J Korean Acad Rehabil Med.  1998 Jun;22(3):559-565.

Effect of Functional Electrical Stimulation on Clearance of Broncheal Secretion in Patients with High Spinal Cord Injury

• Shin JC
• Kang SW
• Park CI
• Kang YJ
• Kim SW
• Ahn JK

Abstract

OBJECTIVE
To determine the effects of abdominal functional electrical stimulation(FES) on the ability to clear the broncheal secretion in high spinal cord injury(SCI) patients. METHOD: Eleven cervical SCI male patients were assessed for the pulmonary function using a routine pulmonary function test. Maximal expiratory pressure(MEP) and peak expiratory flow rate(PEFR) measurements were recorded during (1) spontaneous cough attempts and (2) cough attempts with FES applied to the abdominal wall. Each measurement was recorded in supine and sitting positions. The portable FES unit was set at 24 Hz, with a pulse width of 150 microsecond( s), an asymmetrical biphasic waveform and a maximal intensity to 90 mA.
RESULTS
All subjects had a decreased vital capacity, peak expiratory flow and increased ratio of forced expiratory volume at one second(FEV1) to the forced vital capacity(FVC) in a routine pulmonary function test. These cervical SCI patients were greatly reduced the MEP and the PEFR when they coughed spontaneously. FES-assisted coughing increased the MEP and PEFR in all patients in a supine and sitting positions with statistical significance(p<0.05).
CONCLUSION
By increasing the MEP and PEFR, abdominal FES could enhance the coughs in high SCI patients. Abdominal FES can be a useful physical therapy for the prevention and treatment of pulmonary complications in high SCI patients at the bed side as well as at homes.

Keyword

High spinal cord injury; Functional electrical stimulation; Maximum expiratory pressure; Peak expiratory flow rate

MeSH Terms

Abdominal Wall
Cough
Electric Stimulation*
Forced Expiratory Volume
Humans
Male
Peak Expiratory Flow Rate
Respiratory Function Tests
Spinal Cord Injuries*
Spinal Cord*
Vital Capacity