뇌졸중 환자의 자세변화에 따른 폐기능비교

서교철 ( Kyo Chul Seo ),이성은 ( Sung Eun Lee ),이전형 ( Jeon Hyeong Lee ),김경 ( Kyoung Kim ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.4

Purpose:The purpose of this study was to compare the respiratory function in the different body position of the stroke patients. Methods:Twenty patients with stroke patients group(M:12, F:8) and twenty control group(M:12, F:8) were participated in experiment. Strokes patients group and control group were assessed according to position changes(supine position, 45˚ sitting position, 90˚ sitting position) using pulmonary function(vital capacity, inspiratory capacity, tidal volume, expiratory reserve volume, inspiratory reserve volume). Results:These findings suggest that supine position in stroke group and control group were significant difference in IC, VC, IRV, ERV(p<05). 45˚ lean sitting position in stroke group and control group were significant difference in IC, VC, ERV(p<05). 90 sitting position in stroke group and control group were significant difference in VC, IRV, ERV (p<.05). In comparison of two groups, strokes group was more low pulmonary function than normal group. Conclusion:This study showed pulmonary function was more high normal groups than stroke groups. And 90˚ sitting position was high pulmonary function than supine position, 45˚ lean sitting position, Thus it indicates that the functions will be suggest the objective data of patients with strokes for respiratory function.

흉곽확장운동이 뇌졸중 환자의 폐기능에 미치는 효과

서교철 ( Kyo Chul Seo ),김현애 ( Hyeun Ae Kim ),임상완 ( Sang Yoan Yim ) 대한물리의학회 2012 대한물리의학회지 Vol.7 No.2

Purpose The Purpose of this study was on determine whether thoracic expension exercise might increase the pulmonary function of the patients with stroke, Methods Fourty paients with stroke were randomly assigned to experimental(n=20) and control group(n=20). During four weeks, each group participated thirty minutes for five times per week. Subjects were assessed using pre-value and post-value measurement pulmonary function(Forced vital capacity, Forced expiratory volume at one second, FEV1/FVC, Peak expiratory flow, Tidal volume, vital capacity, Inspiratory capacity, Expiratory reserve volume, Inspiratory reserve volume), Results These finding suggest that experimental group was significant increase in FVC, FEV1, PEF, TV, IC, IRV, ERV (p<.05), In comparison of two group, experimental group was high pulmonary function than control group, Conclusion This study showed experimental group can be used to improve pulmonary function than control group. Thus it indicates that the thoracic expension exercise will be more improved through the continued respiratory exercise program.

체외충격파 치료와 자가신장운동이 근막통증증후군 환자의 어깨근육의 통증 및 기능지수에 미치는 영향

서교철(Kyo-Chul Seo),박승환(Seung-Hwan Park) 한국보건기초의학회 2022 한국보건기초의학회지 Vol.15 No.1

The purpose of this study was to determine the effect of extracorporeal shock wave therapy and self stretching exercise for the shoulder muscles of pain and function of the patients with myofascial pain syndrome. Thirty subjects with shoulder pain due to myofascial pain syndrome participated in the experiment. They were randomly divided into 15 experimental groups and 15 control groups. Two group subjects were conducted for 4 weeks, 3 days a week. The experimental group was subjected to extracorporeal shock wave therapy 2000 times at an intensity of 5 Hz and 2.0 bar once, and self-stretching exercise for 15 minutes one day. The control group performed upper trapezius and middle deltoid self-stretching exercise for 30 minutes one day. All subjects measured and compared shoulder pain index with PPT, CMS before and after the experiment. Data analysis was performed with SPSS WIN 18.0, and correspondence comparison was performed to faired t-test analyze the results of the experimental group and the control group before and after the experiment. After the experiment, the experimental group decreased significantly in PPT of the neck-shoulder muscle, and CMS increased significantly. Also, the control group decreased in PPT and increased in CMS, but there was no significant difference. Though these results, extracorporeal shock wave therapy was showed a reduction in pain and function recovery after treatment than before treatment but there are small difference in the pain reduction and function recovery after self stretching exercise. Thus, extracorporeal shock wave therapy is expected to be used as a variety of treatments to reduce shoulder pain as a cause of myofascial syndrome.

