| Titre : | Inspiratory Muscle Performance Is Related to Seated Balance Function in People With Spinal Cord Injury: An Observational Study (2022) |
| Auteurs : | Anne E. Palermo ; Neva J. Kirk-Sanchez ; Kelsey L. Garcia ; Mark S. Nash ; Lawrence P. Cahalin |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 7, 2022) |
| Article en page(s) : | p.1303-1310 |
| Note générale : | https://doi.org/10.1016/j.apmr.2021.11.006 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Muscle diaphragme ; Pressions respiratoires maximales ; Réadaptation ; Traumatismes de la moelle épinière |
| Résumé : |
Objective
To examine the relationship between inspiratory muscle performance (IMP) and functional sitting balance (FSB) in persons with chronic spinal cord injury (SCI). We hypothesized that a moderate correlation would be found between IMP and FSB and that individuals with better balance would have better IMP. Design The SCI-specific modification of the Function in Sitting Test (FIST-SCI) measured FSB. The IMP measures included (1) maximal inspiratory pressure (MIP), (2) sustained MIP (SMIP), and (3) inspiratory duration. Upper extremity motor score (UEMS) and level of injury (LOI) were taken from International Standards for Neurological Classification of Spinal Cord Injury examinations. Spearman correlational analyses assessed relationships among these factors in the sample (N=37). Mann-Whitney U tests explored differences between 2 comparison group pairs (tetraplegia group [TG] vs paraplegia group [PG]; independent transfer group [ITG] vs assisted transfer group [ATG]). Regression analysis examined variables predictive of FSB in the TG. Setting Research facility. Participants Volunteers with tetraplegia (n=21, American Spinal Injury Association Impairment Scale (AIS) A=8, B=7, C=6) and paraplegia (n=16, AIS A=9, B=4, C=3) (N=37). Intervention Not applicable. Main Outcome Measures IMP, LOI, UEMS, FIST-SCI. Results UEMS, MIP, SMIP, and LOI had moderate to high correlations with FIST-SCI scores (ρ=0.720 (P<.001 respectively uems mip and fist-sci scores were higher in the pg itg than tg atg vs. p values="<.001," .008 .002 .032 further smip predicted balance accounting for of total variance> Conclusions The relationship between IMP and balance appears preserved after SCI. FSB was predicted, in part, via UEMS and SMIP in the TG. Future research should focus on the effect of SCI-based breathing interventions on FSB. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321017172#! |
Bibliothèques HE Vinci
