호흡근훈련 유무에 따른 안정화 운동이 건강한 성인의 호흡 기능과 자세 동요에 미치는 영향

서혜리,안덕현,김미현,고민주,오재섭 대한통합의학회 2023 대한통합의학회지 Vol.11 No.3

Purpose : Stabilization exercise and respiratory muscle training are used to train trunk muscles that affect postural control and respiratory function. However, there have been no studies that combine stabilization exercise and respiratory muscle training. The purpose of this study is to investigate effects of stabilization exercise with and without respiratory muscle training on respiratory function and postural sway. Methods : Fifteen healthy adults were recruited for this experiment. All the subjects performed stabilization exercise with and without respiratory muscle training. For stabilization exercise with respiratory muscle training, the subjects sat on a gym ball wearing a stretch sensor. The subjects inspire maximally as long as possible during lifting one foot off the ground, alternately for 30 seconds. The stretch sensor was placed on both anterior superior iliac spine (ASIS), and the stretch sensor was used to monitor inspiration. For stabilization exercise without respiratory muscle training, the subjects sat on a gym ball and lifted one foot off the ground, without respiratory muscle training. Kinovea program used to investigate postural sway tracking during exercise. The maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) were measured using a spirometer to investigate changes of respiratory muscle strength before and after exercise. A paired t-test was used to determine significant differences postural sway tracking, MIP, and MEP between stabilization exercise with and without respiratory muscle training. Results : There were significantly lower a distance of postural sway tracking during stabilization exercise with respiratory muscle training, compared with stabilization exercise without respiratory muscle training (p<.05). The MIP and MEP were significantly increased after stabilization exercise with respiratory muscle training compared with before stabilization exercise with respiratory muscle trianing (p<.05). Conclusion : The results of this study suggest that stabilization exercise with repiratory muscle training would be recommended to improve postural control and respiratory muscle strength.

뇌졸중 환자의 호흡근 훈련자세가 호흡근 활성도에 미치는 영향

정주현,김난수 대한스포츠물리치료학회 2018 정형스포츠물리치료학회지 Vol.14 No.1

Purpose: This study investigated the effects of respiratory muscle training posture on respiratory muscle activation in stroke patients and presented appropriate posture for the respiratory muscle training. Methods: Thirty-six stroke patients were assigned to either a neutral training posture (n = 13), habitual training posture (n = 12), or side bending training posture (n = 11) group. Respiratory muscle training was conducted using an inspiratory muscle trainer. Each group was asked to adopt either a neutral, habitual, or side-bending posture during respiratory muscle training, which was performed for 30 minutes per day, 10 sets, 3 times per week, for a total of 6 weeks. After each session, external intercostal muscles and sternocleidomastoid muscle activity were measured via surface electromyography. Results: The paretic or non-paretic side intercostal muscle differed significantly in the three groups, and the non-paretic side intercostal muscle was significantly decreased in the neutral training group. The non-paretic side sternocleidomastoid muscle differed significantly in the three groups, and the nonparetic side sternocleidomastoid muscle was significantly increased in the habitual training group. Conclusion: A neutral posture, where appropriate spine and trunk alignment is maintained, is a more effective posture for respiratory muscle training for improving respiratory function in stroke patients.

Effect of Respiratory Muscle Training Posture on Respiratory Muscle Activation in Stroke Patients

Ju-Hyeon Jung,Nan-Soo Kim 대한스포츠물리치료학회 2018 정형스포츠물리치료학회지 Vol.14 No.1

Purpose: This study investigated the effects of respiratory muscle training posture on respiratory muscle activation in stroke patients and presented appropriate posture for the respiratory muscle training. Methods: Thirty-six stroke patients were assigned to either a neutral training posture (n = 13), habitual training posture (n = 12), or side bending training posture (n = 11) group. Respiratory muscle training was conducted using an inspiratory muscle trainer. Each group was asked to adopt either a neutral, habitual, or side-bending posture during respiratory muscle training, which was performed for 30 minutes per day, 10 sets, 3 times per week, for a total of 6 weeks. After each session, external intercostal muscles and sternocleidomastoid muscle activity were measured via surface electromyography. Results: The paretic or non-paretic side intercostal muscle differed significantly in the three groups, and the non-paretic side intercostal muscle was significantly decreased in the neutral training group. The non-paretic side sternocleidomastoid muscle differed significantly in the three groups, and the nonparetic side sternocleidomastoid muscle was significantly increased in the habitual training group. Conclusion: A neutral posture, where appropriate spine and trunk alignment is maintained, is a more effective posture for respiratory muscle training for improving respiratory function in stroke patients.

