The diaphragm does most of the work in quiet breathing. The abdominal muscles also participate in coughing. When the intercostal and abdominal muscles are paralyzed, the entire load is taken by the diaphragm. This results in poor coughing and a high risk of pneumonia. Pneumonia is one of the most common complications of acute spinal cord injury.
Preventive measures are very important to reduce the risk of pneumonia.
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