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J Korean Acad Rehabil Med. 2007 Oct;31(5):529-534. Korean. Original Article.
Shin HI , Lee BS , Park HW , Jeong YS .
Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea.
Department of Rehabilitation Medicine, National Rehabilitation Center, Korea.
Department of Internal Medicine, Seoul National University College of Medicine, Korea.
Department of Rehabilitation Medicine, Kyung-Hee University College of Medicine, Korea. aa6635@hanmail.net
Abstract

OBJECTIVE: To evaluate clinical relevance of airway hyperresponsiveness (AHR) in subjects with chronic spinal cord injury (SCI) by investigating the prevalence of asthma-like symptoms. METHOD: Two hundred twelve patients with SCI responded to the modified questionnaire of International Study of Asthma and Allergic disease in Children (ISSAC). Among them, 28 patients underwent a methacholine bronchial provocation test to measure AHR. RESULTS: The prevalence of AHR was significantly higher in subject with chronic cervical SCI compared with that in subjects with chronic thoracic or lumbar SCI (73.3% vs. 23.1%, p=0.023). In tetraplegics, the prevalence of wheezing during last 12 months, post-exercise wheezing, sleep disturbance due to nocturnal cough or wheezing, and dust-induced breathlessness were 40.0%, 37.8%, 33.3%, and 31.1% respectively, which were significantly higher than paraplegics and general population in Korea (p<0.05, p=0.001, 0.013, 0.002, 0.004 respectively). CONCLUSION: AHR in subjects with chronic cervical SCI might be a cause of symptomatic airway disturbances such as wheezing, cough, and breathlessness.

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