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Respiratory System Responses to Exercise in Spinal Cord Injury

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The Physiology of Exercise in Spinal Cord Injury

Part of the book series: Physiology in Health and Disease ((PIHD))

Abstract

In the previous half-century, outcomes for people with spinal cord injury (SCI) have dramatically improved. Nevertheless, respiratory complications are still frequently observed, especially in those with cervical SCI. In this chapter, we synthesize current knowledge regarding the changes in pulmonary and respiratory muscle function that occur after SCI, and emphasise the respiratory responses to exercise. We do not provide extensive background on respiratory function in the acute period post-SCI or discuss clinical pulmonary complications such as cough and sleep disordered breathing. Data are presented for both trained and untrained individuals with SCI and, when available, by level of injury. However, since the majority of respiratory complications are present only in those with cervical and high-thoracic SCI, most studies are delimited to these levels of injury. Finally, despite the well-appreciated sex-based differences in respiratory function that exist in able-bodied individuals, no studies have stratified respiratory outcomes by sex; this is likely due to the fivefold higher incidence of SCI in men vs. women. Thus, the focus of this chapter is on the respiratory responses to SCI at rest and during exercise in men with high-level SCI.

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Authors and Affiliations

  1. International Collaboration on Repair Discoveries (ICORD)-BSCC, University of British Columbia, 818 West 10th Avenue, Vancouver, BC, V5Z 1M9, Canada

    Christopher R. West

  2. School of Kinesiology, University of British Columbia, Vancouver, Canada

    Christopher R. West & Andrew W. Sheel

  3. Division of Sport, Health and Exercise Sciences, Brunel University London, Uxbridge, UK

    Lee M. Romer

Authors
  1. Christopher R. West
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  2. Andrew W. Sheel
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  3. Lee M. Romer
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Correspondence to Christopher R. West .

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Editors and Affiliations

  1. Physical Medicine & Rehabilitation, Harvard Medical School, Spaulding Hospital Cambridge, Cambridge, Massachusetts, USA

    J. Andrew Taylor

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© 2016 The American Physiological Society

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West, C.R., Sheel, A.W., Romer, L.M. (2016). Respiratory System Responses to Exercise in Spinal Cord Injury. In: Taylor, J. (eds) The Physiology of Exercise in Spinal Cord Injury. Physiology in Health and Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4939-6664-6_4

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