The Influence of Regular Physical Activity on Lung Function in Paraplegic People

Overview

Journal Spinal Cord

Specialty Neurology

Date 2016 Mar 2

PMID 26927294

Citations 3

Authors

L Montesinos-Magraner

L Lopez-Bueno

A Gomez-Garrido

M Gomis

L M Gonzalez

X Garcia-Masso

P Serra-Ano

Affiliations

Soon will be listed here.

Abstract

Study Design: Cross-sectional study.

Objectives: The main goal of this study was to examine the influence of regular physical activity (PA) on lung volumes and flows.

Setting: The study was conducted in the Vall d'Hebrón Hospital, Barcelona (Spain), and La Fe Hospital, Valencia (Spain).

Methods: Spirometric tests were performed to 67 paraplegics, and differences were established between the active group (AG) (n=37) that performed >60 min per week of moderate-to-vigorous PA (MVPA) and 30 non-AG (NAG). Further, we established the relationship between the spirometric and PA variables and between being active and reaching the lower limit of normal (LLN) of the spirometric variables.

Results: AG had greater values than the NAG: FVC (P<0.01), FEV (P<0.01) and PEF (P<0.01). Moderate correlations between the MVPA and FVC (r=0.41, P<0.01) and the MVPA and FEV (r=0.39, P<0.01) were obtained. The relationship between being physically active and reaching the LLN was statistically significant for FEV (χ=6.184, P<0.05) but not for FVC (P>0.05).

Conclusions: The performance of MVPA for a minimum of 60 min per week can have a beneficial effect, both on lung volumes and on expiratory flow, and led to an achievement of the LLN in FEV.

Citing Articles

Improved pulmonary function is associated with reduced inflammation after hybrid whole-body exercise training in persons with spinal cord injury.

Yates B, Brown R, Picard G, Taylor J Exp Physiol. 2023; 108(3):353-360.

PMID: 36622954 PMC: 9991963. DOI: 10.1113/EP090785.

Encouraging People with Spinal Cord Injury to Take Part in Physical Activity in the COVID-19 Epidemic through the mHealth ParaSportAPP.

Marco-Ahullo A, Montesinos-Magraner L, Gonzalez L, Crespo-Rivero T, Launois-Obregon P, Garcia-Masso X Healthcare (Basel). 2022; 10(6).

PMID: 35742120 PMC: 9223296. DOI: 10.3390/healthcare10061069.

Validation of Using Smartphone Built-In Accelerometers to Estimate the Active Energy Expenditures of Full-Time Manual Wheelchair Users with Spinal Cord Injury.

Marco-Ahullo A, Montesinos-Magraner L, Gonzalez L, Llorens R, Segura-Navarro X, Garcia-Masso X Sensors (Basel). 2021; 21(4).

PMID: 33671481 PMC: 7926507. DOI: 10.3390/s21041498.

References

Verges S, Flore P, Nantermoz G, Lafaix P, Wuyam B . Respiratory muscle training in athletes with spinal cord injury. Int J Sports Med. 2009; 30(7):526-32. DOI: 10.1055/s-0029-1202336. View

Nunn A, GREGG I . New regression equations for predicting peak expiratory flow in adults. BMJ. 1989; 298(6680):1068-70. PMC: 1836460. DOI: 10.1136/bmj.298.6680.1068. View

Silva A, Neder J, Chiurciu M, Pasqualin D, Silva R, Fernandez A . Effect of aerobic training on ventilatory muscle endurance of spinal cord injured men. Spinal Cord. 1998; 36(4):240-5. DOI: 10.1038/sj.sc.3100575. View

Schilero G, Grimm D, Bauman W, Lenner R, Lesser M . Assessment of airway caliber and bronchodilator responsiveness in subjects with spinal cord injury. Chest. 2005; 127(1):149-55. DOI: 10.1378/chest.127.1.149. View

Loveridge B, Badour M, Dubo H . Ventilatory muscle endurance training in quadriplegia: effects on breathing pattern. Paraplegia. 1989; 27(5):329-39. DOI: 10.1038/sc.1989.50. View

