흉곽확장운동이 뇌졸중 환자의 폐기능에 미치는 효과 = The Effects of Pulmonary Function in the Stroke Patients after Thoracic Expension Exercise

다국어 초록 (Multilingual Abstract)

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.

참고문헌 (Reference)

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

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

3 이전형, "피드백 호흡운동이 뇌졸중 환자의 폐기능에 미치는 영향" 대구대학교 재활과학대학원 2008

4 김경, "자세변화에 따른 피드백 호흡훈련이 뇌졸중 환자의 흉곽용적과 폐기능에 미치는 영향" 특수교육재활과학연구소 49 (49): 57-74, 2010

5 김경, "심폐물리치료학 개론" 테라북스 364-365, 2010

6 권미지, "뇌졸중 환자의 일상적인 신체적 기능과 삶의 질 수준" 대한물리치료학회 19 (19): 87-96, 2007

7 김병조, "노력성 호흡운동이 편마비환자의 보행특성에 미치는 영향" 대구대학교 대학원 2003

8 편성범, "경수손상 환자에서 호흡운동치료에 의한 폐기능 증진에 관한 연구" 18 (18): 302-310, 1994

9 김용래, "경수 손상 환자의 호흡재활 전후의 호흡기능 평가에서 자세의 중요성" 대한재활의학회 28 (28): 513-518, 2003

10 Macko RF, "Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke" 36 (36): 2206-2211, 2005

11 Mueller G, "Time-courses of lung function and prospective cohort study" 40 (40): 269-276, 2008

12 Estenne M, "The effects of pectoralis muscle training in tetraplegic subjects" 139 (139): 1218-1222, 1989

13 Belgen B, "The association of balance capacity and falls self-efficacy with history of falling in community-dwelling people with chronic stroke" 87 (87): 554-561, 2006

14 Lanini B, "Romagnoli I et al. Chest wall kinematics in patients with hemiplegia" 168 (168): 109-113, 2003

15 Van Houtte S, "Respiratory muscle training in persons with spinal cord injury: a systematic review" 100 (100): 1886-1895, 2006

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

17 Ugalde V, "Pursed lips breathing improves ventiltation in myotonic muscular dystrophy" 81 (81): 472-478, 2000

18 Pryor JA, "Physiotherapy for respiratory and cardiac problems. 3rd ed" Churchill Livingstone 170-176, 1998

19 Carr M, "Physiological effects of exercise on stroke survivors" 9 (9): 57-64, 2003

20 Gluckman PD, "Pediatrics and Perinatology: The Scientific basis 2ed" Oxpord university press 832-855, 1996

21 Han TR, "Motor evoked potentials of diaphragm in stroke patients" 22 (22): 793-797, 1998

22 American Thoracic Society, "Lung function testing: selection of reference value and interpretative strategies" 144 (144): 1202-1218, 1991

23 Ito M, "Immediate effects of respiratory muscle stretch gymnastics and diaphragmatic breathing on respiratory pattern" 38 (38): 126-132, 1999

24 Skinner JS, "Exercise testing & exercise prescription for special cases: theoretical basis & clinical application. 3rd ed" Lippincott Williams & Wilkins 3-21, 2005

25 Dechman G, "Evidence underlying breathing retraining in people with stable chronic obstructive pulmonary disease" 84 (84): 1189-1197, 2004

26 Kamps A, "Cyclic movement training of the lower limb in stroke rehabilitation" 11 (11): S1-S12, 2005

27 Jones AY, "Comparison of the oxygen cost of breathing exercise and spontaneous breathing in patients with stable chronic obstructive pulmonary disease" 83 (83): 424-431, 2003

28 Frownfelter D, "Cardiovascular and pulmonary physical therapy: evidence and practice. 4th ed" Mosby 569-593, 2006

29 Kelly JO, "Cardiorespiratory fitness and walking ability in subacute stroke patients" 84 (84): 1780-1785, 2003

30 "British Thoracic Society Standards of Care Subcommittee on Pulmonary Rehabilitation. Pulmonary Rehabilitation" 56 (56): 827-834, 2001

31 Kolb B, "Brain plasticity and recovery from early cortical injury" 49 (49): 107-118, 2007