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Journal of the Korean Academy of Rehabilitation Medicine 2006;30(3):236-240.
Evaluation of Cardiopulmonary Function and Serum Lipid Profile in Spinal Cord Injured Patients.
Kim, Kweon Young , Shin, Soo Beom
Department of Rehabilitation Medicine, College of Medicine, Chosun University, Korea. sbshin@chosun.ac.kr
척수 손상 환자의 심폐기능 및 혈청 지질치 평가
김권영, 신수범
조선대학교 의과대학 재활의학교실
Abstract
Objective
To help cardiopulmonary rehabilitation and prevention of cardiovascular disease in spinal cord injured patients.
Method
Twenty spinal cord injured patients were divided into 3 groups according to level of injury - cervical, thoracic and lumbar level groups. Exercise stress test was initiated at a velocity of 1.5 mph for 1 minute and was increased 0.5 mph for each subsequent minute. To evaluate blood lipid profiles, we measured total cholesterol, HDL (high density lipoprotein)-cholesterol, LDL (low density lipoprotein)-cholesterol and triglyceride levels in the fasting state.
Results
Oxygen consumption, oxygen consumption ratio ofmaximal oxygen consumption and minute ventilation were significantly higher in the thoracic and lumbar cord level groups compared to the cervical cord level group (p<0.05). There was a significant difference between all 3 groups in respect to total duration of exercise (p<0.05). The HDL- cholesterol level showed significant correlation with total exercise time (p<0.05).
Conclusion
Cardiopulmonary evaluation by specialized wheel chair system in spinal cord injured patients may be more safe and accurate method compared to the previous examination. (J Korean Acad Rehab Med 2006; 30: 236-240)
Key Words: Spinal cord injury, Cardiopulmonary function, Lipid profile


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