The Effect of Inspiratory Muscle Training on Respiratory Function in Stroke Patient

Jung, Nam Jin,Ju, Jung Yeol,Choi, Seok Ju,Shin, Hyung Soo,Shin, Hee Joon International Academy of Physical Therapy Research 2015 Journal of International Academy of Physical Ther Vol.6 No.1

The purpose of this study was to find out an inspiratory muscles training program's therapeutic effects on stroke patients' respiratory function. For the purpose, this study targeted 20 stroke patients being hospitalized in K hospital in Daegu, and diveded the patients into the both groups of Inspiratory muscle training(IMT) group and control group, randomization. The 10 patients in the IMT group was applied the inspiratory muscles training. The control group was composed of other 10 patients. IMT group was given a inspiratory muscle training program for 30 minutes per times, 5 times a week for 6 weeks. The investigator measured the patients' respiratory function compared changes in the function and ability before and after the IMT. The results of this study are as follows. Investigating the inspiratory muscle training group's lung functions, there appeared some significant differences in the tests the FVC(Forced vital capacity), FEV1(Forced expired volume in one second) before and after the training(p<.05), but the control group had no significant in the same tests before and after(p<.05). The differences in the both groups after depending the inspiratory muscles training were significantly found in the tests of FVC, FEV1, FEV1/FVC(p<.05). The maximum inspiratory pressure showed some significant differences in the inspiratory muscle training group(p<.05), but didn't show any significant difference in the control group(p>.05). Conclusionally, it will be judged that the inspiratory muscles training program will improve stroke patients' respiratory function, and it is considered that will move up stroke patients' gait and body function.

The Effect of Inspiratory Muscle Training on Respiratory Function in Stroke Patient

Nam Jin Jung,Jung Yeol Ju,Seok Ju Choi,Hyung Soo Shin,Hee Joon Shin 국제물리치료학회 2015 Journal of International Academy of Physical Ther Vol.6 No.1

The purpose of this study was to find out an inspiratory muscles training program’s therapeutic effects on stroke patients’respiratory function. For the purpose, this study targeted 20 stroke patients being hospitalized in K hospital in Daegu, and diveded the patients into the both groups of Inspiratory muscle training(IMT) group and control group, randomization. The 10 patients in the IMT group was applied the inspiratory muscles training. The control group was composed of other 10 patients. IMT group was given a inspiratory muscle training program for 30 minutes per times, 5 times a week for 6 weeks. The investigator measured the patients’respiratory function compared changes in the function and ability before and after the IMT. The results of this study are as follows. Investigating the inspiratory muscle training group’s lung functions, there appeared some significant differences in the tests the FVC(Forced vital capacity), FEV1(Forced expired volume in one second) before and after the training(p<.05), but the control group had no significant in the same tests before and after(p<.05). The differences in the both groups after depending the inspiratory muscles training were significantly found in the tests of FVC, FEV1, FEV1/FVC(p<.05). The maximum inspiratory pressure showed some significant differences in the inspiratory muscle training group(p<.05), but didn't show any significant difference in the control group(p>.05). Conclusionally, it will be judged that the inspiratory muscles training program will improve stroke patients’respiratory function, and it is considered that will move up stroke patients’gait and body function.

전신진동이 결합된 흡기근 훈련이 뇌졸중 환자의 폐 기능에 미치는 즉각적인 효과

박시현 ( Si-hyun Park ),서동권 ( Dong-kwon Seo ) 대한물리의학회 2017 대한물리의학회지 Vol.12 No.4

PURPOSE: This study investigated the immediate effect of inspiratory muscle training with whole-body vibration on the pulmonary function of subacute stroke patients. METHODS: All participants (n=30) were allocated to the following groups: (1) the inspiratory muscle training group with whole-body vibration (n=10), wherein the patients received inspiratory muscle training with whole-body vibration comprising 3minutes of vibration per session and respiratory training of 30 times and 2 sessions for one day. (2) the inspiratory muscle training group with visual feedback (n=10), wherein the patients received inspiratory muscle training with visual feedback. (3) the inspiratory muscle training group (n=10), wherein the patients received inspiratory muscle training. RESULTS: After the experiment, the inspiratory muscle training group with whole-body vibration exhibited significantly higher forced vital capacity, forced expiratory volume at 1 second, peak inspiratory flow rate, maximal inspiratory pressure, and chest expansion (p<.05), compared to the other groups. Inspiratory muscle training group with whole-body vibration had significantly higher peak expiratory flow rate and maximal voluntary ventilation than the other groups (p<.05). CONCLUSION: These results show that pulmonary function, maximal inspiratory pressure, and chest expansion were significantly better in the inspiratory muscle training group with whole-body vibration than in the other groups. Thus, this treatment will help recovery of pulmonary function in stroke patients.

