Functional electrical stimulation to enhance cough in quadriplegia.
نویسنده
چکیده
Respiratory problems are a major cause of death in the acute and chronic phases of cervical spinal cord injury (CSCI); CSCI paralyzes the intercostal and abdominal muscles, reducing ability to cough and clear secretions. Impaired cough due to neuromuscular disorders can be assessed with the maximum expiratory pressure (MEP). This study consists of two experiments with CSCI patients. In the first, MEP measurements were recorded with the following maneuvers performed: (1) spontaneous cough attempts, (2) manually assisted cough, and (3) cough attempts with functional electrical stimulation (FES) applied to the abdominal wall. In the second, spontaneous cough attempts and cough attempts with a portable FES unit were recorded. These CSCI patients were found to have a greatly reduced MEP when they coughed spontaneously. Either FES-assisted or manually assisted coughing increased the MEP in all patients studied. By increasing the MEP, abdominal muscle FES could enhance cough in quadriplegics.
منابع مشابه
Abdominal functional electrical stimulation to enhance mechanical insufflation-exsufflation
CONTEXT Respiratory complications, attributed to the build-up of secretions in the airway, are a leading cause of rehospitalisation for the tetraplegic population. Previously, we observed that the application of Abdominal Functional Electrical Stimulation (AFES) improved cough function and increased demand for secretion removal, suggesting AFES may aid secretion clearance. Clinically, secretion...
متن کاملVuckovic, A., Wallace, L., and Allan, D. B. (2015) Hybrid brain-computer interface and functional electrical stimulation for sensorimotor training in participants with tetraplegia: a proof-of-concept study. Journal of Neurologic Physical Therapy, 39(1). pp. 3-14
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ورودعنوان ژورنال:
- Chest
دوره 103 1 شماره
صفحات -
تاریخ انتشار 1993