PULMONARY REHABILITATION USING MECHANICAL INSUFFLATION-EXSUFFLATION THERAPY FOR SPINAL CORD INJURY â€“ TWO CASE STUDIES IN THE UNIVERSITY MALAYA MEDICAL CENTRE
Keywords:Mechanical insufflation-exsufflation, Spinal cord injury, Respiratory dysfunction
There is a high incidence of 36% to 83% of respiratory dysfunction in patients with acute cervical spinal cord injury. Complications arising from respiratory dysfunction remain one of the most common causes of morbidity and mortality in the spinal cord injured population. Specialized pulmonary care and therapy can help individuals with tetraplegia to maintain a stable respiratory status allowing active participation in active rehabilitation. This would allow them to achieve rehabilitation goals of independent function and community reintegration. Mechanical insufflation-exsufflation (MIE) therapy is an option for secretion management in individuals with acute spinal cord injury. In this paper, we present our experience using MIE as an adjunct to management of secretions in the spinal cord injured population at the University of Malaya Medical Centre.
All authors agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0 to allow others to freely access, copy and use research provided the author is correctly attributed, unless otherwise stated. All articles are available online without charge or other barriers to access. However, anyone wishing to reproduce large quantities of an article (250+) should inform the publisher. Any opinion expressed in the articles are those of the authors and do not reflect that of the University of Malaya, 50603 Kuala Lumpur, Malaysia.