A preliminary study on the feasibility of community game‑based respiratory muscle training for individuals with high cervical spinal cord injury levels: a novel approach

BMC Sports Science, Medicine and Rehabilitation, 2022 · DOI: https://doi.org/10.1186/s13102-022-00534-x · Published: January 1, 2022

Spinal Cord Injury Pulmonology Public Health

Simple Explanation

This study explores the use of community game-based respiratory muscle training (RMT) for individuals with cervical spinal cord injuries (CSCI). The aim was to examine the feasibility and preliminary efficacy of game-based RMT on respiratory function and cough ability in individuals with CSCI. The study involved participants completing an RMT program for 60 minutes a day, twice a week, for 8 weeks, using a newly developed game-based RMT device. The device provides consistent pressure for respiratory muscle strength and endurance training. The results showed improvements in respiratory measures such as FVC, PEF, VC, IC, IRV, MIP, MEP, and PCF after RMT. The participants also reported a positive impact of the program.

Study Duration

8 weeks

Participants

10 participants with cervical spinal cord injuries

Evidence Level

Not specified

Key Findings

1
Forced vital capacity (FVC) was significantly improved after the game-based RMT intervention.
2
Peak expiratory flow (PEF), vital capacity (VC), inspiratory capacity (IC), and inspiratory reserve volume (IRV) were significantly improved after RMT completion.
3
Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) significantly improved after the game-based RMT.

Research Summary

This study investigated the feasibility and preliminary efficacy of community game-based respiratory muscle training (RMT) for individuals with cervical spinal cord injuries (CSCI). The results indicated significant improvements in several respiratory outcome measures, including FVC, PEF, VC, IC, IRV, MIP, MEP, and PCF, following the 8-week RMT intervention period. The authors concluded that community game-based RMT appears to be safe and feasible for individuals with CSCI and may have a positive impact on respiratory measures.

Practical Implications

Community-Based Rehabilitation

Community game-based RMT can be implemented as a safe and feasible community exercise program for individuals with CSCI.

Respiratory Improvement

The game-based RMT intervention has the potential to improve respiratory function, muscle strength, and cough ability in patients with CSCI.

Engagement and Adherence

Game-based RMT may enhance patient engagement and adherence to respiratory training, leading to better outcomes.

Study Limitations

1
Single group pre- and post-design without a control group.
2
Small sample size and mostly male participants, limiting generalizability.
3
Lack of data on the effect of age, smoking status, injury location, and injury onset on respiratory function.

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