Cough Threshold in People With Spinal Cord Injuries
The purpose of this study was to compare the cough threshold between people with and without spinal cord injury (SCI). The effect of smoking on cough threshold was also investigated. The participants were 26 people with SCI (15 smokers, 11 nonsmokers) and 18 people without SCI (9 smokers, 9 nonsmoke...
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Veröffentlicht in: | Physical therapy 1999-11, Vol.79 (11), p.1026-1031 |
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description | The purpose of this study was to compare the cough threshold between people with and without spinal cord injury (SCI). The effect of smoking on cough threshold was also investigated.
The participants were 26 people with SCI (15 smokers, 11 nonsmokers) and 18 people without SCI (9 smokers, 9 nonsmokers).
Aerosols of citric acid were delivered with incremental doubling concentration from 62.5 mmol to 2 mol. Cough threshold was defined as the first concentration of citric acid that induced at least 2 coughs, which is associated with large chest excursion and concurrently acoustic response.
The mean cough thresholds of smokers and nonsmokers with SCI (209 and 417 mmol, respectively) were lower than those of smokers and nonsmokers without SCI (467 and 1,072 mmol, respectively). The mean citric acid cough thresholds decreased in smokers with and without SCI when compared with nonsmokers with and without SCI.
The cough sensitivity increased in subjects with SCI, and smoking could also increase the cough sensitivity. Training about the frequency and technique of cough in patients with SCI should be carefully monitored. |
doi_str_mv | 10.1093/ptj/79.11.1026 |
format | Article |
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The participants were 26 people with SCI (15 smokers, 11 nonsmokers) and 18 people without SCI (9 smokers, 9 nonsmokers).
Aerosols of citric acid were delivered with incremental doubling concentration from 62.5 mmol to 2 mol. Cough threshold was defined as the first concentration of citric acid that induced at least 2 coughs, which is associated with large chest excursion and concurrently acoustic response.
The mean cough thresholds of smokers and nonsmokers with SCI (209 and 417 mmol, respectively) were lower than those of smokers and nonsmokers without SCI (467 and 1,072 mmol, respectively). The mean citric acid cough thresholds decreased in smokers with and without SCI when compared with nonsmokers with and without SCI.
The cough sensitivity increased in subjects with SCI, and smoking could also increase the cough sensitivity. Training about the frequency and technique of cough in patients with SCI should be carefully monitored.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/79.11.1026</identifier><identifier>PMID: 10534795</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Adult ; Analysis of Variance ; Citric Acid - pharmacology ; Cough ; Cough - physiopathology ; Forced Expiratory Volume ; Humans ; Irritants - pharmacology ; Male ; Medical examination ; Paraplegia - physiopathology ; Physiological aspects ; Provocation tests (Medicine) ; Quadriplegia - physiopathology ; Respiratory system ; Sensory Thresholds ; Smokers ; Smoking - adverse effects ; Spinal cord injuries ; Spinal Cord Injuries - physiopathology ; Vital Capacity</subject><ispartof>Physical therapy, 1999-11, Vol.79 (11), p.1026-1031</ispartof><rights>COPYRIGHT 1999 Oxford University Press</rights><rights>COPYRIGHT 1999 Oxford University Press</rights><rights>Copyright American Physical Therapy Association Nov 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-a5a7eb7a2f60a6363909d0b3ae3b59780a98e00ad22588a94097d18387938ee03</citedby><cites>FETCH-LOGICAL-c468t-a5a7eb7a2f60a6363909d0b3ae3b59780a98e00ad22588a94097d18387938ee03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10534795$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, K H</creatorcontrib><creatorcontrib>Lai, Y L</creatorcontrib><creatorcontrib>Wu, H D</creatorcontrib><creatorcontrib>Wang, T Q</creatorcontrib><creatorcontrib>Wang, Y H</creatorcontrib><title>Cough Threshold in People With Spinal Cord Injuries</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>The purpose of this study was to compare the cough threshold between people with and without spinal cord injury (SCI). The effect of smoking on cough threshold was also investigated.
The participants were 26 people with SCI (15 smokers, 11 nonsmokers) and 18 people without SCI (9 smokers, 9 nonsmokers).
Aerosols of citric acid were delivered with incremental doubling concentration from 62.5 mmol to 2 mol. Cough threshold was defined as the first concentration of citric acid that induced at least 2 coughs, which is associated with large chest excursion and concurrently acoustic response.
The mean cough thresholds of smokers and nonsmokers with SCI (209 and 417 mmol, respectively) were lower than those of smokers and nonsmokers without SCI (467 and 1,072 mmol, respectively). The mean citric acid cough thresholds decreased in smokers with and without SCI when compared with nonsmokers with and without SCI.
