근이영양증 환자를 대상으로 한 원격 물리치료와 과제지향 훈련이 악력 및 호흡기능 개선에 미치는 효과 : 단일 사례 기술적 보고

다국어 초록 (Multilingual Abstract)

This study examined the effectiveness of combining remote physical therapy with task-oriented training to improve hand grip strength, and respiratory function in a patient with duchenne muscular dystrophy (DMD). An 18-year-old male with DMD participated in a 4-week program consisting of weekly clinic-based task-oriented respiratory therapy (balloon-blowing and inspiratory muscle training) and home-based exercises (diaphragmatic pursed-lip breathing, and upper extremity stretching) performed under parental supervision, with daily monitoring of exercise adherence. After the intervention, hand grip strength increased from 1 kg to 2 kg bilaterally, peak cough flow rose from 90 L/min to 96 L/min, and chest circumference showed slight increases at the axilla, xiphoid process, and the midpoint between the xiphoid and navel during both maximal expiration and inspiration, while forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) remained at similar, markedly reduced predicted levels without evidence of obstructive ventilatory impairment. Forearm supinator and pronator strength improved from trace to poor on manual muscle testing, and the visual analog scale score for dyspnea decreased from 5 to 2, with high exercise adherence and no adverse events reported. These findings suggest that combined remote physical therapy and task-oriented training is a feasible, safe, and practical home-based rehabilitation approach for a DMD patient, with potential benefits for maintaining functional status and quality of life.

목차 (Table of Contents)

• Abstract
• Ⅰ. 서론
• Ⅱ. 연구방법
• 1. 연구 대상
• 2. 중재 방법
• 3. 측정 도구 및 평가 방법
• 4. 통계 처리
• Ⅲ. 결과
• 1. 악력(grip strength)
• 2. 호흡곤란(visual analog scale for dyspnea)
• 3. 흉곽확장 검사(chest circumference)
• 4. 폐기능 측정(pulmonary function test) 및 최대기침유속(peak cough flow)
• Ⅳ. 고찰
• Ⅴ. 결과
• 인용문헌