ArticleSpinal cord2026
Determinants for improving respiratory muscle training after spinal cord injury using real-world clinical data.
Article in Spinal cord, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
STUDY
designSingle-center, retrospective analysis of real-world clinical data.
objectivesTo quantify the influence of personal, lesion-, and training-specific parameters on improvements in inspiratory training resistance during a respiratory muscle training period in persons with SCI.
settingSCI rehabilitation hospital in Switzerland.
methodsMen and women with traumatic or non-traumatic SCI, 18 years or older, who performed at least 10 inspiratory training sessions with a preliminary measurement of maximal inspiratory muscle strength (MIP) were included. Inspiratory resistance training was conducted in a group setting of the physiotherapy department. Training prescription: 7 × 10 repetitions per training session at the highest possible intensity, 3-5 times a week during the inpatient rehabilitation stay. Demographic data and training parameters were summarized by median with 25 and 75% percentiles or absolute and relative frequencies. Most important parameters (personal and lesion characteristic as well as training volume and intensity) for improvement of inspiratory training resistance were analyzed by a random forest and an explanatory linear model.
resultsTraining intensity and the total number of training sessions have a much greater impact on improvements in inspiratory training resistance than personal or lesion characteristics. Our model showed an adjusted R² of 0.50.
conclusionsWhile performing respiratory muscle training in persons with SCI, therapists should focus on a high training intensity, i.e. setting the inspiratory resistance as high as possible, and motivating patients to perform the training for as long as possible, preferably more than 3 months.
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