{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-FRC5GSYL/bd997bf3-ec16-42cb-9e2c-89f4f0697834/PDF","dcterms:extent":"341 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-FRC5GSYL/8fb3aaed-6db3-4283-af52-adfd983ac935/TEXT","dcterms:extent":"21 KB"}],"edm:TimeSpan":{"@rdf:about":"2008-2025","edm:begin":{"@xml:lang":"en","#text":"2008"},"edm:end":{"@xml:lang":"en","#text":"2025"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-FRC5GSYL","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-FQ9JBKO1"},{"@xml:lang":"sl","#text":"Rehabilitacija (Ljubljana)"}],"dcterms:issued":"2014","dc:creator":["Erjavec, Tatjana","Majdič, Neža","Žen Jurančič, Marijana"],"dc:format":[{"@xml:lang":"sl","#text":"številka:1"},{"@xml:lang":"sl","#text":"letnik:13"},{"@xml:lang":"sl","#text":"str. 4-9"}],"dc:identifier":["ISSN:1580-9315","COBISSID:1890153","URN:URN:NBN:SI:doc-FRC5GSYL"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut Slovenije - Soča"},"dc:subject":[{"@xml:lang":"en","#text":"forced ventilatory capacity"},{"@xml:lang":"sl","#text":"forsirana ventilatorna kapaciteta"},{"@xml:lang":"sl","#text":"indeks Tiffenau"},{"@xml:lang":"en","#text":"obstruction"},{"@xml:lang":"sl","#text":"obstrukcija"},{"@xml:lang":"sl","#text":"okvara hrbtenjače"},{"@xml:lang":"en","#text":"spinal cord lesion"},{"@xml:lang":"sl","#text":"spirometrija"},{"@xml:lang":"en","#text":"Spirometry"},{"@xml:lang":"en","#text":"Tiffeneau index"}],"dcterms:temporal":{"@rdf:resource":"2008-2025"},"dc:title":{"@xml:lang":"sl","#text":"Pljučna funkcija pri bolnikih z okvaro hrbtenjače po končani primarni rehabilitaciji| Lung function in patients with spinal cord lesions after completed primary rehabilitation|"},"dc:description":[{"@xml:lang":"sl","#text":"Background: Persons with spinal cord lesions are at a greater risk for pulmonary complications. The degree of impairment of lung function depends on the level and completeness of lesion, age, gender and associated pulmonary diseases. The higher the level of lesion the smaller FVC (forced ventilatory capacity) and FEV1 (forced expiratory volume in first second) . At the level of cervical and high thoracic spinal cord lesion, increased parasympathetic tone in the lungs predominates due to interruption of sympathetic innervation, which leads to an increased tone of the smooth muscle in the small airways and a reduced diameter of small airways. The purpose of our study was to confirm that higher level of injury decreases FVC as well as the Tiffeneau index (TI), as an indication of obstruction. Methods: The study included 55 patients with spinal cord lesions after completing primary rehabilitation at the University Rehabilitation Institute in Ljubljana. We divided the patients into three groups according to the level of lesion. In the group of cervical spinal cord lesion there were 20 patients, of whom 15 were men; in the group of high thoracic lesion (TH1-TH6), there were 15 patients, of whom 14 were men; in the group of low thoracic and lumbar lesion, there were 20 patients, of whom 17 were men. After the standard procedure and calibration we performed spirometry (Viasys Healthcare). We measured FVC (forced ventilatory capacity), FEV1 (Forced expiratory volume in first second), and calculated the TI, according to the NHANES II standards. Results: We found statistically significant differences in FVC between the patients with cervical lesion and those with the lower levels of lesion (p = 0.0145). There were no statistically significant differences in the value of TI. Conclusion: FVC decreases with higher lever injury. Spirometry is not sensitive enough to monitor airway obstruction in subjects with spinal cord lesion above the level of TH6"},{"@xml:lang":"sl","#text":"Izhodišče: Pljučna funkcija je pogosto prizadeta pri bolnikih z okvaro hrbtenjače. Stopnja okvare je odvisna od višine in popolnosti lezije, starosti in spola bolnika ter pridruženih pljučnih bolezni. Z višjo stopnjo okvare se nižajo vrednosti forsirane ventilatorne kapacitete (FVC % forced ventilatory capacity) in forsiranega ekspiratornega volumna v prvi sekundi (FEV1 % forced expiratory volume in first second). Na ravni okvare vratnega dela in visoke prsne okvare hrbtenjače prevladuje povečan parasimpatični tonus v pljučih zaradi prekinitve simpatične inervacije, kar vodi v povečan tonus gladkih mišic v malih dihalih z zmanjšanim premerom malih dihalnih poti. Namen študije je bil potrditi, da se z višjo stopnjo okvare hrbtenjače forsirana ventilatorna kapaciteta niža, prav tako pa tudi indeks Tiffeneau (IT) kot kazalnik obstrukcije. Metode: V raziskavo smo vključili 55 oseb z okvaro hrbtenjače po odpustu s primarne rehabilitacije. Glede na raven okvare smo jih razdelili v tri skupine. V prvi skupini je bilo 20 bolnikov z okvaro vratne hrbtenjače (od tega 15 moških), v drugi skupini je bilo 15 bolnikov (14 moških) z okvaro visokih ravni prsne hrbtenjače (TH1%TH6), v tretji skupini pa je bilo 20 bolnikov z okvaro nižjih ravni prsne oziroma ledvene hrbtenjače (17 moških). Po standardnem postopku in kalibraciji smo naredili spirometrijo (Viasys healthcare). Izmerili smo forsirano ventilatorno kapaciteto in forsirani ekspiratorni volumen ter glede na standarde NHANES II izračunali indeks Tiffeneau. Rezultati: Pri analizi dobljenih vrednosti forsirane ventilatorne kapacitete smo ugotovili, da med bolniki z okvaro vratne in višjih ravni torakalne hrbtenjače ter bolniki z okvaro na nižjih ravneh (od vključno sedmega prsnega vretenca navzdol) obstajajo statistično značilne razlike ( p = 0,0145). Pri analizi vrednosti indeksa Tiffeneau statistično značilne razlike ni bilo. Zaključek: Forsirana ventilatorna kapaciteta se niža z višino okvare. Spirometrija je premalo občutljiva metoda za spremljanje pljučne obstrukcije pri osebah z okvaro hrbtenjače nad ravnjo TH6"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-FRC5GSYL","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-FRC5GSYL"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-FRC5GSYL/bd997bf3-ec16-42cb-9e2c-89f4f0697834/PDF"},"edm:rights":{"@rdf:resource":"http://rightsstatements.org/vocab/InC/1.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut RS – Soča"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-FRC5GSYL/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-FRC5GSYL"}}}}