Abstract:
Introduction: Cardio-respiratory complications are one of the most evident secondary
complications in Spinal cord lesion (SCL) survivors. The steady decline of cardio respiratory fitness in the wheelchair users impacts upon function, livelihood and
psychological issues. Objectives:The study aimed to evaluate the cardio-respiratory
effect of wheelchair basketball sports in the rehabilitation phase of SCL. Methods:A
quantitative one arm parallel prior and post-experimental study design has been
employed to 43 admitted SCL patients in the largest rehabilitation facility in
Bangladesh. Respondents were randomly selected from the first time exposure to
wheelchair basketball (WB) in a specific time frame. The International Wheelchair
Basketball Federation classification system has been used as an inclusion criterion.
The Cardio-respiratory outcome has been evaluated by a Peak flow
meter,Sphygmomanometer, Pulse oximeter, Incentive Spirometry, and measurement
tape before and after 3 weeks WCB sports for an hour a day with 1-day rest per
week.Results:Significant changes has been noted in systolic blood pressure [MD
5.57±11.39, 95% CI (1.39, 9.92), t 3.09, P <.005] with effect size d .49; oxygen
saturation [MD .725±1.12, 95% CI (.370, 1.08), t 4.13, P <.001, d .65] ; Pulse [MD
6.10±17.32, 95% CI (.56, 11.64), t 2.23, P <.05, d .03] ; speed of expiration [MD
102.37±42.27, 95% CI (82.26, 117.49), t 13.60, P <.001, d2.16] ; vital capacity [MD
365.25 ±287.60, 95% CI (264.27, 448.23), t 7.83, P <.001, d 1.27] ; and Vo2Max
[MD .194±.515, 95% CI (.081, .359), t 2.38, P <.05, d .38]. There were no significant
changes in chest diameter (inspiration and expiration) [MD .050 ±.189 and .037 ±.17,
95% CI (.011 and .018, .111 and .093), t 1.67 and 1.36, P <.005];
Conclusion:Wheelchair basketball have significant effect in cardio-respiratory
functions in patients with Spinal cord lesion in their rehabilitation phase.
Key Word: Spinal Cord Lesion, Wheel chair, Basketball, Cardiorespiratory effect.
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.