 6 weeks. Independent sample t-test was used to compare the indexes of pulmonary function, diaphragm motion amplitude and degree of dyspnea between the two groups. Results:Before treatment, there was no significant difference in all evaluation indexes between the two groups, but after 6 weeks of treatment, the forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), peak expiratory flow (PEF), maximum ventilation per minute (MVV) and diaphragm movement amplitude were significantly improved in the two groups (P<0.01). The FVC, FEV1, PEF, MVV and diaphragm motion amplitude in the experimental group were significantly improved as compared with those in the control group. The Brog dyspnea score of the two groups decreased significantly from the 3rd week to the 1st week, and from the 4th week, the decrease in the experimental group was more significant than that in the control group (P<0.05). Conclusion: Regular and scientific respiratory training combined with routine rehabilitation training can effectively improve diaphragm movement and pulmonary function in patients with cervical SCI. Respiratory function training should be paid attention to in clinical work. |
