호흡계 질환의 물리치료적 접근방법

김기송,Kim, Ki-Song 대한물리치료과학회 2009 대한물리치료과학회지 Vol.16 No.3

Background: Various functional factors should be incorporated during assessment and intervention for patient rehabilitation. Stable respiratory function is one of required factors for functional restoration. To maximize respiratory physical therapy intervention outcome, it is required to understand clinical features of respiratory diseases and physical therapy approaches. Methods: Previous studies were systematically reviewed through computerized search. Methodological qualities of selected studies were evaluated and the levels of recommendations were determined. Results: Assessment for respiratory pattern and thoracic mobility is of importance to improve cardiopulmonary fitness during physical reconditioning. Application of optimal therapeutic protocol can increase thoracic mobility and respiratory function. Interdisciplinary communication is critical during rehabilitation for respiratory patients. Health care provider should have professional knowledge and experience for cardiopulmonary fitness and obligation to endeavor for patients' respiratory rehabilitation. It is necessary to standardize therapeutic intervention, and rehabilitative respiratory exercise should be applied to confirm the effects of intervention. Conclusion: Respiratory diseases that may reduce patients' quality of life and cardiopulmonary fitness should be resolved through physical therapy approaches. Through conducting research, effect of evidence-based and patients' function-oriented intervention can be determined.

최대흡기압과 척추 및 하지 폄근의 근력 간상관관계

김기송(Ki-Song Kim) 대한심장호흡물리치료학회 2017 대한심장호흡물리치료학회지 Vol.5 No.1

Purpose : The purpose of this study was to investigate the correlation between Maximal Inspiratory Pressure (MIP) and Extensor Strength of Back and Lower Extremity (ESBL) among healthy college students. Methods : 10 men (21.3±1.3 years, 115.32±16.67 ㎝H2O), and 10 women (20.5±0.7 years, 72.11±2.21 ㎝H2O) were participated in this study. Pony FX MIP/MEP was used to collect data of MIP and forced vital capacity. Back Strength Dynamometer was used to collect data of ESBL. Results : There was significant correlation between MIP and ESBL (p=.000, r=.942). And there are fair and strong correlation between MIP and weight (p=.000, r=.930) height (p=.000, r=.951), body mass index (p=.005, r=.606). However, the correlation between MIP and age was not statistically significant (p=.591, r=.429). Conclusion : The evaluation of MIP and ESBL and designed training of deep inner muscle which included with respiratory major muscle would be considered as a developing intervention for the patients with low back pain

편마비 환자의 팔 뻗기 과제 수행 시 목표거리와 건·환측 사용에 따른 운동시간과 체간의 움직임 분석

김기송(Ki Song Kim),유환석(Hwan Suk Yoo),정도헌(Doh Heon Jung),전혜선(Hye Seon Jeon) 한국전문물리치료학회 2010 한국전문물리치료학회지 Vol.17 No.1

The aim of this study was to investigate effects of reaching distance on movement time and trunk kinematics in hemiplegic patients. Eight hemiplegic patients participated in this study. The independent variables were side (sound side vs. affected side) and target distance (70%, 90%, 110%, and 130% of upper limb). The dependent variables were movement time measured by pressure switch and trunk kinematics measured by motion analysis device. Two-way analysis of variance with repeated measures was used with Bonferroni post-hoc test. (1) There were significant main effects in side and reaching distance for movement time (p=.01, p=.02). Post-hoc test revealed that there was a significant difference between 110% and 130% of reaching distance (p=.01). (2) there was a significant main effect in side and reaching distance for trunk flexion(p=.01, p=.00). Post-hoc test revealed that there were significant differences in all pair-wise reaching distance comparison. (3) There was a significant side by target distance interaction for trunk rotation (p=.04). There was a significant main effect in target distance (p=.00). Post-hoc test revealed that there were significant differences between 70% and 110%, 70% and 130%, 90% and 110%, 90% and 130% of target distance. It was known that trunk flexion is used more than trunk rotation during reaching task in hemiplegic patients from the findings of this study. It is also recommended that reaching training is performed with limiting trunk movement within 90% of target distance whereas reaching training is performed incorporating with trunk movement beyond 90% of target distance in patients with hemplegia.

