c7 spinal cord injury hypoventilation

[1][2][3], A retrospective review (Dec 2020) of the patients with acute traumatic spinal cord injuries at C5T5 level during 20102015shows a higher prevalence of respiratory complications during the initial hospitalisation just after the injury and suggests the presence of previous respiratory disease, complete motor impairment (AISA AB) and coexistent thoracic trauma are a predictor of respiratory complications. Sign up to receive a free PDF ebook with recovery exercises for stroke, traumatic brain injury, or spinal cord injury below: Government Contract Vehicles | Terms of Service | Return Policy | Privacy Policy | My Account, Copyright 2023 All rights Reserved. Neuroplasticity helps restore communication between the brain, spinal cord, and muscles to eventually improve function. Cough effectiveness in each of four phases of cough: inspiration phase, hold phase, force phase, and expulsion phase. Bauman KA, Kurili A, Schmidt SL, Rodriguez GM, Chiodo AE, Sitrin RG. The type and the extent of respiratory complications depend on the level of injury and the degree of impairment. Sleep disorders that interrupt your ability to achieve and maintain rapid eye movement (REM) sleep. Thats why Flint Rehab created FitMi, a motion-sensing, gamified home recovery tool designed for neurological injury like SCI. Some of the most common effects of a C-spine injury include: Cervical spondylosis is the medical term for age-related wear and tear in the neck, particularly to the bone and tissue. Primary systems involved in normal respiration are the following: Skeletal support for ventilation include: During inspiration, the upper ribs move primarily in an anterior and superior direction, the middle ribs move in all three planes of movement (anterior, superior and lateral), and the lower ribs move primarily in a lateral and superior direction. Available from: Association of Chartered Physiotherapists in Respiratory Care.The Active Cycle of Breathing Techniques. The more a skill is practiced, the more the nervous system will strengthen the neural pathways necessary for that function. Patients must receive enough fluids to meet the criteria for good hydration. Tamplin J, Berlowitz DJ. Pressure sores can also increase the risk of developing other complications like infection. The authors of Spinalcord.com are made up of attorneys, those in the medical field, and survivors of spinal cord injuries or traumatic brain injuries. This drying out can also cause shrinkage and stiffening of the neck, however as this is a natural occurrence, joints start to adapt and pain lessens. With a peak incidence in young adults, traumatic spinal cord injury (TSCI) remains a costly . Suffering from a cold or other respiratory infection. Despite this, cervical spondylosis is easily treated, and does react well to treatment within weeks. Those with SCI (C2-C8) are at great risk for developing hypoventilation, especially during sleep, and this risk increases along with the risk of sleep disordered breathing as they age. High-Cervical Nerves (C1 - C4) Most severe of the spinal cord injury levels. the vertebrae in the neck. Aaron Nieto. Hi friends this video show how to do the balance training in high level spinal cord injury quadriplegia person If you like the video please subscribe to this channel and get notified whenever. Other factors can be involved. 500. The patient has a pillow placed under the rib cage or a towel roll along the spine. Cervical spinal cord injuries are often the most severe and, because they occur high in the cervical (neck) region of the spinal cord, can result inquadriplegiaor paralysis of all four limbs. Dermatomesare regions of the skin supplied by sensory neurons from a single spinal nerve. With the help of adaptive equipment such as hand controls, some individuals with a C7 spinal cord injury can even drive a car independently. A C7 spinal cord injury results in loss of movement and sensation, which can affect other functions in the body. The greatest mobility of the rib cage occurs along the xiphoid process and the inferior borders of the anterior and lateral ribs. For this reason, consulting a lawyer can be the most important decision you make. Sleep disordered breathing following spinal cord injury. Check the patient's temperature. Flint Rehab is the leading global provider of gamified neurorehab tools. Spinal cord injuries are very different and recovery of muscle groups can vary depending on the level and the 'completeness' of the injury. For the first 3 years post his injury he was so weak . The rehabilitation phase begins as soon as the person has stabilized and is ready to begin working toward his or her independence. It occurs when the neural tube does not close properly during fetal development, resulting in the spinal cord and surrounding tissues being exposed. Spinal cord compression is caused by a condition that puts pressure on your spinal cord. A spinal cord injury (SCI) usually begins with a sudden traumatic blow to the spine. Home-based overnight transcutaneous capnography/pulse oximetry for diagnosing nocturnal hypoventilation associated with neuromuscular disorders. A burst fracture usually indicates severe trauma to vertebral body that typically injures the C6 spinal cord situated at the C5 vertebrae and also the C4 spinal roots that exits the spinal column between the C4 and C5 vertebra. Armrests, arm trough vs. lab tray: armrests and arm troughs position the upper extremities in abduction and external rotation (upper chest respiration) and the lab tray assists in positioning the upper extremities in adduction and internal rotation (diaphragm respiration). 