피드백 호흡훈련이 뇌졸중 환자의 보행증진에 미치는 영향

서교철 ( Kyo Chul Seo ),조미숙 ( Mi Suk Jo ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.4

PURPOSE: The present study examines how feedback respiratory exercise affects gait performance of stroke patients. METHODS: Forty stroke patients were randomly divided into an experiment group and a control group. For the former group, patients went through a half-hour of training therapy and a half-hour of feedback respiratory device exercise. For the latter group, patients went through 30 minutes of training therapy and a half-hour of motomed exercise. All participants had five training sessions each week for four weeks. For measurement, a GAITRite system was used to examine spatial parameters, and functional ambulation performance before and after the training. RESULT: In terms of spatial parameters, double support ratio, stance phase increased significantly in the experiment group after the walking exercise(p<.05). FAP rose more significantly in the experiment group than in the control group(p<.05). In comparison of two exercise groups, double support ratio, Stance phase, gait velocity, FAP was significant difference(p<.05). CONCLUSION: The experiment results showed that feedback respiratory exercise is effective in enhancing gait performance.

계단보행훈련과 경사로보행훈련이 뇌졸중 환자의 보행능력에 미치는 영향

서교철 ( Kyo Chul Seo ),김현애 ( Hyeun Ae Kim ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.3

PURPOSE: The Purpose of this study was on determine whether stair gait exercise and lamp gait exercise might increase the gait ability of the patients with stroke METHODS: Fourty five patients with stroke were randomly assigned to plane gait exercise group(n=15) and ramp gait exercise group(n=15) and stair gait exercise group(n=15). During four weeks, each group participated thirty minutes for five times per week. Subjects were assessed using pre-value and post-value measurement gait ability (Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity). RESULTS: These finding suggest that stair gait exercise group was significant in Step length, Heel to heel base of support, Step time, Double support ratio, Gait velocity(p<.05). And lamp gait exercise group was only significant increase in Step time, Gait velocity (p<.05). In comparison of three group, stair gait exercise group was high gait ability than other two groups (p>.05). CONCLUSION: This study showed stair gait exercise group can be used to improve gait ability than other two groups. Thus it indicates that the stair gait exercise group will be more improved through the continued gait program.

가로막 호흡운동이 20대 경도 지적장애인의 폐활량 및 최대환기량에 미치는 영향

서교철(Seo, Kyo-Chul),노정구(Roh, Jeung-Gu) 한국보건기초의학회 2021 한국보건기초의학회지 Vol.14 No.2

The purpose of this study is to investigate the effect of diaphragm respiration exercise on vital capacity and maximum voluntary ventilation in subjects with mild intellectual disabilities in their 20s. 10 people in the experimental group and 10 people in the control group participated in the experiment. The experimental group performed diaphragmatic breathing exercises for 4 weeks, 5 days a week, and 30 minutes a day, and the control group performed stationary bicycle exercise for 4 weeks, 5 days a week, and 30 minutes a day. The subjects measured voluntary capacity and maximal voluntary ventilation using Fitmate (COSMED Sri, Italy) before and after the experiment. Data analysis was performed with SPSS win 18.0. Subjects were assessed with vital capacity and maximal voluntary ventilation before and after the test and the results were compared with the paired t-test. After the experiment, the vital capacity and maximum voluntary ventilation were significantly improved in the experimental group than before the experiment. Through this study, it can be suggested as a new breathing exercise for subjects with intellectual disabilities in their 20s.

