Cheshire D J, Flack W J
Paraplegia. 1978 Aug;16(2):162-74. doi: 10.1038/sc.1978.29.
This paper discusses the development of a pilot project in respiratory rehabilitation as part of the total rehabilitation of the tetraplegic and high paraplegic. The principles of neuromuscular exercise and of behaviouristic psychology introduce the subject of operant learning in the rehabilitation setting. Incentive spirometry is described as the basic element in the development of a respiratory rehabilitation programme. The preliminary results are analysed and a recommendation made that such a programme materially increases the respiratory function of the tetraplegic, and, not least, assists in his ability to combat intercurrent respiratory infection.
本文讨论了作为四肢瘫痪和高位截瘫患者全面康复一部分的呼吸康复试点项目的开展情况。神经肌肉锻炼和行为心理学原理引出了康复环境中的操作性学习主题。激励肺活量测定法被描述为呼吸康复计划制定中的基本要素。对初步结果进行了分析，并提出建议，即这样的计划能显著提高四肢瘫痪患者的呼吸功能，而且尤其有助于其抵抗并发呼吸道感染的能力。
