Banca de DEFESA: Letícia de Araújo Morais

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : Letícia de Araújo Morais
DATE: 16/11/2023
TIME: 14:00
LOCAL: Auditório da UED
TITLE:

EFFECTS OF THE SPECIFICITY OF INSPIRATORY MUSCLE TRAINING IN INDIVIDUALS WITH SPINAL CORD INJURY

KEY WORDS:

Spinal Injuries, Breathing exercises, Inspiratory muscle training.

PAGES: 100
BIG AREA: Outra
AREA: Multidisciplinar
SUMMARY:

Introduction: Spinal cord injury (SCI) is any injury to the structures contained in the spinal canal, which can lead to motor, sensory, autonomic and psycho-affective changes. The lung function of patients with cervical SCI is compromised by changes in the biomechanics of the rib cage due to paralysis of the abdominal and intercostal muscles and, in some cases, due to total or partial loss of diaphragm function. Objective: to evaluate the effect of specificity of inspiratory muscle training (IMT) in individuals with spinal cord injury and chronic quadriplegics. Methodology: Randomized, blind and controlled clinical trial with individuals diagnosed with complete motor SCI, classified as chronic tetraplegia. Participants were randomized into three groups: GI (TMI 30% S-Index), GII (TMI 50% S-Index) and GIII (conventional physiotherapy), evaluated before and after the TMI protocol using manovacuometry, spirometry, peak cough flow, maximum sustained pressure, pulmonary resistance, S-Index, quality of life questionnaire (WHOQOL-BREF) and functional capacity (SCIM – SR). The IMT was performed twice a day, 5 days a week, lasting 30 minutes. Conventional physiotherapy was performed in all groups, twice a day, five days a week, with 30-minute sessions. The duration of the intervention in both groups was 4 weeks. Results: 10 individuals participated in the study, all male, with an average age of 31.80±9.59 years. GI presented better values for Maximum Inspiratory Pressure (MIP) when compared to GII and CG (-90.00 ± 30.00 vs -55.00 ± 13.23, p=0.11, -66.25 ± 11.09 vs -55.00 ± 17.32, p=0.11, -78.33 ± 24.66 vs -70.00 ± 17.32, p=0.18, respectively). There was no difference between respiratory variables, quality of life and functionality. The S-Index measured weekly showed a significant difference for the GI when compared to the others. Conclusion: Individuals with quadriplegic SCI, chronic complete motors can benefit from training with lower loads. The SIndex can be increased with 4 weeks of training in the low load TMI group. Quality of life and functionality did not show significant changes after IMT.

COMMITTEE MEMBERS:
Presidente - 1932929 - GRAZIELLA FRANCA BERNARDELLI CIPRIANO
Externa ao Programa - 1387736 - JULIANA MARTINS PINTO - nullExterna à Instituição - KARLA HELENA COELHO VILAÇA E SILVA - UCB
Externa à Instituição - Laura Maria Tomazi Neves - UFPA
Interna - 1191281 - VERA REGINA FERNANDES DA SILVA MARAES