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首页> 外文期刊>Journal of rehabilitation medicine : >Effect of neuromuscular electrical stimulation on cough capacity and pulmonary function in patients with acute cervical cord injury.
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Effect of neuromuscular electrical stimulation on cough capacity and pulmonary function in patients with acute cervical cord injury.

机译：神经肌肉电刺激对急性颈脊髓损伤患者咳嗽能力和肺功能的影响。

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OBJECTIVE: To assess the effectiveness of neuromuscular electrical stimulation (NMES) on cough capacity and prevention of pulmonary complication in patients with acute cervical cord injury. DESIGN: A randomized controlled trial. SUBJECTS: Twenty-six tetraplegic patients with cervical spinal cord injury, 13 in the NMES therapy group and 13 in the control group. METHODS: NMES was applied to the clavicular portion of the pectoralis major and abdominal muscle. Pulmonary function tests were performed before and after therapy, and at 3 months and 6 months follow-up. The pulmonary complications in this 6-month follow-up period were also recorded. RESULTS: After the 4-week therapy, and at 3 months and 6 months follow-up testing, patients in the NMES therapy group displayed significant improvement in their peak expiratory flow, forced expiratory volume in 1 second, forced vital capacity, maximal expiratory pressure and maximal inspiratory pressure, compared with those in the control group (p<0.05). Patients in the NMES therapy group also had fewer pulmonary complications in the follow-up period. CONCLUSION: NMES over the pectoralis and abdominal muscles might improve cough capacity and pulmonary function in cervical spinal cord injury with tetraplegia. This improvement might last for 6 months. With this improvement, pulmonary complications were reduced.
机译：目的：评估神经肌肉电刺激（NMES）对急性颈髓损伤患者咳嗽能力和预防肺部并发症的有效性。设计：一项随机对照试验。研究对象：26例颈脊髓损伤的四瘫患者，NMES治疗组13例，对照组13例。方法：将NMES应用于胸大肌和腹肌的锁骨部分。在治疗前后以及术后3个月和6个月进行肺功能检查。在这6个月的随访期内，还记录了肺部并发症。结果：经过4周的治疗以及3个月和6个月的随访测试，NMES治疗组的患者在其峰值呼气流量，1秒内的强制呼气量，强制肺活量，最大呼气压力方面显示出显着改善与最大吸气压力相比，对照组（p <0.05）。在随访期间，NMES治疗组的患者的肺部并发症也较少。结论：胸肌和腹肌上方的NMES可能改善四肢瘫痪颈脊髓损伤的咳嗽能力和肺功能。这种改善可能会持续6个月。通过这种改善，减少了肺部并发症。

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