Korean J Rehabil Nurs.  2020 Jun;23(1):1-14. 10.7587/kjrehn.2020.1.

A Systematic Review on the Effects of Respiratory Rehabilitation Programs in Spinal Cord Injury

• Lee S
• Kim SH

• KMID: 2506046
• DOI: http://doi.org/10.7587/kjrehn.2020.1

Abstract

Purpose
This study was intended to analyze the contents and effects of Respiratory Rehabilitation Programs (RRP) in Spinal Cord Injury (SCI) through a systematic review.
Methods
We analyzed English studies across PubMed, CINAHL, and MEDLINE and also analyzed Korean studies across DBPia, NDSL, KISS and RISS from 2009 and 2018. In the paper analysis, two researchers independently analyzed the selected literature and examined the RRP of SCI in 15 elements.
Results
Thirteen papers included in this study, which were met the inclusion criteria, were analyzed by classifying the participant's characteristics, types and contents of RRP, indicators of respiratory function, and training tools. The types of RRP were classified into inspiratory muscle training, expiratory muscle training, and combined training. The operation time was basically 4 weeks or more, and the RRP effect was significant when it applied more than 1,000 minutes. Respiratory function test was divided into lung function and respiratory muscle strength. In most studies, lung function index was commonly evaluated, and Forced Vital Capacity (FVC) and Forced Expiratory Volume in 1 second (FEV1) were used most frequently. The training tools were shown as portable devices and equipment.
Conclusion
This study detailed the contents and effects of RRP for SCI. This finding can help clinical research and development.

Keyword

Spinal cord injury; Rehabilitation; Respiration; Review