Community exercise for individuals with spinal cord injury with inspiratory muscle training: A pilot study

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2019.1655200 · Published: January 1, 2021

Spinal Cord Injury Pulmonology Rehabilitation

Simple Explanation

This study looked at combining breathing exercises with a community exercise program for people with spinal cord injuries (SCI). The aim was to see if this combination could improve their physical function and respiratory health. Participants engaged in an 8-week program involving resistance training, aerobic exercise, trunk stability exercises, and education, along with inspiratory muscle training (IMT) done at home. The results suggested that this combined approach may have a positive impact on functional measures for individuals with SCI, potentially improving their ability to perform daily tasks and manage respiratory issues.

Study Duration

8 weeks

Participants

6 participants with SCI (5 male, 1 female)

Evidence Level

Case series

Key Findings

1
Participants showed improvements in the transfer test (mean = −14.62 s), indicating better efficiency in moving between surfaces.
2
The T-shirt test also showed improvement (mean = −7.83 s), suggesting enhanced postural stability and upper body function.
3
The four-directional reach test showed an increase (mean = 3.75 in), suggesting improved balance and trunk control.

Research Summary

This pilot study investigated the effects of combining inspiratory muscle training (IMT) with a community exercise program (Spinal Mobility X class) on individuals with spinal cord injury (SCI). The study found that participants showed improvements in functional outcome measures such as the transfer test, T-shirt test, and four-directional reach test, suggesting a positive impact on daily life and postural control. The researchers conclude that community exercise programs with IMT may be a beneficial intervention for individuals with chronic SCI, but further research with larger controlled studies is needed.

Practical Implications

Community Program Development

This study supports the development and implementation of community-based exercise programs that incorporate respiratory training for individuals with SCI.

Rehabilitation Strategies

Integrating IMT into exercise routines may improve functional outcomes and respiratory health for individuals with SCI, potentially reducing rehospitalization rates.

Patient Education

Enhanced patient education on the benefits of respiratory training and community resources is crucial for improving compliance and long-term health management.