{
    "abstract": "Randomised controlled trial with computerised allocation, assessor blinding and intention-to-treat analysis.\nThis study wanted to prove that cervicocranial flexion exercise (CCFE) and superficial neck flexor endurance training combined with common pulmonary rehabilitation is feasible for improving spinal cord injury people's pulmonary function.\nTaoyuan General Hospital, Ministry of Health and Welfare: Department of Physiotherapy, Taiwan.\nThirteen individuals who had sustained spinal cord injury for less than a year were recruited and randomised assigned into two groups. The experimental group was assigned CCFEs and neck flexor endurance training plus normal cardiopulmonary rehabilitation. The control group was assigned general neck stretching exercises plus cardiopulmonary rehabilitation. Lung function parameters such as forced vital capacity (FVC), forced expiratory volume in 1\u2009s (FEV\nThe experimental group showed significant time effects for FVC (pre-therapy: 80.4\u2009\u00b1\u200921.4, post-therapy: 86.9\u2009\u00b1\u200916.9, p\u2009=\u20090.021, 95% CI: 0.00-0.26) and PEFR (pre-therapy: 67.0\u2009\u00b1\u200933.4; post-therapy: 78.4\u2009\u00b1\u200926.9, p\u2009=\u20090.042, 95% CI: 0.00-0.22) after the therapy course. Furthermore, the experimental group showed significant time effects for BDI (experimental group: 6.3\u2009\u00b1\u20093.0; control group: 10.8\u2009\u00b1\u20091.6, p\u2009=\u20090.012, 95% CI: 0.00-0.21).\nThe exercise regime for the experimental group could efficiently increase lung function due to the following three reasons: first, respiratory accessory muscle endurance increases through training. Second, posture becomes less kyphosis resulting increasing lung volume. Third, the ratio between superficial and deep neck flexor is more synchronised.\nTYGH108045.\nNCT04500223.",
    "authors": [
        {
            "affiliation": "Department of Physiotherapy, TaoYuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan. jerry12375@gmail.com.",
            "firstname": "Cheng Shin",
            "initials": "CS",
            "lastname": "Tsai"
        },
        {
            "affiliation": "Department of Physiotherapy, TaoYuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.",
            "firstname": "Hsin-Tzu",
            "initials": "HT",
            "lastname": "Li"
        },
        {
            "affiliation": "Department of Physiotherapy, TaoYuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.",
            "firstname": "Wan-Li",
            "initials": "WL",
            "lastname": "Yang"
        },
        {
            "affiliation": "Department of Physiotherapy, TaoYuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.",
            "firstname": "Yi-Ting",
            "initials": "YT",
            "lastname": "Jhan"
        }
    ],
    "conclusions": "The exercise regime for the experimental group could efficiently increase lung function due to the following three reasons: first, respiratory accessory muscle endurance increases through training. Second, posture becomes less kyphosis resulting increasing lung volume. Third, the ratio between superficial and deep neck flexor is more synchronised.",
    "copyrights": "\u00a9 2024. The Author(s), under exclusive licence to International Spinal Cord Society.",
    "doi": "10.1038/s41394-024-00637-2\n10.1016/B978-0-444-52137-8.00003-6\n10.2340/16501977-0162\n10.1227/00006123-198708000-00010\n10.1089/neu.2009.1138\n10.1016/j.resp.2009.04.002\n10.1038/sj.sc.3102007\n10.1016/j.apmr.2008.02.018\n10.1038/sj.sc.3100353\n10.1038/sj.sc.3101998\n10.1016/S0003-9993(00)90106-0\n10.1186/s12890-017-0459-6\n10.1016/j.apmr.2016.02.010\n10.1152/japplphysiol.00227.2010\n10.1016/j.rmed.2006.02.029\n10.1038/s41598-019-52526-6\n10.1093/ptj/79.11.1026\n10.1080/10790268.2010.11689714\n10.1378/chest.71.1.59\n10.1016/j.resp.2015.07.001\n10.1016/j.clinph.2005.12.025\n10.1016/S1090-3801(03)00075-2\n10.1589/jpts.25.1157\n10.3233/BMR-160735\n10.1016/j.math.2016.05.336\n10.1016/j.math.2009.05.004\n10.1183/09031936.03.00068503a\n10.1016/j.ejpain.2003.09.004\n10.3233/BMR-170839\n10.1016/j.jelekin.2006.11.001\n10.2147/JPR.S190125\n10.1155/2018/4518269\n10.1378/chest.104.5.1553\n10.1038/sj.sc.3101835\n10.1097/HCR.0000000000000368",
    "journal": "Spinal cord series and cases",
    "keywords": [],
    "methods": "Thirteen individuals who had sustained spinal cord injury for less than a year were recruited and randomised assigned into two groups. The experimental group was assigned CCFEs and neck flexor endurance training plus normal cardiopulmonary rehabilitation. The control group was assigned general neck stretching exercises plus cardiopulmonary rehabilitation. Lung function parameters such as forced vital capacity (FVC), forced expiratory volume in 1\u2009s (FEV",
    "publication_date": "2024-04-24",
    "pubmed_id": "38654004\n23098705\n16867197\n18382822\n2317137\n3658131\n20486810\n19442929\n17179973\n18674986\n9044518\n17130889\n10857519\n23881660\n28810847\n26951870\n1408345\n20489038\n16626951\n31745108\n10534795\n21061895\n9390885\n830501\n26169572\n16490395\n14690677\n24259936\n27472855\n27422596\n19632880\n12608440\n15207508\n30958329\n7119913\n17196826\n30881101\n30112389\n8222823\n16151446\n30489441",
    "results": null,
    "title": "The effect of craniocervical flexion and neck endurance exercises plus pulmonary rehabilitation on pulmonary function in spinal cord injury: a pilot single-blinded randomised controlled trial.",
    "xml": "<Element 'PubmedArticle' at 0x788506b31b20>"
}