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From clinical practice and research it is known that breathing exercises have a positive effect in people with spinal cord injury (SCI). The purpose of this study was to perform special breathing exercises in persons with PM and evaluate their effectiveness by using X-ray of lungs and other tests. Sample consisted of 15 respondents with SCI, 8 men and 7 women, mostly middle-aged and elderly. Intervention program has lasted six months, with the frequency of exercise five times a week, in the range of 20-30 minutes. The study has included:: 1 ) Chest X-Ray in a sitting position during inhalation and exhalation; 2) chest excursion; 3) determination of forced vital capacity (FVC) and forced expiratory volume during first second (FEV1 ); 4) measurement of respiratory rate. Pretest X-ray showed that the difference in the movement of the lower ribs during inhalation and exhalation was 2-35 mm. Measurement of chest circumference showed a limitation of chest expansion related to normal values corrected with age and sex. Tetraplegics FVC decreased by 30-50 % compared with the values of healthy population and paraplegics FVC reduced by about 80%. Respiratory rate for all respondents with SCI was 13 to 22 breaths / min. After six months, we repeated the tests. X-ray examination showed that the difference in the movement of the lower ribs during inhalation and exhalation has increased by 49% (6 to 45 mm). Circumference of chest during inspiration increased by 3.5 % and chest circumference during exhalation decreased by 1.27%. Onesecond vital capacity increased by 5.68% and forced vital lung capacity by 7.61 %. Respiratory rate decreased on average by 16.22%. In this study, by using X-ray and other tests, we have noted the objective influence of breathing exercises on the respiratory muscles in persons with SCI.

Special Breathing Exercises in Persons with SCI and Evaluate their Effectiveness by Using X-ray of Lungs and Other Tests