Abstract :

Respiratory complications are a leading cause of morbidity and mortality in the SCI population as a result of denervation of the inspiratory and expiratory muscle. This predisposes patients to develop atelectasis, sputum retention, respiratory infection and ultimately respiratory failure. Respiratory muscle strength is a predictor for respiratory complications that are important to individuals with SCI. The patient was a 50 year old male diagnosed with traumatic spastic quadriparesis with C5-6, C6-7 spinal cord Compression, admitted in Spinal cord rehabilitation unit presented with ineffective cough. The patient was assessed for respiratory muscle strength by measuring maximum inspiratory (Pimax) and expiratory pressure (Pemax) and Peak Cough Flow (PCF). By using breather device, patient underwent respiratory muscle training for twice a day, 5 days per week for 6 weeks. An improvement in Pimax, Pemax and PCF was noted. This case report evident the successful use of Breather device in SCI patient. The breather device could further be used for improving and maintaining the respiratory muscle strength thus preventing the development of respiratory complications.

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