Effects of physiotherapy on the respiratory system of individuals with spinal cord injuries: Literature Review
DOI:
https://doi.org/10.34024/rnc.2023.v31.15651Keywords:
Spinal Cord Injuries, Physical therapy, Respiratory SystemAbstract
Introduction. In spinal cord injury (SCI) there is an interruption of spinal components, leading to absence of movement or sensitivity at levels below the injury. The respiratory muscles of individuals with SCI are weak, the inspiratory capacity and the vital capacity are reduced, causing a restrictive disorder, incompetence to generate an effective contraction, affecting the inspiratory volume, the maximum expiratory pressure, and the ineffective cough. Objective. To identify the effects of physical therapy on the respiratory system of individuals with SCI. Method. This is a literature review, developed with articles published from 2017 to 2022 in the following electronic databases: PubMed, PEDro and VHL, using the descriptors spinal cord trauma, respiratory system, physiotherapy, and their respective synonyms in the language English. Results. 41 articles were found, but 6 articles were selected that were included, where the greatest interest was to analyze the effects of physiotherapeutic interventions on the respiratory system of individuals with SCI, obtaining satisfactory results. Conclusion. The effects of physiotherapeutic interventions present in this study bring benefits to individuals with high SCI, providing a better quality of life and avoiding possible complications that may arise.
Metrics
References
Lemos JR, Cunha FA, Lopes AJ, Guimarães FS, Vasconcellos FVA, Vigario PS. Respiratory muscle training in non-athletes and athletes with spinal cord injury: A systematic review of the effects on pulmonary function, respiratory muscle strength and endurance, and cardiorespiratory fitness based on the FITT principle of exercise prescrição. J Back Musculoskelet Rehabil 2020;33:655-67. https://doi.org/10.3233/BMR-181452
Volkweis ES, Minozzo M, Martinelli A. Atuação Fisioterapêutica Na Funcionalidade Em Pacientes com TRM. Rev Cient Saúde 2020;2:27-34. https://www.sumarios.org/artigo/atua%C3%A7%C3%A3o-fisioterap%C3%AAutica-na-funcionalidade-em-paciente-com-trm
Macedo FS, Paz CCSC, Rocha AF, Miosso CJ, Carvalho HB, Mateus SRM. Novas perspectivas de fisioterapia respiratória em lesão medular - Uma revisão sistemática. ACTA Paul Enferm 2017;30:554-64. https://doi.org/10.1590/1982-0194201700077
Clares JWB, Guedes MVC, Freitas MC. Construção de diagnósticos de enfermagem para pessoas com lesão medular em reabilitação. Rev Esc Enferm USP 2021;55:1-7. https://doi.org/10.1590/s1980-220x2020038403750
Lopes JLM, Guimarães JEV. Atuação Da Fisioterapia Em Reabilitação Respiratória Em Pacientes Com Lesão Medular: Revisão Bibliográfica. Rev IberoAm Hum Cienc Educ 2021;7:2422-41. https://doi.org/10.51891/rease.v7i10.2846
Bastos PCS, Lemos FF, Pereira ECA, Matos MR, Chaves LE. Intervenção fisioterapêutica na lesão medular: relato de caso. Rev Ciên Saúde 2019;4:1-8. https://doi.org/10.1097/BRS.0b013e3181849747
DiMarco AF, Geertman RT, Tabbaa K, Nemunaitis GA, Kowalski KE. Restoration of cough via spinal cord stimulation improves pulmonary function in tetraplegics. J Spinal Cord Med 2020;43:579-85. https://doi.org/10.1080/10790268.2019.1699678
Kim CY, Lee JS, Kim HD, Lee DJ. Short-term effects of respiratory muscle training combined with the abdominal drawing-in maneuver on the decreased pulmonary function of individuals with chronic spinal cord injury: A pilot randomized controlled trial. J Spinal Cord Med 2017;40:17-25. https://doi.org/10.1080/10790268.2016.1198576
Nygren-Bonnier M, Schiffer TA, Lindholm P. Acute effects of glossopharyngeal insufflation in people with cervical spinal cord injury. J Spinal Cord Med 2018;41:85-90. https://doi.org/10.1080/10790268.2016.1275446
Shin JC, Han EY, Cho KH, Im SH. Improvement in Pulmonary Function with Short-term Rehabilitation Treatment in Spinal Cord Injury Patients. Sci Rep 2019;9:4-11. https://doi.org/10.1038/s41598-019-52526-6
Hachmann JT, Grahn PJ, Calvert JS, Drubach DI, Lee KH, Lavrov IA. Electrical Neuromodulation of the Respiratory System After Spinal Cord Injury. Mayo Clin Proc 2017;92:1401-14. https://doi.org/10.1016/j.mayocp.2017.04.011
DiMarco AF, Geertman RT, Tabbaa K, Kowalski KE. Complete Restoration of Respiratory Muscle Function in Three Subjects with Spinal Cord Injury? Am J Phys Med Rehab 2019;99:E90. https://doi.org/10.1097/PHM.0000000000001337
Savic G, Devivo MJ, Frankel HL, Jamous MA, Soni BM, Charlifue S. Causes of death after traumatic spinal cord injury - A 70-year British study. Spinal Cord 2017;55:891-7. https://doi.org/10.1038/sc.2017.64
Sá WC, Cabral FD, Nogueira LSV, Cabral RSC. Intervenção fisioterapêutica no trauma medular ocasionado por acidentes de trânsito / Physiotherapy intervention in spinal cord trauma by traffic accidents. Braz J Develop 2022;8:38876-87. https://doi.org/10.34117/bjdv8n5-399
