앉은 자세각도에 따른 PNF를 융합한 호흡운동이 20대 여대생의 폐활량에 대한 비교 = The Effects on the Pulmonary Function of 20’s Females Proprioceptive Neuromuscular Facilitation Respiration Pattern Convergence Exercise by Sitting Position

국문 초록 (Abstract)

본 연구의 목적은 20대 여대생을 대상으로 45도 기대어 앉은 자세와 바로 누운 자세에서 PNF를 융합한 호흡운동을 실시하였을 때 폐기능에 미치는 영향을 알아보고자 한다. 20대 정상인 20명을 대상으로 실험군 10명, 대조군 10명으로 무작위 배치하였다. 실험은 4주간 실시하였으며, 주당 5회 30분씩 실시하였다. 실험군은 45도 기대어 앉은 자세에서 PNF 호흡운동 30분을 실시하였고 대조군은 바로 누운 자세에서 PNF 호흡운동 30분을 실시하였다. 실험대상자들은 실험전과 실험후에 폐활량분석기를 통해 폐기능을 평가하여 분석하였다. 본 연구의 결과는 실험군이 대조군보다 호기예비용적과 폐활량, 최대환기량에서 유의한 증가를 보였다. 본 연구를 통해 45도 기대어 앉은 자세에서 PNF호흡패턴운동을 실시한 실험군이 바로 누워 PNF호흡운동을 실시한 대조군보다 폐기능의 증진을 볼 수 있었다.

다국어 초록 (Multilingual Abstract)

The purpose of this study was to determine whether PNF respiratory convergence exercise increases the pulmonary function of normal adults by 45° leaning sitting position. Twenty normal adults in their 20s were randomly assigned to an experimental group (n=10) or control group (n=10). Over the course of four weeks, the experimental group participated in PNF respiration exercises by 45° leaning position for 30 minutes three per week. And the control group participated in PNF respiration exercises by supine position for 30 minutes three times per week. Subjects were assessed pre-test and post-test by measurement of pulmonary function. Our findings show that the experimental group had significant improvements in expiratoy reserve volume and vital capacity, maximal voluntary volume. In this study, the experimental group showed greater improvement in pulmonary function than the control group, which indicates that the PNF respiratory exercise by 45° leaning sitting position is effective at increasing the pulmonary function of normal adults.

참고문헌 (Reference)

1 조남옥, "호흡재활훈련이 경수손상환자의 호흡기능에 미치는 효과" 한국재활간호학회 10 (10): 108-115, 2007

2 이전형, "호흡운동이 뇌졸중 환자의 흉곽 확장과 폐 기능에 미치는 영향" 대한물리치료학회 21 (21): 25-32, 2009

3 김재현, "호흡기계 물리치료가 뇌졸중환자의 폐기능 증진에 미치는 영향" 대한물리치료학회 12 (12): 133-144, 2000

4 김재석, "체간 재정렬과 교유수용싱신경근촉진법에 의한 호흡운동이 경직형 마비말장애 흰자의 발성에 미치는 효과" 대한신경치료학회 18 (18): 25-30, 2014

5 조미숙, "복직근의 기능적 전기자극이 경직형 뇌성마비 아동의 호흡 능력에 미치는 효과" 대한물리치료학회 17 (17): 601-612, 2005

6 B. O. Gu, "Treatment of neurological and muscle and joint Proprioceptive Neuromuscular Facilitation : Evidence-based diagnosis and intervention" DaiHak Public 385-389, 2010

7 C. Kisner, "Therapeutic exercise:foundations and techniques" 852-853, 2002

8 C. W. Lee, "The effects of combination patterns of proprioceptive neuromuscular facilitation and ball exercise on pain muscle activity of chronic low back pain patients" 26 (26): 93-96, 2014

9 K.. Takeshi, "The effect of posture on respiratory activity of th abdominal muscles" 24 (24): 259-265, 2005

10 K. C. Seo, "The Effect on the Pulmonary Function of Normal Adults Proprioceptive Neuromuscular Facilitation Respiration Pattern Exercise" 26 (26): 1579-1582, 2014

11 E. D. D'Angelo, "Statics of the chest wall" 29 (29): 457-493, 1995

12 R. L. Mori, "Role of the medial medullary reticular formation in relaying vestibular signals to the diaphragm and abdominal muscles" 902 (902): 82-91, 2001

13 S. T. Sutbeyaz, "Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke : A randomized controlled trail" 24 (24): 240-250, 2010

14 C. F. Chen, "Respiratory function in patients with spinal cord injuries" 28 (28): 81-86, 1990

15 M. Y. Liaw, "Resistive inspiratory muscle training : its effectiveness in patients with acute complete cervical cord injury" 81 (81): 752-756, 2000

16 T. Troosters, "Pulmonary rehabilitation in chronic obstructive pulmonary disease" 172 (172): 19-38, 2005

17 T. British, "Pulmonary Rehabilitation" 56 (56): 827-834, 2001

18 J. A. Pryor, "Physiotherapy for Respiratory and Cardiac Problems" Churchill Livingstone 2002

19 M. Carr, "Physiological Effects of Exercise on Stroke Survivors" 9 (9): 57-64, 2003

20 D. A. Klein, "PNF training and physical function in assisted-living older adults" 41 (41): 476-488, 2002

21 S. Adler, "PNF in practice" Heidelberge Springer 2014

22 S. S. Bae, "Introduction of physical therapy" Daehak Public 2003

23 L. Moodie, "Inspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation: a systematic review" 57 (57): 213-221, 2011

24 P. F. Alfred, "Fishman's Pulmonary Disease and Disorders" McGraw-Hill 1100-, 1998

25 N. Dursun, "Electromyographic biofeedback-controlled exercise versus conservative care for patellofemoral pain syndrome" 82 (82): 1692-1695, 2001

26 A. Guilherme, "Effect of upper extremity proprioceptive neuromuscular facilitation combined with elastic resistance bands on respiratory muscle strength: a randomized controlled trial" 17 (17): 541-546, 2013

27 S. J. Enright, "Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy" 86 (86): 345-354, 2006

28 A. Y. Jones, "Comparison of the oxygen cost of breathing exercise and apontaneous breathing in patients with stable COPD" 83 (83): 424-431, 2003