The cough sensitivity increased in subjects with SCI, and smoking could also increase the cough sensitivity. Training about the frequency and technique of cough in patients with SCI should be carefully monitored.</description><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Citric Acid - pharmacology</subject><subject>Cough</subject><subject>Cough - physiopathology</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Irritants - pharmacology</subject><subject>Male</subject><subject>Medical examination</subject><subject>Paraplegia - physiopathology</subject><subject>Physiological aspects</subject><subject>Provocation tests (Medicine)</subject><subject>Quadriplegia - physiopathology</subject><subject>Respiratory system</subject><subject>Sensory Thresholds</subject><subject>Smokers</subject><subject>Smoking - adverse effects</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Vital Capacity</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkU1r3DAQhkVpSbZprj0W03O8GUm2JR2D6UcgkEISehRae2xr0VquZJP230eLA00gzGGY4ZmXmXkJ-UxhS0Hxy2neXwq1pTSVrHpHNrTkMq8EK96TDQCnuQLGT8nHGPcAQEWhTsgphZIXQpUbwmu_9EN2PwSMg3dtZsfsF_rJYfbbzkN2N9nRuKz2oc2ux_0SLMZP5ENnXMTz53xGHr5_u69_5je3P67rq5u8KSo556Y0AnfCsK4CU_GKK1At7LhBviuVkGCURADTMlZKaVQBSrRUcikUl4jAz8jXVXcK_s-CcdZ7v4S0TtSMcUplVdEEXaxQbxxqO3Z-DqbpccRgnB-xs6l9VQqhBFRFwvM38BQtHmzzFv9aPiEz_p0b7xz2qNO99e0rfLviTfAxBuz0FOzBhH-agj4appNhWihNqT4alga-PN-47A7YvsBXh_4vPNh-eLQBdTwY5xLOjlrrQ14IPgHuI50R</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>Lin, K H</creator><creator>Lai, Y L</creator><creator>Wu, H D</creator><creator>Wang, T Q</creator><creator>Wang, Y H</creator><general>American Physical Therapy Association</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope></search><sort><creationdate>19991101</creationdate><title>Cough Threshold in People With Spinal Cord Injuries</title><author>Lin, K H ; Lai, Y L ; Wu, H D ; Wang, T Q ; Wang, Y H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-a5a7eb7a2f60a6363909d0b3ae3b59780a98e00ad22588a94097d18387938ee03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Citric Acid - pharmacology</topic><topic>Cough</topic><topic>Cough - physiopathology</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Irritants - pharmacology</topic><topic>Male</topic><topic>Medical examination</topic><topic>Paraplegia - physiopathology</topic><topic>Physiological aspects</topic><topic>Provocation tests (Medicine)</topic><topic>Quadriplegia - physiopathology</topic><topic>Respiratory system</topic><topic>Sensory Thresholds</topic><topic>Smokers</topic><topic>Smoking - adverse effects</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, K H</creatorcontrib><creatorcontrib>Lai, Y L</creatorcontrib><creatorcontrib>Wu, H D</creatorcontrib><creatorcontrib>Wang, T Q</creatorcontrib><creatorcontrib>Wang, Y H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Homework Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Proquest Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, K H</au><au>Lai, Y L</au><au>Wu, H D</au><au>Wang, T Q</au><au>Wang, Y H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cough Threshold in People With Spinal Cord Injuries</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>79</volume><issue>11</issue><spage>1026</spage><epage>1031</epage><pages>1026-1031</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>The purpose of this study was to compare the cough threshold between people with and without spinal cord injury (SCI). The effect of smoking on cough threshold was also investigated.
The participants were 26 people with SCI (15 smokers, 11 nonsmokers) and 18 people without SCI (9 smokers, 9 nonsmokers).
Aerosols of citric acid were delivered with incremental doubling concentration from 62.5 mmol to 2 mol. Cough threshold was defined as the first concentration of citric acid that induced at least 2 coughs, which is associated with large chest excursion and concurrently acoustic response.
The mean cough thresholds of smokers and nonsmokers with SCI (209 and 417 mmol, respectively) were lower than those of smokers and nonsmokers without SCI (467 and 1,072 mmol, respectively). The mean citric acid cough thresholds decreased in smokers with and without SCI when compared with nonsmokers with and without SCI.
The cough sensitivity increased in subjects with SCI, and smoking could also increase the cough sensitivity. Training about the frequency and technique of cough in patients with SCI should be carefully monitored.</abstract><cop>United States</cop><pub>American Physical Therapy Association</pub><pmid>10534795</pmid><doi>10.1093/ptj/79.11.1026</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Analysis of Variance Citric Acid - pharmacology Cough Cough - physiopathology Forced Expiratory Volume Humans Irritants - pharmacology Male Medical examination Paraplegia - physiopathology Physiological aspects Provocation tests (Medicine) Quadriplegia - physiopathology Respiratory system Sensory Thresholds Smokers Smoking - adverse effects Spinal cord injuries Spinal Cord Injuries - physiopathology Vital Capacity |
title | Cough Threshold in People With Spinal Cord Injuries |
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