Abdominal Functional Electrical Stimulation to Augment Respiratory Function in Spinal Cord Injury
| Autor: | Bonsan B. Lee, Euan J. McCaughey, Jane E. Butler, Claire L. Boswell-Ruys, Simon C. Gandevia, Rachel A. McBain, Anna L. Hudson |
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| Rok vydání: | 2019 |
| Předmět: |
Respiratory Therapy
030506 rehabilitation Vital Capacity Population Electric Stimulation Therapy Physical Therapy Sports Therapy and Rehabilitation Stimulation Quadriplegia Article 03 medical and health sciences 0302 clinical medicine Forced Expiratory Volume Abdomen medicine Humans Functional electrical stimulation Respiratory function Respiratory system education Tetraplegia Spinal cord injury Spinal Cord Injuries education.field_of_study business.industry Rehabilitation Respiration Disorders medicine.disease Respiration Artificial Cough Anesthesia Acute Disease Chronic Disease Breathing Neurology (clinical) 0305 other medical science business Ventilator Weaning 030217 neurology & neurosurgery Forecasting |
| Zdroj: | Topics in Spinal Cord Injury Rehabilitation. 25:105-111 |
| ISSN: | 1082-0744 |
| DOI: | 10.1310/sci2502-105 |
| Popis: | Background: Functional electrical stimulation (FES) is the application of electrical pulses to a nerve to achieve a functional muscle contraction. Surface electrical stimulation of the nerves that innervate the abdominal muscles, termed abdominal FES, can cause the abdominal muscles to contract, even when paralysed after spinal cord injury. As the abdominal muscles are the major expiratory muscles, and commonly partially or completely paralysed in tetraplegia, abdominal FES offers a promising method of improving respiratory function for this patient group. Objective: The aim of the article is to provide readers with a better understanding of how abdominal FES can be used to improve the health of the spinal cord–injured population. Methods: A narrative review of the abdominal FES literature was performed. Results: Abdominal FES can achieve an immediate effective cough in patients with tetraplegia, while the repeated application over 6 weeks of abdominal FES can improve unassisted respiratory function. Ventilator duration and tracheostomy cannulation time can also be reduced with repeated abdominal FES. Conclusion: Abdominal FES is a noninvasive method to achieve functional improvements in cough and respiratory function in acute and chronically injured people with tetraplegia. Potential practical outcomes of this include reduced ventilation duration, assisted tracheostomy decannulation, and a reduction in respiratory complications. All of these outcomes can contribute to reduced morbidity and mortality, improved quality of life, and significant potential cost savings for local health care providers. |
| Databáze: | OpenAIRE |
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