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.

쇠뿔현호색 (Corydalis cornupetala Y. H. Kim et J. H. Jeong) 자생지의 생육환경과 식생구조

성정원 ( Jung Won Sung ),이명훈 ( Myung Hoon Yi ),윤정원 ( Jung Won Yoon ),김기송 ( Gi Song Kim ),신현탁 ( Hyun Tak Shin ),김용식 ( Yong Shik Kim ) 한국환경생태학회 2013 한국환경생태학회지 Vol.27 No.3

쇠뿔현호색은 현호색과 현호색속 현호색절의 다년생 초본으로 우리나라 경산시 계정숲에만 제한적으로 분포하는 특산식물종이며, 춘계단명식물로 제한된 생육기간과 자원으로 생활전략을 가지고 있다. 본 연구는 쇠뿔현호색 (Corydalis cornupetala Y.H.Kim et J.H.Jeong) 개체군을 대상으로 자생지의 입지 특성과 식생구조를 파악하여 쇠뿔현 호색 개체군 및 생태연구에 대한 기틀을 마련하고 자생지 보전을 위한 복원 계획 수립의 기초 자료를 제공하고자 한다. 토성은 미사질식양토이며, 토양산도는 pH 5.4~5.9로 약산성, 전기전도도는 0.22~0.50ds/m, 토양유기물함량은 7.61~15.78%로 나타났다. 토양분석결과 양이온치환용량이 우리나라 산림토양의 평균치보다 높게 나타났는데, 이는 방형구에서 유독 칼슘과 마그네슘의 함량이 높게 나타난 결과라 사료된다. 식생분석결과 5개 방형구 내에서 조사된 관속식물은 총 59분류군이었다. 군락분류의 경우 PC-ORD를 이용한 이단계 군락분석 결과 신나무, 갈퀴나물 및 쇠별꽃 군락으로 분류되었다. 쇠뿔현호색의 자생지는 출현종의 수보다는 우점하는 종의 상이성에 따라 집단의 유연관계가 결정되었다. 종다양도는 평균 1.26로 산출되었으며, 우점도와 균등도는 각각 0.08와 0.92이었다. The species of Corydalis cornupetala Y.H.Kim et J.H.Jeong Which is belong to the Corydaliaceae is only distributed at the Gyaejeong Forest in Gyeongsan. As one of the spring ephemeral plants, this species has limited growing period. The present study is on site characteristics and vegetation structure in the wild habitats of Corydalis cornupetala Y.H.Kim et J.H.Jeong and offers basic information on habitat conservation including recovery plan. The soil texture is silty loam and soil acidity is ranged as pH 5.4~5.9. The electric conductivity was 0.22-0.50 ds/m and soil organic content is ranged as 7.61~15.78 %. Fifty nine vascular plants were identified from 5 quadrats. According to the two way cluster analysis applied by the PC-ORD, the community was classified as Acer ginnala, Vicia amoena and Stellaria aquatica. The habitat of Corydalis cornupetala Y.H.Kim et J.H.Jeong was determined by the dissimilarity indices rather than the species number of appearance. Species diversity was 1.26, and dominance and evenness were found to be 0.08 and 0.92, respectively.

트래픽 유형별 Merging 기능을 갖는 ATM 스위치 기반 MPLS 망에서 QoS 제공 방법

김기송(Kisong KIM),한치문(Chimoon HAN) 한국통신학회 1999 한국통신학회 학술대회논문집 Vol.1999 No.11

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.

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.

심장호흡계 적적성을 위한 물리치료

김기송(Gi-Song Kim) 대한심장호흡물리치료학회 2013 대한심장호흡물리치료학회지 Vol.1 No.1

Purpose: The purpose of this study is to suggest that cardiorespiratory fitness should be considered for patients’ rehabilitation during intervention with physical therapy. The patients with not only problems of central nervous system but also musculoskeletal disease can be suffered from lack of resonable cardiorespiratory fitness for their disabilities. Historical reviews can be obvious evidences for the treatment rationales of cardiorespiratory physical therapy. The section or academic association related with cardiorespiratory physical therapy are developing in advanced countries for their scientific researches and rational expectations. The Korean Academy of Cardiorespiratory Physical Therapy (KACPT) can be a helpful foundation for academic conference and seminar on the scope of cardiorespiratory physical therapy. The great efforts and various endeavors in members of the KACPT should be followed for the advance and positive identity among the competitive societies in rehabilitation program.

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.