미용코르셋이 여대생 폐활량에 미치는 영향

김기송(Ki-Song Kim) 대한심장호흡물리치료학회 2016 대한심장호흡물리치료학회지 Vol.4 No.1

Purpose : This study aimed to investigate the influence of lung function according to a variety of corset pressures. Method : Total 15 healthy women (21.3±0.7 years, 56.1±5.5 weight) were recruited in this study. All participants wore a corset with pressures (0 mmHg, 10 mmHg, or 30 mmHg) in a sitting position, and then measured forced vital capacity (FVC), forced expiratory volume in 1 sec (FEV 1 ), and maximum inspiratory pressure (MIP) using a spirometer. Results : The FVC and MIP values showed significantly decreases according to the pressure increases. Also, FEV 1 significantly reduced in wearing a corset with 10mmHg compared to 0mmHg. Conclusion : These findings indicate that wearing a corset with greater pressure (30mmHg) might influence on lung capacity. It can be explained that wearing a corset might limit abdominal mobility, which increases intra-abdominal pressure. Therefore, these findings suggest wearing a corset with greater pressure should be considered for further lung capacity.

호흡계물리치료의 효과판정지표

김기송(Ki-Song Kim) 대한심장호흡물리치료학회 2014 대한심장호흡물리치료학회지 Vol.2 No.1

Purpose : The purpose of this study is to suggest that outcome indices of evidence-based studies should be used for effective treatment in respiratory rehabilitation. The spirometry should be used for assessment of pulmonary function with index of forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV 1 ). The 6-minutes walking test and Shuttle walk test should be measured for patient’s exercise capacity in the program of pulmonary rehabilitation. The Borg’s scale or modified Borg’s scale could be assessed by interview with patients for their dyspnea and fatigue during active daily living or functional activities. The chronic obstructive pulmonary disease assessment test (CAT), chronic respiratory questionnaire (CRQ), medical outcomes study short form (SF-36), Saint George’s respiratory questionnaire (SGRQ) could be checked for patient’s quality of life. The maximal expiratory pressure (MEP) and maximal inspiratory pressure (MIP) must be measured for respiratory muscle strength and extremity strength could be checked with manual muscle test (MMT) or dynamometer in case of necessity. The psycho-social aspect would be assessed by the fear avoidance belief questionnaire (FABQ) and patient’s depression, anxiety, aggravating factors, hospitalization period and etc. might be checked for developing treatment in program of pulmonary rehabilitation.

장기요양보험 노인의 악력 및 호흡기능의 상관관계

김기송(Ki-Song Kim) 대한심장호흡물리치료학회 2015 대한심장호흡물리치료학회지 Vol.3 No.1

Purpose : The purpose of this study is to investigate correlation between grip strength (GS) and Pulmonary Function (PF: forced expiratory volume in 1 second (FEV1), peak expiratory volume (PEF), and, forced vital capacity (FVC) in Senior Citizen of Long Term Care Insurance at Good-neighbors On-ju Comprehensive Social Welfare Center District for the data collection of regional health problems. Methods : 22 senior citizen (male=8, female14; age=79.27±5.68) were participated in this study. The hand-held dynamometer was used for the measurement of GS and Vitalograph ?? was used for the measurement of PF. Results : There was no significant differences in the GS and PF between male and female senior citizen (FEV1, p=.54; PEF, p=.99; FVC, p=.59). There was strong correlation between GS and PF (p〈.02): between right GS and FEV1 (r=.52), PEF (r=53), and FVC (r=.63) and between left GS and FEV1 (r=.65), PEF (r=.70), and FVC (r=.70). Conclusions : On the base of these results, strengthening exercises should be carried out with a visiting physical therapist to improve pulmonary capacity for well-being in senior citizen of strengthening long term care Insurance.