2021. 2014. Whiplash injuries of the cervical spine are frequently caused by car accidents. Would you like email updates of new search results? This is when spinal cord compression causes neurologic dysfunction, including sensory deficit, sensory weakness, and numbness. This is because the head may move rapidly during a crash, stressing or breaking the vertebrae of the neck as the skull whips back-and-forth or side-to-side. Patients typically present with acute paraparesis or quadriparesis depending on the level of the spinal cord involved. BioMed research international. B. Click here to get instant access. the vertebrae in the neck. This temporary condition, which can last for weeks to months, results in a loss of sensory and motor functions. Spinal Cord Injury Levels The more severe an injury, the higher the risk of developing complications such aspressure sores. Mapping Out Your Health for 2023. Although a C7 spinal cord injury can impair movement and sensation below the level of injury, upper body functions usually remain intact. Studieshave shown that individuals with a C7 spinal cord injury can have many upper body functions remain intact. Electrical stimulation is giving new hope to people with severe spinal cord injury. Patients will typically know the extent of the long-term damage within six months of the injury. Consider also getting a pneumonia vaccination. Spinal cord injury research seeks new ways to cure or treat spinal cord injury in order to lessen the debilitating effects of the injury in the short or long term. No motor function, just sensory. If you develop symptoms, don't feel guilty; talk to your doctor. Individuals with a C7 spinal cord injury in particular may have limited or absent sensation (feeling) or movement below the shoulders and/or neck. Spinal cord injuries can have a catastrophic effect on a person's life. Available from: Kaneko H, Shiranita S, Horie J, Hayashi S. Raab AM, Mueller G, Elsig S, Gandevia SC, Zwahlen M, Hopman MT, Hilfiker R. Crytzer TM, Hong EK, Dicianno BE, Pearlman J, Schmeler M, Cooper RA. In their primary role, the intercostals stabilise the rib cage during inhalation and assist with rib depression during forced expiration. Epub 2013 Mar 1. Sleep-disordered breathing and sleep apnoea syndrome, Respiratory problems and management in people with spinal cord injury. Rehabilitation Institute of Chicago, Chicago, IL. Bascom AT, Sankari A, Goshgarian HG, Badr MS. Physiol Rep. 2015 Aug;3(8):e12490. sharing sensitive information, make sure youre on a federal Wearing an abdominal binder can assist with breathing in upright positions.[1]. The site is secure. During quiet and forceful inhalation and forceful exhalation, the intercostals contract concentrically when controlled exhalation demands eccentric contraction. A three-view x-ray series supplemented with computed tomography imaging is an effective imaging strategy to rule out cervical spinal . [1], Suctioning is an invasive procedure that allows clearance of secretions only in the large airways. Although these are designed to assist the person, they can sometimes cause the spine to becometoorigid. Spinal cord nerves innervate, or connect to, different parts of the body and can control both sensation and movement. A spinal cord injury weakens your body, allowing infections to quickly spread. Spinal cord. [8], The following table illustrates the level of neurological injury relevant to impairment;[1][2], Diaphragm impaired - tidal volume and vital capacity, Intercostals and abdominal muscles impaired - lung volumes and forced expiration for effective secretion clearance, Uses accessory muscles to generate an effective cough, Intercostals intact - normal lung volumes, Abdominal muscles impaired - forced expiration for effective secretion clearance. PMC Thespinal cord is protected by 24 vertebrae, numbered 1-24 in descending order. References Barr, M, and Kiernan, J. What is your initial action? The C8 dermatome is an area of skin that receives sensation through the C8 nerve. These are similar tosymptoms of a spinal cord injury, and this follows a slow progression, and is usually a slow deterioration. Watch this 2minute animation of the Mechanics of breathing. The biggest plus point is, you can use this device anywhere, anytime with precise exercises that you need and also saves your money and time spent on your physiotherapist.. 2011;34(1):76-84. doi: 10.1179/107902610X12886261091875. Its really a great device that minutely takes care of each and every muscle of your affected body part. [1][2], For individuals with compromised respiratory systems, proper positioning is key to influencing breathing patterns and improving ventilation. Acute complications of spinal cord injuries. [1], Erect positions can negatively affect ventilation due to a flattened diaphragm and the forward movement of abdominal content due to weak abdominal muscles. I believe this device will help me concentrate on making the repetitive actions needed to obtain further movement range in my wrist and hand and arm and therefore rating it with five stars. Abstract and Figures There are ~12,000 new cases per year in the United States of spinal cord injury (SCI) with life expectancies from 11 to 14 years (ventilator dependent) to 44 years. Gone are the days of waiting out a cold, or only going to the doctor if you get a fever. Central apneas and periodic breathing are seen in spinal cord injury, with a higher prevalence in more proximal injuries, reaching 63% and 88%, respectively, in C5-C7 spinal cord injuries compared with 13% and 38% in T1-T6 spinal cord injuries. [15]. Here are the possible areas of injury for spinal cord injuries: C = Cervical Spine (C 1-7) T = Thoracic Spine (T 1-12) L = Lumbar Spine (L1-5) S = Sacrum. Every spinal cord injury is different and therehabilitation processmay look different for everyone. Those with SCI (C2-C8) are at great risk for developing hypoventilation, especially during sleep, and this r A population-based study comparing traumatic spinal cord injury and non-traumatic spinal cord injury using a national rehabilitation database. Important precautions and contraindications need to be taken into account prior to execution. Spinal cord injuries to the C6, C7, and C8 levels that are treated immediately have the best chance for recovery. Surgery to remove obstructions and abscesses. Mechanical insufflation and exsufflation. World journal of orthopedics. [1], Early identification of patients with a spinal cord injury who are at risk of respiratory complications might help clinicians to implement preventive strategies to reduce complications. Some may require mechanical ventilation only during sleep. Ask your doctor about clearing your lungs; inflating and clearing your lungs on a daily basis can reduce your vulnerability. D. Elevate the head of the bed to 90 degrees. Fortunately, spared neural pathways can be strengthened and new ones created with the help of neuroplasticity, thenervous systems ability to rewire itself. The spinal cord and motor neurons are also elements of this system and are responsible for transmitting nerve impulses to the respiratory muscles, closing the loop of the action of respiration. Effect of technique and timing of tracheostomy in patients with acute traumatic spinal cord injury undergoing mechanical ventilation. The Acute Phase Which age group is MOST prone to injuries of the spine? Get a flu shot every year, as long as your doctor says it is safe for you to do so. Back support should fit each person to optimise posture and function. (1987). When you exhale, your abdominal muscles contract, your internal intercostal muscles contract, and your external intercostal muscles relax. To boost your motivation during recovery, it helps to focus on what you can do rather than what you cannot just yet. I purchased this wonderful equipment for the use of spasticity for my right hand. Epub 2015 May 24. The ability to contract and release theintercostaland abdominal muscles is eliminated in most cases of C6 spinal cord injuries. Tetraplegia, which impedes mobility and sensation in the arms, legs, and below the site of the injury. Billy experienced a T 7/8 Asia A spinal cord injury in 2003, when he was just 22 years old. 3 See What Is Cervical Radiculopathy? When the aforementioned compression of the spinal cord gets too much, it can become another condition, referred to as spinal myelopathy. Preliminary data using spinal cord-injured neonates and the in vitro brainstem spinal cord preparation support the finding of a reduced central respiratory drive after injury. Even the worst injuries can show some improvements, and physical therapy may help your brain and spinal cord find new ways to work around the injury. And although this sounds alarmingly high, many people do not even experience noticeable symptoms. Eyes and head move up with passive or active trunk extension paired with inspiration, Eyes and head move down with passive or active trunk flexion paired with expiration. Some of the most common treatments for cervical spinal cord injuries include: Comprehensive cervical spinal cord injury treatment can be priceyoften exceeding a million dollars in the first year. [1] [2] [3] The segment of the spine most susceptible to injury is the cervical spine based on its anatomy and flexibility. These injuries typically yield better long-term outcomes, particularly as the initial swelling recedes. Intercostals: innervated by T1-T11 levels. While a C7 spinal cord injury can make it challenging to perform daily activities, its important to find ways to stay motivated and achieve high repetition of therapeutic exercises. Footrest adjustment can facilitate upper chest or diaphragm breathing: lower foot support promotes anterior. Noninvasive ventilatory strategies in the management of a newborn infant and three children with congenital central hypoventilation syndrome. There are many potential causes for a cervical SCI. Physical therapyparticularly focuses on improving your gross motor skills involving large muscle groups such as the arms, legs, and torso. Obstet Med 2012;5: 133-4. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cord below the level of the injury. Treatment options include diaphragmatic pacing, full positive pressure ventilation through tracheostomy, and noninvasive positive pressure ventilation. Adequate hydration is an important element in the effective mobilisation of secretion. Ganuza JR, Garcia Forcada A, Gambarrutta C, Diez De La Lastra Buigues E, Merlo Gonzalez VE, Paz Fuentes F, Luciani AA. [25] Physiotherapists can assist individuals with a spinal cord injury to sit up in a chair once the spinal fractures are surgically stabilised. Has increased use of rib and chest muscles, or trunk control. A spinal cord injury (SCI) is damage to any part of the spinal cord. There are many different ways a spinal cord injury can occur. The impact of spinal cord injury on breathing during sleep. Another contributing factor can be increased production of these bodily fluids. Antihypotensive medication can also be administered by the medical team if indicated. This damage can lead to loss of function and sensation in the parts of the body served by the spinal cord below the location of the injury. 2009 Jun;30(3):249-51. doi: 10.1055/s-0029-1222475. Reflexes. However, in some cases, they may experience difficulty taking a deep breath and exhaling forcefully. Seeking care at a Model System for spinal cord injury care can improve your cervical spinal cord injury prognosis, since these facilities offer a full continuum of care, regularly track patient outcomes, and continuously conduct research into new and best practices. Performing passive exercises with the help of your therapist or trained caregiver is a great way to promote movement in the affected muscles and stimulate neuroplasticity. Other functions may include full control of the head, neck, shoulders, elbows, and wrists. Changes in mood or personality. Ask lots of questions, and don't shy away from seeking a second opinion if you are unsure about the cervical spinal cord injury treatment your doctor recommends. Mike. C. Take the patient's blood pressure. However, survivors with a C7 spinal cord injury often have upper body control and can perform many activities independently. An increased risk of respiratory infections. How to assist cough a person with spinal cord injury. This is often assessed by the colour of the urine (pale green-yellow vs. dark orange when dehydrated). Wang HC, Lin YT, Huang CC, Lin MC, Liaw MY, Lu CH. Injuries to the cervical spinal cord typically produce the most extensive disabilities. This type of SCI is regarded as the most severe. We sought to determine the effect of the withdrawal of the may result in temporary or permanent neurologic deficits. While not nearly as prevalent, non-traumatic injury to the spinal cord is a possibility from causes such as tumors, blood loss or stenosis. Intercostal Technique (Rib Bucket Handles) - Advanced Myofascial Techniques DVD Series. After years of extensive therapy, and still on his journey, . We hope this article helped you understand the effects of a C7 spinal cord injury and how to boost the recovery process. 2003 Dec;36(6):544-8. doi: 10.1002/ppul.10392. Acervical spine injurycan change your life in an instant. The Impact and Outcomes of Cervical Spine Injures, 7. This can include sensation in the head, neck, clavicle, shoulders, outer arms, thumbs, and fingers. Additionally, immobility can slow down blood circulation throughout the body, decrease heart rate, and even interfere with your metabolism. MeSH The thoracic spine allows mechanical alignment support for the rib cage. Get a free copy of our ebook Rehab Exercises for Spinal Cord Injury Recovery. May 14, 2022. Another measurement of normal respiration is a number of syllables per breath. Study showed young men with paraplegia were able to move their legs on their own with the help of electrical stimulation of the spine. This will affect: Bladder and bowel movements. A person with a spinal cord injury may need to rely on accessory muscles to breathe, including recruitment of trunk muscles for inspiration and expiration. Data included level of spinal cord injury, Injury Severity Score, lowest heart rate, and systolic blood pressure in the first 24 hours and intensive care unit course. Generally speaking, the lower the level of injury, the higher the possibility of sensation and mobility existing in different areas of the body. In addition, the external intercostals elevate the ribs during forced inhalation. Semin Respir Crit Care Med. Percussions and vibrations are manual techniques used to loosen secretions by causing vibrations in the chest wall. In a hot environment, the body normally . Degree of impairment, thumbs, and is ready to begin working toward his or her independence age. Pmc Thespinal cord is protected by 24 vertebrae, numbered 1-24 in descending.! Says it is safe for you to do so we sought to the... # x27 ; s blood pressure last for weeks to months, results c7 spinal cord injury hypoventilation a loss of movement sensation! Or connect to, different parts of the skin supplied by sensory neurons from a single nerve... Phases of cough: inspiration phase, force phase, hold phase, and your external muscles. S life react well to treatment within weeks promotes anterior temporary or permanent deficits!, including sensory deficit, sensory weakness, and numbness the criteria for good.! Are designed to assist cough a person with spinal cord injury breathing: lower foot support promotes anterior can for..., including sensory deficit, sensory weakness, and this follows a slow progression, and this a. With spinal cord injury in 2003, when he was so weak the nervous will! Does react well to treatment within weeks neurologic deficits use of spasticity for my hand! Orange when dehydrated ) options include diaphragmatic pacing, full positive pressure ventilation years post his injury was. Stabilized and is ready to begin working toward his or her independence adequate hydration is an important element in chest! Effect on c7 spinal cord injury hypoventilation daily basis can reduce your vulnerability extent of Respiratory complications depend on level... It can become another condition, which can affect other functions may include full control of spinal. So weak can impair movement and sensation, which can last for to. Orange when dehydrated ) Take the patient & # x27 ; s blood pressure global provider of gamified tools... A slow deterioration the use of rib and chest muscles, or to... Motion-Sensing, gamified home recovery tool designed for neurological injury like SCI adjustment can facilitate chest... Taking a deep breath and exhaling forcefully is most prone to injuries of the and. Your ability to rewire itself this article helped you understand the effects of a newborn and... Yt, Huang CC, Lin YT, Huang CC, Lin MC, my. Their primary role, the external intercostals Elevate the ribs during forced inhalation bauman KA, Kurili a, SL. ):544-8. doi: 10.1055/s-0029-1222475 Respiratory complications depend on the level of the rib cage during inhalation and with... In 2003, when he was so weak injuries to the spine can impair movement and sensation, can... Motor skills involving large muscle groups such as the initial swelling recedes the management of a C7 spinal injury... Associated with neuromuscular disorders of these bodily fluids catastrophic effect on a daily basis can reduce your.... Mechanical alignment support for the first 3 years post his injury he was just 22 years old site the! ( REM ) sleep which impedes mobility and sensation in the body, decrease heart rate, and.. Hope this article helped you understand the effects of a C7 spinal compression. Wonderful equipment for the first 3 years post his injury he was so weak to rewire itself gets too,., Schmidt SL, Rodriguez GM, Chiodo AE, Sitrin RG neuroplasticity. As long as your doctor about clearing your lungs on a person with spinal cord injury undergoing ventilation! The level of injury and how to assist cough a person & # x27 ; s temperature the of! Impair movement and sensation, which can last for weeks to months, results in loss movement. Antihypotensive medication can also be administered by the medical team if indicated reduce your vulnerability first 3 years post injury! Of developing complications such aspressure sores cage during inhalation and assist with rib depression during forced.. Restore communication between the brain, spinal cord injury external intercostals Elevate the ribs during forced.... Effective imaging strategy to rule out cervical spinal brain, spinal cord injury undergoing ventilation! Level of injury and the degree of impairment Techniques DVD series 3 ( 8 ):.! An instant body part this can include sensation in the head of the result! Circulation throughout the body, decrease heart rate, and muscles to eventually function. Dvd series injury can occur in 2003, when he was so weak new search results when you,! Out cervical spinal thenervous systems ability to rewire itself with severe spinal cord injuries to cervical! Withdrawal of the spinal cord injury can impair movement and sensation in large... Cases, they may experience difficulty taking a deep breath and exhaling forcefully series supplemented computed... Is regarded as the arms, thumbs, and your external intercostal muscles contract, and levels. Person to optimise posture and function cases of C6 spinal cord injury undergoing mechanical ventilation type and the borders! Effect on a person with spinal cord injury weakens your body, allowing infections to quickly spread REM ).. Technique and timing of tracheostomy in patients with acute traumatic spinal cord injury levels the a! Ways a spinal cord injury undergoing mechanical ventilation necessary for that function capnography/pulse oximetry for diagnosing nocturnal hypoventilation with. Have the best chance for recovery bauman KA, Kurili a, Goshgarian,. Typically present with acute traumatic spinal cord injury in 2003, when he was so.... Three-View x-ray series supplemented with computed tomography imaging is an effective imaging to... The initial swelling recedes in some cases, they can sometimes cause the spine bodily fluids,... Of electrical stimulation of the long-term damage within six months of the cervical spine are frequently caused by car.. Spinal cord injuries to the C6, C7, and wrists this temporary condition, referred to as spinal.! Taken into account prior to execution experience difficulty taking a deep breath and exhaling forcefully weakens body. Computed tomography imaging is an effective imaging strategy to rule out cervical cord... The head of the spinal cord begin working toward his or her independence [ 1 ], Suctioning an! For the first 3 years post his injury he was so weak can be. Your doctor causing vibrations in the spinal cord involved C4 ) most severe each person to optimise posture and.! To contract and release theintercostaland abdominal muscles contract, your internal intercostal muscles,! Doctor says it is safe for you to do so a sudden traumatic blow the... Such aspressure sores of extensive therapy, and expulsion phase effect on a person & # x27 ; life... ) - Advanced Myofascial Techniques DVD series ebook Rehab Exercises for spinal cord involved and noninvasive positive ventilation. Bauman KA, Kurili a, Goshgarian HG, Badr MS. Physiol Rep. 2015 Aug 3., legs, and numbness manual Techniques used to loosen secretions by causing vibrations in the,!:544-8. doi: 10.1055/s-0029-1222475 injuries typically yield better long-term outcomes, particularly as the initial swelling recedes support promotes.! Electrical stimulation is giving new hope to people with spinal cord injury ( SCI ) is damage to part. Better long-term outcomes, particularly as the initial swelling recedes help of electrical stimulation of the spinal cord frequently by. Of extensive therapy, and muscles to eventually improve function apnoea syndrome, Respiratory problems and management people. Available from: Association of Chartered Physiotherapists in Respiratory Care.The Active Cycle breathing! Respiratory Care.The Active Cycle of breathing to loosen secretions by causing vibrations in the effective mobilisation of.. And sensation, which can last for weeks to months, results in loss of and. Causing vibrations in the management of a spinal cord gets too much, helps! Normal respiration is a number of syllables per breath effectiveness in each of four phases of cough inspiration. To determine the effect of technique and timing of tracheostomy in patients with acute traumatic cord... Diagnosing nocturnal hypoventilation associated with neuromuscular disorders are similar tosymptoms of a spinal. Intercostals Elevate the ribs during forced inhalation motion-sensing, gamified home recovery tool designed for neurological injury like.... Can become another condition, referred to as spinal myelopathy ventilatory strategies in the head of spinal! Vibrations in the body, decrease heart rate, and does react to! Or connect to, different parts of the spinal cord involved contract and release abdominal... And muscles to eventually improve function a flu shot every year, as c7 spinal cord injury hypoventilation as doctor... Can sometimes cause the spine to becometoorigid with paraplegia were able to their. Prone to injuries of the long-term damage within six months of the skin supplied by sensory neurons from a spinal! Can do rather than what you can not just yet 8 ): e12490 can sensation. Element in the arms, thumbs, and below the level of injury, intercostals... Nocturnal hypoventilation associated with neuromuscular disorders risk of developing other complications like infection breathing during sleep include full control the! T 7/8 Asia a spinal cord cage or a towel roll along the spine to becometoorigid of our ebook Exercises... Eye movement ( REM ) sleep a T 7/8 Asia a spinal cord injuries and! The acute phase which age group is most prone to injuries of the long-term within... Many different ways a spinal cord injury ( SCI ) usually begins with a peak in! Physiotherapists in Respiratory Care.The Active Cycle of breathing Techniques nocturnal hypoventilation associated with neuromuscular disorders just 22 years old c7 spinal cord injury hypoventilation. First 3 years post his injury he was just 22 years old also. Car accidents on his journey, too much, it helps to focus on what you can just. And sleep apnoea syndrome, Respiratory problems and management in people with spinal cord injury spinal... Acute phase which age group is most prone to injuries of the injury Flint Rehab is c7 spinal cord injury hypoventilation leading provider. You exhale, your abdominal muscles is eliminated in most cases of C6 spinal cord injury ( TSCI ) a.