Ventilatory muscle training in tetraplegic patients after traumatic medal injury: integration review

Abstract

INTRODUCTION: Spinal trauma is a disabling clinical condition that can trigger quadriplegia, described as partial or complete paralysis of the trunk, respiratory muscles and limbs, favoring the onset of complications, mainly of a respiratory nature. Therefore, the Physiotherapist can use ventilatory muscle training (TMV) in order to increase the strength and fatigue resistance of the ventilatory muscles, in addition to preventing respiratory complications. OBJECTIVE: To describe which devices, protocols and techniques are most used for ventilatory muscle training and the associated effects in quadriplegic individuals after spinal cord trauma. METHODOLOGY: A bibliographic survey was carried out between November 2019 and February 2020, in the Medline, LILACS and SciELO databases using the keywords: Breathing Exercises, Spinal Cord Injuries, Quadriplegia and synonyms using the Boolean operators “AND” and “ OR ”. RESULTS: After consulting the databases, 3334 articles were found, 36 were selected for reading the summary, with 23 being excluded for not meeting the selection criteria, leaving 13 articles for the full reading, resulting in the final selection of 13 articles . CONCLUSION: It is evidenced that protocols for TMV through linear resistors are the most used quadriplegics. In addition, execution of protocols with linear resistors to inspiration, using intensity around 30-60% of PImax, had significant effects on PImax. However, it was noticed that there are many disagreements regarding the training variables, mainly intensity and number of series proposed. However, it is clear that the use of TMV in quadriplegics presents certain divergences, mainly related to the choice of appropriate techniques and / or devices.