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  4. Effects of diaphragm thickness on rehabilitation outcomes in post‑ICU patients with spinal cord and brain injury

Effects of diaphragm thickness on rehabilitation outcomes in post‑ICU patients with spinal cord and brain injury

European Journal of Trauma and Emergency Surgery, 2022 · DOI: https://doi.org/10.1007/s00068-020-01426-w · Published: June 29, 2020

Spinal Cord InjuryRehabilitationBrain Injury

Simple Explanation

This study investigates how the thickness of the diaphragm muscle affects rehabilitation outcomes for patients who have been in the ICU with spinal cord injuries (SCI) or traumatic brain injuries (TBI). The diaphragm is a key muscle for breathing and trunk stability. The researchers used ultrasound to measure diaphragm thickness in SCI and TBI patients before and after a 12-week rehabilitation program. They then looked for correlations between diaphragm thickness and functional improvement. The study found that diaphragm thickness was positively correlated with functional improvement after rehabilitation. This suggests that a healthier diaphragm may lead to better rehabilitation outcomes for these patients.

Study Duration
January 2016 and January 2019
Participants
51 patients (26 SCI, 25 TBI)
Evidence Level
Not specified

Key Findings

  • 1
    Diaphragm atrophy was found in 64% of TBI patients and 46.2% of SCI patients.
  • 2
    Diaphragm thickness negatively correlated with the length of ICU stay.
  • 3
    Diaphragm thickness positively correlated with before/after rehabilitation functional scores and the change in FIM scores.

Research Summary

This study evaluated the effect of diaphragm thickness on rehabilitation outcomes of post-ICU patients with spinal cord injury (SCI) and traumatic brain injury (TBI), and to evaluate factors that may be associated with diaphragm atrophy. The diaphragm thickness negatively correlated with the ICU length of stay and positively correlated with the before/after rehabilitation functional scores and the change in functional independence measure scores The diaphragm thickness may be an effective factor on the rehabilitation process.

Practical Implications

Rehabilitation Strategies

Targeted interventions to improve or maintain diaphragm thickness may improve rehabilitation outcomes for post-ICU SCI and TBI patients.

ICU Management

Reducing ICU stay may help to mitigate diaphragm atrophy.

Assessment Tool

Diaphragm thickness could be used as a factor in assessing the rehabilitation potential of SCI and TBI patients.

Study Limitations

  • 1
    Small sample size
  • 2
    Participant diversity
  • 3
    High incidences of female patients

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