Sheel A, Reid W, Townson A, Ayas N, Konnyu K . Effects of exercise training and inspiratory muscle training in spinal cord injury: a systematic review. J Spinal Cord Med. 2008; 31(5):500-8. PMC: 2607122. DOI: 10.1080/10790268.2008.11753645. View

Van Houtte S, Vanlandewijck Y, Gosselink R . Respiratory muscle training in persons with spinal cord injury: a systematic review. Respir Med. 2006; 100(11):1886-95. DOI: 10.1016/j.rmed.2006.02.029. View

Krassioukov A, Karlsson A, Wecht J, Wuermser L, Mathias C, Marino R . Assessment of autonomic dysfunction following spinal cord injury: rationale for additions to International Standards for Neurological Assessment. J Rehabil Res Dev. 2007; 44(1):103-12. DOI: 10.1682/jrrd.2005.10.0159. View

Radulovic M, Schilero G, Wecht J, Weir J, Spungen A, Bauman W . Airflow obstruction and reversibility in spinal cord injury: evidence for functional sympathetic innervation. Arch Phys Med Rehabil. 2008; 89(12):2349-53. DOI: 10.1016/j.apmr.2008.06.011. View

10.

Jain N, Brown R, Tun C, Gagnon D, Garshick E . Determinants of forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC in chronic spinal cord injury. Arch Phys Med Rehabil. 2006; 87(10):1327-33. PMC: 1896316. DOI: 10.1016/j.apmr.2006.06.015. View

11.

Le Foll-de Moro D, Tordi N, Lonsdorfer E, Lonsdorfer J . Ventilation efficiency and pulmonary function after a wheelchair interval-training program in subjects with recent spinal cord injury. Arch Phys Med Rehabil. 2005; 86(8):1582-6. DOI: 10.1016/j.apmr.2005.03.018. View

12.

Sheel A, Foster G, Romer L . Exercise and its impact on dyspnea. Curr Opin Pharmacol. 2011; 11(3):195-203. DOI: 10.1016/j.coph.2011.04.004. View

13.

Liaw M, Lin M, Cheng P, Wong M, Tang F . Resistive inspiratory muscle training: its effectiveness in patients with acute complete cervical cord injury. Arch Phys Med Rehabil. 2000; 81(6):752-6. DOI: 10.1016/s0003-9993(00)90106-0. View

14.

West C, Taylor B, Campbell I, Romer L . Effects of inspiratory muscle training on exercise responses in Paralympic athletes with cervical spinal cord injury. Scand J Med Sci Sports. 2013; 24(5):764-72. DOI: 10.1111/sms.12070. View

15.

Garcia-Masso X, Serra-Ano P, Garcia-Raffi L, Sanchez-Perez E, Giner-Pascual M, Gonzalez L . Neural network for estimating energy expenditure in paraplegics from heart rate. Int J Sports Med. 2014; 35(12):1037-43. DOI: 10.1055/s-0034-1368722. View

16.

DE Paleville D, McKay W, Aslan S, Folz R, Sayenko D, Ovechkin A . Locomotor step training with body weight support improves respiratory motor function in individuals with chronic spinal cord injury. Respir Physiol Neurobiol. 2013; 189(3):491-7. PMC: 3833892. DOI: 10.1016/j.resp.2013.08.018. View

17.

Quanjer P, Stanojevic S, Cole T, Baur X, Hall G, Culver B . Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J. 2012; 40(6):1324-43. PMC: 3786581. DOI: 10.1183/09031936.00080312. View

18.

Freedson P, Melanson E, Sirard J . Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998; 30(5):777-81. DOI: 10.1097/00005768-199805000-00021. View

19.

Danilack V, Stolzmann K, Gagnon D, Brown R, Tun C, Morse L . Associations with chest illness and mortality in chronic spinal cord injury. J Spinal Cord Med. 2013; 37(6):662-9. PMC: 4231954. DOI: 10.1179/2045772313Y.0000000144. View

20.

McConnell A, Romer L . Dyspnoea in health and obstructive pulmonary disease : the role of respiratory muscle function and training. Sports Med. 2004; 34(2):117-32. DOI: 10.2165/00007256-200434020-00005. View