Effect of Threshold Pressure-Loaded RMT + tTBS on Respiratory Function in SCI Patients
Trial Parameters
Brief Summary
The purpose of this clinical trial is to understand whether threshold pressure load respiratory muscle training combined with iTBS can effectively improve the respiratory function of SCI patients. The main questions it aims to answer are: * The impact of threshold pressure load respiratory muscle training on the respiratory function of SCI patients. * The impact of iTBS treatment at the cortical projection point of the diaphragm on the respiratory function of SCI patients. * Whether the combination of the above two treatment techniques is superior to single treatment.
Eligibility Criteria
Inclusion Criteria: * Patients with spinal cord injury (SCI) meeting the 2019 revised International Standards for Neurological Classification of Spinal Cord Injury by the American Spinal Injury Association (ASIA), confirmed by CT/MRI. * Aged 18-80 years. * Time since injury: 2 weeks to 6 months, with spinal shock resolved. * Injury level at T12 or above, ASIA Impairment Scale (AIS) grade A-C. * Patients providing written informed consent after study explanation. Exclusion Criteria: * Patients with severe cardiorespiratory diseases (e.g., pneumothorax). * Unstable vital signs (e.g., hypotension, arrhythmia). * Cognitive/psychiatric disorders precluding cooperation. * Requiring mechanical ventilation. * Congenital spinal/limb deformities. * Contraindications to magnetic stimulation: intracranial metal implants, pacemakers, etc.