Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 5

To Study the Effects of Assisted Cough Techniques and the Clinical Utility of a Peak Flow Meter to Measure Peak Cough Expiratory Flow in Persons with Spinal Cord Injury

Swati Goverdhan Jadhav* and Ujwal Yeole

Department of Physiotherapy, Tilak Maharashtra University, India

*Corresponding Author: Swati Goverdhan Jadhav, Department of Physiotherapy, Tilak Maharashtra University, India.

Received: March 14, 2022; Published: April 25, 2022

Abstract

To study the effect of assisted cough techniques and the clinical utility of peak flow meter to measure peak expiratory flow in persons with spinal cord injury.

Objective: To find out the effectiveness of ACT in SCI.

Study Design: Convienent sampling

Methodology: The assisted cough technique applied by 3 methods. On 30 patient it was done.with the help of peak flow meter the expiratory values were recorded.

Result: It shows that ACT is effective in Spinal cord injury patient. It reduces the respiratory complication. The comparison indicated that the thoracic spinal cord injury patients performed better than cervical. The mean value of post thoracic was 281.33. whereas the mean post value of cervical was 279.33

Thus from mean value the thoracic shows better result after ACT.

Conclusion:

  • ACT appear to increase the PCEF of persons with cervical and thoracic SCI
  • Assisted cough technique is important and effective in spinal cord injury
  • Thoracic patient shows better result than cervical
  • An optimal ACT can be easily evaluated with peak flow meter

Keywords: Cough; Peak Cough; Expiratory; Spinal Cord

References

  1. MI-E Cough Machine. “Information page by J H Emerson Co. on their cough machine”.
  2. Spinal Cord Injury: Patient Education Manual (1997) Chapter 4 - Respiratory System. Christina Schust, Ed. Aspen Publishers. 800-234-1660
  3. Respiratory Complications in SCI. Research Review newsletter by Linda Lindsey, Ed 1 (1999).
  4. Bach peak flow measurement in assisted and unassisted cough technique.
  5. Leiner GC., et al. “Expiratory peak flow rate
  6. Jaeger RJ., et al. “Cough in spinal cord injured patients: comparison of three methods to produce cough”. Archives of Physical Medicine and Rehabilitation 74 (1993): 1358-1361.
  7. DeTroyer A., et al. “Mechanism of active expiration in tetraplegic subjects”. The New England Journal of Medicine 314 (1986): 740-744.
  8. M Chatwin. “Sleep and Ventilation Unit, Royal Brompton Hospital, Sydney Street, London, SW3 6NP, UK.
  9. Chest Medicine Service and Spinal Cord Injury Project, Rancho Los Amigos
  10. National Rehabilitation Center, Downey, California 90242; and Combined effect of sci and posture Meakins-Christie, Montreal, Quebec, Canada H2X 2P2
  11. Sleep and Ventilation Unit and 2Respiratory Muscle Laboratory, Royal Brompton Hospital, London, UK
  12. Respiratory Support and Sleep Centre, Papworth Hospital, Papworth Everard, Cambridge CB3 8RE, UK
  13. DeVivo MJ., et al. “Cause of death during the first 12 years after spinal cord injury”. Archives of Physical Medicine and Rehabilitation 74 (1993): 248-254.
  14. DeVivo MJ., et al. “Recent trends in mortality and causes of death among persons with spinal     cord injury”.  Archives of Physical Medicine and Rehabilitation      80 (1999): 1411-1419.
  15. Fishburn MJ., et al. “Atelectasis and pneumonia in acute spinal cord injury”. Archives of Physical Medicine and Rehabilitation 71 (1990): 197-200.
  16. Jackson AB and Groomes TE. “Incidence of respiratory complications following spinal cord injury”. Archives of Physical Medicine and Rehabilitation 75 (1994): 270-275.
  17. Winslow C., et al. “The impact of respiratory complications upon length of stay and hospital costs in acute cervical spinal injury”. Chest 121 (2002): 1548-1554.
  18. Shin JC., et al. “Effect of f. Sleep and Ventilation Unit and 2Respiratory Muscle Laboratory, Royal Hospital, London, UK”
  19. M Chatwin. “Sleep and Ventilation Unit, Royal Brompton Hospital, Sydney Street, London, SW3 6NP, UK”.
  20. Miske LJ., et al. “Use of the mechanical in-exsufflator in pediatric patients with neuromuscular disease and impaired cough”. Chest 125 (2004): 1406-1412.
  21. Bach JR. “Mechanical insufflation/exsufflation: has it come of age? A commentary”. European Respiratory Journal 21 (2003): 385-386.
  22. Chatwin M., et al. “Cough augmentation with mechanical insufflation/exsufflation in patients with neuromuscular weakness”. European Respiratory Journal 21 (2003): 502- 508.
  23. Tzeng AC and Bach JR. “Prevention of pulmonary morbidity for patients with neuromuscular disease”. Chest 118 (2000): 1390-1396.
  24. Winck JC., et al. “Effects of mechanical insufflation-exsufflation on respiratory parameters for patients with chronic airway secretion encumbrance”. Chest 126 (2004): 774-780.
  25. Leith DE. “Cough”. Physical Therapy 48 (1968): 439-447.
  26. Leith DE. “The development of cough”. The American Review of Respiratory Disease 131 (1985): S39-S42.

Citation

Citation: Swati Goverdhan Jadhav and Ujwal Yeole. “To Study the Effects of Assisted Cough Techniques and the Clinical Utility of a Peak Flow Meter to Measure Peak Cough Expiratory Flow in Persons with Spinal Cord Injury".Acta Scientific Orthopaedics 5.5 (2022): 105-114.

Copyright

Copyright: © 2022 Swati Goverdhan Jadhav and Ujwal Yeole. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 20, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US