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Improvement of pulmonary function and life quality on high paraplegia patients through pulmonary rehabilitation
Chen X, Wei K, Miao F, Xu X, Zhang X, Shi H
International Journal of Clinical and Experimental Medicine 2016;9(11):22275-22281
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Spinal cord injury is often accompanied by paraplegia with respiratory failure, brings about patients suffering. The purpose of this study was to investigate the effects of pulmonary rehabilitation on pulmonary function and life quality in patients with advanced high paraplegia. METHODS: Total of 98 patients with spinal cord injury were randomly divided into experimental group (49 cases) and control group (49 cases). All patients received conventional rehabilitation therapy, experimental group received another 12 months pulmonary rehabilitation therapy. The pulmonary function and life quality were used to analyze the effects of pulmonary rehabilitation. RESULTS: The experimental group with pulmonary rehabilitation had significant improvements. The pulmonary function indicators such as forced expiratory volume in 1 second (FEV1), maximal ventilation volume (MVV), forced vital capacity (FVC) and FEV1/FVC had been greatly improved (p < 0.01). The indicators of life quality such as physical function, social function, role emotional, mental health and body pain had been greatly improved (p < 0.01). CONCLUSION: The pulmonary rehabilitation had great improvements on the pulmonary function and life quality in patients with advanced high paraplegia.

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