만성요통환자에서 복부심부근 강화 운동이 노력성 호기 폐기능 검사 동안 최대호기유량 및 1초간노력성호기량과 요통에 미치는 효과

김기송 ( Ki Song Kim ),권오윤 ( Oh Yun Kwon ),이충휘 ( Chung Hwi Yi ) 한국전문물리치료학회 2009 한국전문물리치료학회지 Vol.16 No.1

뒤시엔느 근 이영양증 환자에서 기능 수준과 측정 자세에 따른 최대호기유량, 1초간노력성호기량 및 최대기침유량의 변화

김기송(Ki-song Kim),신헌석(Heon-seock Cynn) 한국전문물리치료학회 2009 한국전문물리치료학회지 Vol.16 No.3

It is important to find the effective position for cough and sputum clearance in respiratory physical therapy. The purpose of this study was to compare the changes in peak expiratory flow (PEF), forced expiratory volume in 1 second (FEV1), and peak cough flow (PCF) related to functional level and measurement position in patients with Duchenne muscular dystrophy. Twenty one subjects were classified into three functional levels, and measurements was undertaken in three different measurement positions (upright sitting, 45˚ reclining and supine). Vitalograph PEF/FEV DIARY was used to measure PEF and FEV1, and Ferraris Pocket Peak was used to measure PCF. Mixed two-way analysis of variance and Bonferroni post-hoc test were used for statistical analysis. The results of the study were as follows: 1) Significant main effects for measurement position were found. 2) PEF was the highest in upright sitting, followed by 45˚ reclining, and supine in order. 3) FEV1 in upright sitting and 45˚ reclining were significantly greater compared with that in supine. 4) PCF in upright sitting and 45˚ reclining were significantly greater compared with that in supine. 5) No significant main effects for functional level were found in PEF, FEV1, and PCF. 6) No significant functional level by measurement position interactions were found in PEF, FEV1, and PCF. Therefore, it is concluded that upright sitting and 45˚ degree reclining positions are recommended for effective cough and sputum clearance.

건강한 성인에게 가슴가동운동과 스트레칭운동이 최대들숨압 및 최대날숨압에 미치는 효과

김세연,황영인,김기송,Kim, Se-Yeon,Hwang, Young-In,Kim, Ki-Song 대한고유수용성신경근촉진법학회 2022 PNF and Movement Vol.20 No.1

Purpose: The purpose of this study was to investigate the effect of chest mobilization and stretching exercises on maximal inspiratory pressure and maximal expiratory pressure in healthy adults who use computers for extended periods of time each day due to coronavirus disease 2019. Methods: Twenty-five healthy adults in their 20s and without respiratory disease (15 female, 10 male) took part in this study. Two types of thoracic mobilizing exercises using a Theraband and three types of stretching exercises using a foam roller were performed. Maximum inspiratory pressure and maximum expiratory pressure were measured three times each before and after the interventions. In terms of statistical methods, the maximum inspiratory pressure due to chest mobility and stretching was compared with the maximum expiratory pressure using parametric paired t-test and non-parametric Wilcoxon signed-rank test. Results: Maximum inspiratory pressure (p = .012) and maximum expiratory pressure (p = .006) showed significant differences before and after chest mobilization exercise and stretching among the participants. Conclusion: The results of this study suggest that chest mobilization and stretching exercises are effective exercise methods for improving maximal inspiratory and expiratory pressure. They suggest that these exercises can prevent respiratory muscle weakness and improve aerobic fitness in healthy people as well as those in need of cardiorespiratory physiotherapy.

측두하악관절 장애의 물리치료

오덕원(Oh Duck-won),김기송(Kim Ki-song),이규완(Lee Gyu-wan) 한국전문물리치료학회 2000 한국전문물리치료학회지 Vol.7 No.1

This paper offers an approach to physical therapy and rehabilitation procedure for the temporomandibular joint dysfunction (TMD). Forms of physical therapy are used in the treatment of chronic musculoskeletal pain conditions that include TMD joint disorders. However, there still remains a void in the study as to the various rehabilitative protocols used on those patients with TMD. Recent evidence in clinical trials show that physical therapy is helpful for patients with TMD. Exercise programs designed to improve physical fitness had beneficial effects on TMD pain and dysfunction. This study establishes treatment procedures of physical therapy and provides a method of evaluation for patients with TMD disorders.