Year: 2025 | Month: July | Volume: 15 | Issue: 7 | Pages: 153-160
DOI: https://doi.org/10.52403/ijhsr.20250718
Relation of FEV1 & FVC Value in Quadriplegic and Paraplegic Patients Due To Spinal Cord Injury in Supine Position with Their ADLs: An Observational Study
Jyotiranjan Paltasingh1, Pratyush Ranjan Biswal2
1Assistant Professor, Br Nath Pai College of Physiotherapy, MIDC area, Kudal, Sindhudurg, Maharashtra 456550
2Assistant Professor, Br Nath Pai College of Physiotherapy, MIDC Area, Kudal, Sindhudurg, Maharashtra 456550
Corresponding Author: Pratyush Ranjan Biswal
ABSTRACT
INTRODUCTION: Traumatic spinal cord injuries (TSCI) are increasingly recognised as a major health concern worldwide. The incidence reported varies between 12.1 to 57.8 cases per million people in high-income countries, while in low-income countries, it ranges from 12.7 to 29.7. A spinal cord injury (SCI) refers to damage to the spinal cord that leads to either temporary or lasting changes in its function. Sleep-related respiratory issues in SCI patients are primarily due to respiratory motor control issues caused by paresis, paralysis, and muscle stiffness, assessed through the pulmonary function test. For those who have suffered spinal cord injuries (SCI), pulmonary problems are a leading cause of morbidity and death. Patients with acute traumatic cervical or upper thoracic spinal cord injury (SCI) exhibit alterations in pulmonary function that are suggestive of restricted ventilation dysfunction. Restrictive ventilatory changes brought on by spinal cord injury (SCI) include decreases in expiratory reserve volume, functional residual capacity, and vital capacity.
OBJECTIVES: This study aims to find out the relation between the Supine position with the value of FVC & FEV1 in Quadriplegic & paraplegic Patients due to Spinal Cord Injury.
METHODOLOGY: 20 Patients were divided into two groups included with Group A-9 consisting of quadriplegics and Group B-11 consisting of paraplegics, studied in an Observational method.
OUTCOME MEASURES: Pulmonary function Test (FVC & FEV1)
RESULTS: The forced vital capacity and FEV1 of the spinal cord-damaged subjects were measured in supine lying. Quadriplegic subjects show larger FVC value in supine lying as compared to Paraplegics, but in the case of FEV1, Paraplegics show higher value than the Quadriplegics.
CONCLUSIONS: Respiratory dysfunction occurs in patients with spinal cord injury. It shows a typical pattern of restrictive pulmonary impairment as observed by respiratory function tests. The severity of respiratory dysfunction in Spinal Cord Injury is affected by the different levels of cord transection and is postural dependent.
Key words: FVC, FEV1, SCI, Quadriplegia, Paraplegia