“Cardiorespiratory effect of wheelchair basketball players with spinal cord injury people at crp”.

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.