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Study of maximal inspiratory pressure variations in tetraplegics, treated by means of incentive spirometry, in outpatients

INTRODUCTION: The growing number of victims of spinal cord injury, in modern times, with their disabilities and physical-functional consequences, motivated us to discuss in this study the respiratory physiotherapeutic intervention in outpatients. OBJECTIVE: We choose to search individuals with traumatic injury acquired, from an association in the city of Curitiba, Paraná State. Considering that the prognosis is linked to the motor and sensory level, we selected persons with cervical lesions, by targeting frames that are accompanied by respiratory dysfunctions, those resulting from the involvement of accessories muscles of respiration. Therefore, this population deserves a preventive approach, because these dysfunctions can produce complications and reduced overall prognosis. We demonstrate the possible changes in respiratory force capacity, depending on the physiotherapeutic intervention. METHODOLOGY: We use, for that, the instrument of measurement, comparison and control of inspiratory muscle strength named manovacuometry. In treatment, we use the Threshold IMT, which is a respiratory supporter. For methodological criteria, we chose convenience sample, slitting, with an assessment of initial inspiratory force, aiming to achieve the values of maximal inspiratory pressure (MIP), to compare with subsequent reassessment after intervention. The subjects underwent 30 calls of 15 minutes each, three times a week. After this, they were re-evaluated under the same technical criteria for the appropriate comparisons. RESULTS: Results show significant improvement in respiratory muscle conditioning, which reached the level of the relevant standard deviation (p < 0.05). CONCLUSION: We conclude, therefore, that the proposed treatment is effective.

Inspiratory muscle strength; Incentive spirometry; Threshold IMT; Manovacuometer


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