நரம்பியல் மறுவாழ்வுக்கான சர்வதேச இதழ்

Chronic Obstructive Pulmonary Disease (COPD) characterized by airway limitation which is the irreversible and also preventable condition. The limitation of airflow usually progressive and also associated with inflammation occurs due to noxious particles or gases especially for cigarette smoking. COPD patients have significant respiratory and peripheral muscle weakness for this cause respiratory muscle weakness leads to dyspnea. It also reduced the performance of exercise tolerance of a patient. In worldwide COPD was one of the most common causes of morbidity and mortality. It was also responsible for global burden in medically and economically. Among all the population 5% were suffered by COPD. The prevalence of grade 2 COPD was more on male and it was 22.2% in Cape Town, South Africa. It was the largest one of respiratory diseases and also a common cause of death and it was about 8%. It reduced maximal inspiratory pressure and which was measured by diaphragmatic inspiratory muscle strength. Inspiratory muscle training (IMT) was used for a long time due to inspiratory muscle strength and endurance which helped to improve dyspnea & quality of life. The major aim of this study was to know about the effectiveness and the use of IMT. This study had done through a literature review from scholarly articles. Patients took a deep breath for 2 minutes & continued up to 7 cycles with a one-minute rest between each cycle for 21 minutes in each session. It was continued for 3 times per week & it continued for 8 weeks where the maximum threshold pressure sustained for 30 seconds. The study showed that IMT was effective to prevent further complications and also helped to improve functional capacity as well as increased peripheral muscle strength.

Background: Given the severe consequences of spinal cord injuries (SCI), it is important to store high-quality medical and functional data. Until recently, there was no SCI rehabilitation registry in Israel.

Objectives: To describe the process of initiating a rehabilitation registry for individuals with SCI in Israel and to provide a descriptive analysis of data from a single rehabilitation center.

Setting: The department of neurological rehabilitation and Spinal Cord Rehabilitation Unit at Sheba Medical Center, Israel; The Israel National Trauma Registry (INTR) at the Gertner Institute.

Methods: Individuals with traumatic and non-traumatic SCI admitted to the Spinal Cord Rehabilitation Unit at Sheba between January 2012 and December 2017 were included. Data collection was designed in accordance with the International Classification of Functioning, Disability and Health (ICF) and based on International SCI Data Sets. Data from the INTR and rehabilitation settings were matched.

Results: The first phase of the Israeli Spinal Cord Rehabilitation Registry (ISCIR) was completed at Sheba. Retrospective data from 408 individuals with SCI were analyzed. Among the 160 individuals with an acute traumatic SCI, traffic accidents were the leading cause of injury, followed by falls. 47% had tetraplegia and the average length of stay was 148 days. 144 individuals had a non-traumatic SCI, mostly due to degenerative disease, with an average length of stay of 71 days. The remaining 104 individuals hospitalized during that period had chronic SCI.

Conclusion: The current work demonstrated the feasibility of creating a SCI rehabilitation registry in Israel. In the near future, the data set will be extended and additional rehabilitation centres will join the registry.