트레드밀 훈련이 경도의 지적장애를 가진 20대 남성 비만인의 복합적인 폐기능에 미치는 영향

서교철,박승환,조미숙,Seo, Kyo-Chul,Park, Seung-Hwan,Cho, Mi-Suk 한국융합학회 2021 한국융합학회논문지 Vol.12 No.8

The purpose of this study was to determine whether the convergence pulmonary function of the 20s men of mild intellectual disabilities with obesity to tredmill exercise. Ten subjects of mild intellectual disabilities with obesity(experimentals) and ten contrary subjects(controls) were participated in the experiment. experimental group conducted treadmill gait training and control group conducted automed exercise. Subjects were assessed for their respiratory function by using Fit mate. The result of the experiments showed high pulmonary function than the controls. Thus, it suggests that the respiratory functional data of 20s men of mild intellectual disabilities with obesity can be used as a various respiratory one for the exercise programs in the area. 본 연구는 경도 지적장애를 가진 20대 남성 비만인들을 대상으로 트레드밀 훈련을 통해 복합적인 호흡기능에 미치는 영향을 알아보고자 한다. 비만을 가진 20대 경도의 지적장애인 20명을 대상으로 무작위로 나누어 실험군 10명과 대조군 10명을 각각 실험에 참여하였다. 실험군은 트레드밀 훈련을 30분을 실시하였고, 대조군은 고정자전거 훈련을 실시하였다. 실험대상자들은 실험전과 실험후에 Fit mate로 폐기능을 측정하여 비교하였다. 자료분석은 SPSS win 18.0으로 실험전과 후에 각 그룹간의 차이를 분석하기 위해 대응비교를 실시하였다. 실험 후 실험군에서 대조군보다 호흡기능이 더 낮게 나타났다. 이 연구를 통해 실험군은 대조군보다 호흡기능이 더 향상되었으며, 이런 결과는 비만을 가진 지적장애인의 다양한 운동프로그램으로 구성할 수 있을 것으로 사료된다.

칼텐본을 접목한 흉추가동운동이 20대 대학생의 복합적 폐활량에 미치는 영향

서교철,장영창,김대룡,박승환,Seo, Kyo-Chul,Jang, Young-Chang,Kim, Dae-Rong,Park, Seung-Hwan 한국융합학회 2020 한국융합학회논문지 Vol.11 No.9

본 연구는 칼텐본을 접목한 흉추가동운동이 폐기능에 미치는 영향을 알아보기 위하여 20대 대학생 20명을 대상으로 4주간 실시하였다. 실험대상자 20명을 대상으로 실험군, 대조군으로 무작위 동공선택방식으로 그룹 배정을 하였다. 실험군은 횡격막 호흡운동 15분과 칼텐본을 적용한 흉추가동운동 15분으로 구성되고, 대조군은 횡격막 호흡운동으로 30분간 훈련하였으며, 두 군의 운동프로그램은 주 3회 4주간 실시하였다. 측정은 폐기능을 측정하여 자료를 분석하였다. 실험 전·후 폐기능을 분석해 보면, 실험군은 TV, IRV에서 유의하게 증가하였으며, 실험후에 두 집단간의 변화검증에서도 TV와 IRV에서 유의한 차이가 나타났다. 본 연구를 통해 칼텐본을 이용한 흉추가동운동이 폐 기능에 더 긍정적인 효과를 주는 것을 알 수 있었다. 앞으로 임상에서 호흡훈련 시 일반적인 호흡훈련에 흉추가동운동을 함께 접목하는 치료방법이 적극적으로 중재되기를 기대하며 다양한 추가운동프로그램의 개발이 필요할 것으로 사료된다. The purpose of this study was to examine the effects of a thoracic mobilization exercise using the Kaltenborn on the convergence lung function. The study was conducted on 20 university students in their 20s over a four-week period. The 20 subjects were randomly selective assigned to a Kaltenborn thoracic mobilization exercise group and diaphragm exercise control group. The experimental group performed a Kaltenborn thoracic mobilization exercise for 30 minutes. The control group performed a diaphragmatic breathing exercise for 30 minutes. Each exercise program was performed three times a week for four weeks. When comparing the breathing capacity of the experimental and controls before and after the experiment, the experimental group showed significant changes in TV, IRV. In testing the differences between the experimental and controls in their changes after the experiment, TV, IRV showed a significant change. Based on the results of this study, a thoracic mobilization exercise using the Kaltenborn thoracic mobilization exercise may have positively affected the extrementals lung function. Therefore, if a thoracic mobilization exercise using the Kaltenborn is combined with a respiratory exercise program in the future, it will likely become a more effective treatment technique.