가정중심 호흡근 훈련이 지역사회 노인의 호흡기능에 미치는 효과

조명래(Myeong-Rae Jo),김난수2(Nan-Soo Kim),김세윤(Se-Yoon Kim),박영수(Young-Su Park) 대한심장호흡물리치료학회 2020 대한심장호흡물리치료학회지 Vol.8 No.2

Purpose : This study aims to examine the effects of home-based respiratory muscle training on respiratory function among the aged in the local community. Methods : A total of 13 elderly subjects were enrolled in this study. All the subjects participated in a respiratory muscle training program conducted at a local health center for 60 minutes a day;1 day per week;for 4 weeks. Additionally;they completed home-based respiratory muscle training each day. This home-based respiratory muscle training consisted of stretching exercises;breathing exercises;and strength training. To determine changes before and after intervention;forced vital capacity (FVC);forced expiratory volume in one second (FEV1);forced expiratory volume in one second/forced vital capacity (FEV1/FVC);maximal inspiratory pressure;maximal expiratory pressure;and peak expiratory flow (PEF) were measured. Paired t-tests were used to analyze all the data. Results : The results showed that there was a significant increase in FEV1 and PEF. Furthermore;there were no significant differences in respiratory strength before and after 4 weeks of training. Conclusion : In conclusion;the home-based respiratory muscle training positively affected respiratory function among the aged in the local community.

만성 폐쇄성 폐질환 환자에서 호흡 근육 훈련이 횡경막 이동에 미치는 영향

이미진,한수정,이경환,천은미 대한재활의학회 2008 Annals of Rehabilitation Medicine Vol.32 No.3

Objective: To determine the effect of respiratory muscle training in patients with chronic obstructive pulmonary disease (COPD) by pulmonary function test and fluoroscopy- guided diaphragm movement. Method: The respiratory muscle training program included breathing retraining, self-exercise and electromyography- assisted biofeedback therapy. 22 COPD patients underwent training program for 177±47.8 (84∼259) days and were followed up regularly. To evaluate the effect of respiratory muscle training, we tested pulmonary function test before and after training. We also evaluated difference of area at full inspiratory and full expiratory time by fluoroscopy- guided diaphragm motion. Results: Parameters in pulmonary function test showed no significant differences before and after respiratory muscle training. In fluoroscopic examination, the difference in the diaphragm movement area at full inspiration and expiration time showed significant improvement after respiratory muscle training (p<0.05). Conclusion: Diaphragm movement increased in patients with COPD after respiratory muscle training, although pulmonary function test did not.

저항성 들숨근 훈련이 뇌졸중 환자의 호흡기능에 미치는 영향

이소윤,한진태,Lee, So Yun,Han, Jin Tae 대한물리치료과학회 2020 대한물리치료과학회지 Vol.27 No.3

Background: The purpose of this study was to investigated the effects of threshold resistance inspiratory muscle training on respiratory function in chronic stroke patients. Design: Randomized Controlled Trial Methods: Eighteen patient with stroke were randomly assigned to the experimental group (n=9) and control group (n=9) all testing and training. The experimental group underwent threshold resistance inspiratory muscle training with resistance adjusted of maximal inspiratory pressure, 60 breathing a day and general physical therapy 30 minutes a day, 5 times a week for 4 weeks. The control group was taken general respiratory muscle training and general physical therapy for 4 weeks in the same way. Respiratory function, walking ability were evaluated before and after the intervention. Statistical significance of the results were evaluated by ANCOVA between control group and experimental group after intervention. Results: There was a significant increase in FVC and FEV1 in the experimental group in pulmonary function tests (p<0.05). There was a significant difference with the maximum inspiratory pressure and the maximum inspiratory flow rate between experimental and control group (p<0.05). There was no significant difference with the maximum inspiratory capacity between experimental and control group (p>0.05) but the maximum inspiratory capacity of experimental group some increased than that of control group. Conclusion: These finding gave some indications that the threshold resistance inspiratory training may benefit on pulmonary function in people with stroke, and it is feasible to be included in rehabilitation interventions with this population.

흡연자에 대한 호흡근 훈련이 폐기능에 미치는 영향

서건휘,유미라,김지윤,성영미,최형진,안송희,정다영,김미나,김민정,이송이,안동진,박찬영,김현희,Suh, Geon-Hwi,Yu, Mi-Ra,Kim, Ji-Yun,Sung, Young-Mi,Choi, Hyoung-Jin,An, Song-Hui,Jeong, Da-Young,Kim, Mi-Na,Kim, Min-Jung,Lee, Song-I,An, Dong-Jin,P 대한물리치료과학회 2012 대한물리치료과학회지 Vol.19 No.3

Purpose : The purpose of present study was to investigate pulmonary function among smokers and non-smokers, and effect on respiratory muscle training in smoker. Methods : Twenty participants were allocated into smokers group(n = 10) and non-smokers group(n = 10). Pulmonary function was measured by spirometry(Pony FX, COSMED Inc., Italy). The smoker group was compared pulmonary function before and after respiratory muscle training. Results : The results were as follows; There was significant difference on PEF, FEV1/FVC%, FEF25~75%, MEF75% and MEF50% among smoker and non-smokers(p<.05). But, there was not significantly difference after intervention in smokers. Conclusion : The present study found that smoker decreased pulmonary function than non-smokers.