Gee CM, Williams AM, Sheel AW, Eves ND, West CR. Respiratory muscle training in athletes with cervical spinal cord injury: effects on cardiopulmonary function and exercise capacity. J Physiol 2019;597:3673-85. https://doi.org/10.1113/JP277943
Wang X, Zhang N, Xu Y. Effects of Respiratory Muscle Training on Pulmonary Function in Individuals with Spinal Cord Injury: An Updated Meta-analysis. Biomed Res Inter 2020;2020:7530498. https://doi.org/10.1155/2020/7530498
Ramli MI, Hamzaid NA, Engkasan JP, Usman J. Respiratory muscle training: a bibliometric analysis of 60 years’ multidisciplinary journey. Biomed Eng Online 2023;22:50. https://doi.org/10.1186/s12938-023-01103-0
Woods A, Gustafson O, Mark W, Robyn S. The effects of inspiratory muscle training on inspiratory muscle strength, lung function and quality of life in adults with spinal cord injuries: a systematic review and Meta-analysis. Disab Rehab 2023;45:2703-14. https://doi.org/10.1080/09638288.2022.2107085
Freitas GR, Szpoganicz C, Ilha J. Does neuromuscular electrical stimulation therapy increase voluntary muscle strength after spinal cord injury? A systematic review. Top Spinal Cord Injury Rehab 2018;24:6-17. https://doi.org/10.1310/sci16-00048
Ruiz AGB, Barreto MS, Peruzzo HE, Schoeller SD, Decesaro MN, Marcon SS. Actions of the Support Network for People With Spinal Cord Injury. Reme Rev Mineira Enferm 2018;22:e1116. https://doi.org/10.5935/1415-2762.20180051
Batista KG, Reis KB, Campelo RCL, Lana MRV, Polese JC. Comparação da incapacidade percebida e independência funcional em indivíduos com lesão medular atletas e não atletas. Fisiot Pesq 2019;26:433-8. https://doi.org/10.1590/1809-2950/18046626042019
Petry G, Diettrich TL, Bonamigo ECB. Atendimento fisioterapêutico em paciente com lesão medular: um relato de experiência. Salão do Conhecimento 2021;7:1-5. https://www.publicacoeseventos.unijui.edu.br/index.php/salaoconhecimento/article/view/20612
Boswell-Ruys CL, Lewis CRH, Wijeysuriya NS, McBain RA, Lee BB, McKenzie DK, et al. Impact of respiratory muscle training on respiratory muscle strength, respiratory function and quality of life in individuals with tetraplegia: A randomised clinical trial. Thorax 2020;75:279-88. https://doi.org/10.1136/thoraxjnl-2019-213917
Soumyashree S, Kaur J. Effect of inspiratory muscle training (IMT) on aerobic capacity, respiratory muscle strength and rate of perceived exertion in paraplegics. J Spinal Cord Med 2020;43:53-9. https://doi.org/10.1080/10790268.2018.1462618
Hill M, Jörgensen S, Engström G, Persson M, Wollmer P, Lexell J. Functional and structural impairments of the pulmonary system in middle-aged people with cervical and upper thoracic spinal cord injuries. J Spinal Cord Med 2022;0:1-10. https://doi.org/10.1080/10790268.2022.2031478
Franco FS, Borges IN, Santos MI. Influência do fortalecimento do músculo reto abdominal sobre função pulmonar em tetraplégico: relato de caso. Braz J Develop 2019;5:28896-908. https://doi.org/10.34117/bjdv5n12-061
Costa MP. Atividade aeróbica associada a eletroestimulação muscular em indivíduos com lesão medular (trabalho de Conclusão de Curso). São Paulo: Ânima Educação; 2022. https://repositorio.animaeducacao.com.br/handle/ANIMA/24400
Pereira BCN, Staroy TMV, Santos EL, Vara MF, Ribeiro JAC, Eduardo FMC. Análise dos protocolos de treinamento muscular respiratório em paratletas – revisão integrativa. Braz J Health Rev 2022;5:10922-33. https://doi.org/10.34119/bjhrv5n3-245
Palermo AE, Nash MS, Kirk-Sanchez NJ, Cahalin LP. Adherence to and impact of home-based high-intensity IMT in people with spinal cord injury: a pilot study. Spinal Cord Series Cases 2022;8:1-10. https://doi.org/10.1038/s41394-022-00551-5
Souza BC. Influência do uso da faixa abdominal nos volumes e capacidades pulmonares em pacientes com traumatismo raquimedular: uma revisão da literatura. Ribeirão Preto: Secretaria Estadual de Saúde SP; 2018; 32p. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1085801
Santos NS, Tomaz EJC, Soares CN. Eletroestimulação na fraqueza do músculo diafragma decorrente de trauma raquimedular. Braz J Health Rev 2019;2:4088-101. https://doi.org/10.34119/bjhrv2n5-016
Silva FVM, Silva ANJ, Castro DMP, Ribeiro RP, Sales TO, Nunes PPB. Physiotherapeutic performance and quality of life of patients with spinal cord injury: An integrative review. Rev Pesqu Fisioter 2020;10:746-53. https://doi.org/10.17267/2238-2704rpf.v10i4.3300
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Eliandra Aparecida Ramos, Sheila Gemelli de Oliveira
This work is licensed under a Creative Commons Attribution 4.0 International License.
##plugins.generic.dates.accepted## 2023-11-24
##plugins.generic.dates.published## 2023-12-05
Português
English
Español