풍선불기운동이 20대 경도 지적장애인의 복합적인 폐기능에 미치는 영향

서교철,박승환,김대룡,Seo, Kyo-Chul,Park, Seung-Hwan,Kim, Dae-Rong 한국융합학회 2021 한국융합학회논문지 Vol.12 No.9

본 연구는 20대 경도 지적장애인들을 대상으로 풍선불기운동이 복합적인 폐활량과 최대환기량에 어떤 영향을 주는지 알아보고자 한다. 실험군 10명, 대조군 10명으로 실험에 참여하였다. 실험군은 풍선불기운동을 하루에 30분씩 실시하였고, 대조군은 가로막운동을 30분씩 실시하였다. 실험대상자들은 실험전과 실험후에 Fitmate를 사용하여 폐활량과 최대환기량을 측정하였다. 자료분석은 SPSS win 18.0을 실행하였다. 실험대상자는 실험전과 실험후에 차이를 비교하기 위해 대응비교를 실시하였다. 실험 후 실험군은 대조군보다 폐활량과 최대환기량이 더 높게 나타났다. 이 연구를 통해 실험군은 대조군보다 폐활량과 최대환기량이 더 증가되었다. 지적장애인들을 위한 다양한 호흡운동 프로그램을 개발하여 지속적으로 건강을 관리한다면 삶의 질을 높일 수 있다고 생각한다. The purpose of this study is to investigate the effect of balloon blowing exercise on multiple pulmonary function and maximum voluntary ventilation in patients with mild intellectual disabilities in their 20s. 10 people in the experimental group and 10 people in the control group participated in the experiment. The experimental group performed the balloon blowing exercise for 30 minutes a day, and the control group performed the diaphragm breathing exercise for 30 minutes each. The subjects measured voluntary capacity and maximal voluntary ventilation using Fitmate before and after the experiment. Subjects were assessed with Vital capacity(VC) and Maximal voluntary ventilation(MVV) before and after the test and the results were compared with the paired t test. Data analysis was performed with SPSS win 18.0. After the experiment, the experimental group showed higher lung capacity and maximum ventilation than the control group. Through this study, the experimental group increased voluntary capacity and maximum voluntary ventilation more than the control group. It is thought that the quality of life can be improved if we continuously manage the health of intellectuals by developing various breathing exercise programs.

이중 과제유형에 따른 순환 과제훈련이 만성뇌졸중 환자의 보행수행 능력에 미치는 영향

김현애 ( Hyeun Ae Kim ),서교철 ( Kyo Chul Seo ) 대한물리의학회 2013 대한물리의학회지 Vol.8 No.3

PURPOSE: This study is to examine the effects of different types of tasks on gait functions of chronic stroke patients when different types of dual tasks were applied while the patients were implementing practical and continuous circuit tasks using their upper and lower extremities circulating many workbenches. METHODS: Forty-four chronic stroke patients were divided into a dual motor circuit task training group, a dual cognitive circuit task training group and a simple task training group. Before training, all the patients were identically encouraged to receive conservative physical therapy for 30 minutes by a physical therapist were thereafter made to train for 30 minutes, five times a week for a total of eight weeks with individual additional tasks. The dual motor circuit task training consisted of continuous circuit training motor tasks and additional motor tasks and the dual cognitive circuit task training consisted of tasks combining the same circuit training motor tasks and additional cognitive tasks. The simple task training consisted of natural walks on a flat terrain to the front, rear and lateral sides of the terrain. Changes in functional gait abilities made through the training were evaluated using GAITRite. SPSS Win 12.0 was used for the data analysis. RESULTS: As for the gait variables that showed significant differences in comparison between the groups over the training period, the dual motor circuit task training group showed more significant differences than the dual cognitive circuit task training group and the simple task training group at 4 weeks and 8 weeks of training(p<.05). CONCLUSION: Therefore, it could be seen that the practical and continuous dual circuit task training was more effective than simple task training on gait. In comparison between the types of dual tasks, the dual motor circuit task training group showed more effects than the dual cognitive circuit task training group.