Effects of inspiratory muscle training specificity on functional capacity, respiratory function, pulmonary endurance and quality of life of patients with complete spinal cord injury with chronic tetraplegia
Spinal Injuries, Breathing exercises, Inspiratory muscle training.
Introduction: Spinal cord injury (SCI) is an injury to structures contained in a spinal canal, which can lead to motor, sensory, autonomic and psychoaffective alterations. Pulmonary function of cervical SCI is compromised by thoracic cavity biomechanics due abdominal and intercostal paralysis and, in some cases, due total or partial loss of diaphragm function. Objective: to evaluate the effect of inspiratory muscle training (IMT) specificity on functional capacity, respiratory function, pulmonary resistance and quality of life in patients hospitalized for rehabilitation with spinal cord injury chronic with tetraplegia. Methodology: Randomized, blind, controlled trial of patients with complete motor spinal cord injury classified as chronic tetraplegia. Patients will be randomized into three groups: GI (IMT 30% of SIndex), GII (IMT 50% of S-Index) and GIII (conventional physiotherapy) evaluated before and after the protocol IMT through of manovacuometry, spirometry, peak cough flow, pulmonary resistance, S index, quality of life of the World Health Organization - WHOQOL-BREF and evaluation of functional capacity with the Spinal Cord Measure of Independence - self-reported version. The IMT will be performed 2 times a day, 5 days a week for 30 minutes. Conventional physical therapy will be performed in all groups, twice a day, 5 days a week, with sessions of 30 minutes. The duration of intervention in both groups will be 4 weeks.