Diaphragm Pacing and a Model for Respiratory Rehabilitation After Spinal Cord Injury.

ABSTRACT:

Background and purpose

Cervical spinal cord injury (CSCI) can cause severe respiratory impairment. Although mechanical ventilation (MV) is a lifesaving standard of care for these patients, it is associated with diaphragm atrophy and dysfunction. Diaphragm pacing (DP) is a strategy now used acutely to promote MV weaning and to combat the associated negative effects. Initial reports indicate that DP also may promote neuromuscular plasticity and lead to improvements in spontaneous diaphragm activation and respiratory function. These outcomes suggest the need for reevaluation of respiratory rehabilitation for patients with CSCI using DP and consideration of new rehabilitation models for these patients and their unique care needs.

Summary of key points

This article discusses the

SUBMITTER: Cavka K 

PROVIDER: S-EPMC8711094 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature