Respiratory Dysfunction

Respiratory dysfunction is seen in some children with cervical-level lesions. Use of ventilators may be necessary either during the night or full time. Even in those with no need for early ventilator support, respiratory difficulty may develop due to increasing spasticity of abdominal muscles or muscular fatigue. When children present with respiratory difficulty, attention must be paid to pulmonary toilet, use of assistive devices, and the presence of previous respiratory difficulties or progression of respiratory difficulties. Impaired motor control may result in reflux and aspiration, which may contribute to the difficulties being experienced. Pulmonary consultation, if available, may allow the emergency physician to adjust the ventilator and prevent hospitalization. Children with phrenic nerve stimulators may need to be hospitalized for management.

Fire Up Your Core

Fire Up Your Core

If you weaken the center of any freestanding structure it becomes unstable. Eventually, everyday wear-and-tear takes its toll, causing the structure to buckle under pressure. This is exactly what happens when the core muscles are weak – it compromises your body’s ability to support the frame properly. In recent years, there has been a lot of buzz about the importance of a strong core – and there is a valid reason for this. The core is where all of the powerful movements in the body originate – so it can essentially be thought of as your “center of power.”

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