대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제6권4호
  • /
  • Pages.381-389
  • /
  • 2011
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지

뇌졸중 환자의 자세변화에 따른 폐기능비교

Comparison of Posture on Respiratory Function in the Stroke Patients according to Changes of Position

  • 서교철 (대구대학교 물리치료과) ;
  • 이성은 (대구대학교 물리치료과) ;
  • 이전형 (영남대학병원 물리치료실) ;
  • 김경 (대구대학교 물리치료과)
  • Seo, Kyo-Chul (Department of Physical Therapy, Deagu University) ;
  • Lee, Sung-Eun (Department of Physical Therapy, Deagu University) ;
  • Lee, Jeon-Hyeong (Department of Physical Therapy, Yeungnam University Medical Center) ;
  • Kim, Kyoung (Department of Physical Therapy, Deagu University)
  • 투고 : 2011.06.14
  • 심사 : 2011.10.21
  • 발행 : 2011.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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, $45^{\circ}$ sitting position, $90^{\circ}$ 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). $45^{\circ}$ 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 $90^{\circ}$ sitting position was high pulmonary function than supine position, $45^{\circ}$ lean sitting position. Thus it indicates that the functions will be suggest the objective data of patients with strokes for respiratory function.

키워드

참고문헌

  1. 임백인. 한국인의 폐활량 및 최대한기량에 관한 연구: 특히 정상치 예측 수식에 관하여. 대한내과학협회지, 1965;8(1):17-31.
  2. 이충휘. 물리치료학. 정담미디어, 1997;63.
  3. 송주영. 뇌성마비 유형별 자세변화에 따른 호흡기능의 변화. 대한물리치료학회, 2004;16(4):699-709
  4. 송지영, 심현보, 구애련 등. 자세에 따른 폐활량의 변화. 한국전문물리치료학회지, 1996;3(1):40-47
  5. 조동희, 강성웅, 박중현 등. 신경근육계 질환에서 자세에 따른 폐활량의 변화 양상 비교. 대한재활의학회지, 2004;28(5):454-7.
  6. 정한영, 권회규, 김세주. 경수손상 환자의 자세 변화에 따른 폐기능에 관한 연구. 대한재활의학회지, 1993;17(1):62-6.
  7. 최스미. 뇌졸중 환자의 촉각 및 위치 식별감각이상에 관한 연구. 대한간호학회지, 1997;26(1):138-47.
  8. Alfred PF. Fishman's Pulmonary Disease and Disorders (3nd ed.). New-York McGraw-Hill. 1998.
  9. Allen SM, Hunt B. Fall in vital capacity with posture. Br J Dis Chest, 1985;79(3):267-71.
  10. Barnett Henry JM, Mohr JP, stein BM et al. Stroke-pathophysiology, diagnosis and management(2nd ed.), Churchill Livingstone, 1992.
  11. Brouke SC, Bullock RE. Noninvasive ventilation in ALS. Neurology, 2003;61(2):171-7. https://doi.org/10.1212/01.WNL.0000076182.13137.38
  12. Chen CF, Lein IN, Wu MC. Respiratory function in patients with spinal cord injuries. Paraplegia, 1990;28(2):81-6. https://doi.org/10.1038/sc.1990.10
  13. Cifu DX, Lorish TR. Stroke rehabilitation. 5. Stroke ou- tcome. Arch Phys Med Rehabil. 1994;75(5):56-60.
  14. Colville P, Ferris BG, Shugg C. Effects of body tilting on respiration machanics. J Appl Physiol. 1956;9(1):19-24.
  15. Cotes JE. Lung Function: Assessment and application in medicine 4th ed. Oxford, Blackwell Scientific, 1979.
  16. D'Angelo ED, Agostoni E. Statics of the chest wall. In roussos c, Macklem PT eds. The thorax. 2nd ed., Dekker. New York. 1995;457-93.
  17. David JP, Nathan PD, Thomas LP. A comparison of spirometric values with subjects in standing and sitting positions. Chest. 1970;70(1):17-20.
  18. Engel P, Hildebrant G. Long-term spiroergometric students of paraplegia during the clinical period of rehabilitation. Paraplegia, 1973;11(2):105-10. https://doi.org/10.1038/sc.1973.13
  19. Estenne M, Knoop C, Vanvaerenbergh J et al. The effect of pectoralis muscle training in tetraplegic subjects. Am Rev Respir Dis, 1989;139(5):1218-22. https://doi.org/10.1164/ajrccm/139.5.1218
  20. Frownfelter D, Dean E. Cardiovascular and pulmonary Physical Therapy - Evidence and Practice(4th ed.). Philadelphia: Mosby, 2006.
  21. Fugl-Meyer AR, Linderholm H, Wilson AF. Restrictive ventilator dysfunction in stroke: its relation to locomotor function. Scand J Rehabil Med Suppl, 2006;9(1):118-24.
  22. Harvey RL, Roth EJ, Yu D. Rehabilitation in stroke syndromes. In: Braddom, R.(Ed.), Physical Medicine and Rehabilitation, 3rd ed. Philadelphia: Saunders Elsevier, 2007.
  23. Jacqueline FW. Comprehensive Respiratory Care. 3rd ed. Toronto, Mosby, 1982.
  24. John JM, Martha LT, Leonard DH et al. Influence of head-dependent positions on lung volume and oxygen saturation in chronic air-flow obstruction. Am Rev Resp Dis. 1984;129(1):101-05.
  25. Kisner C, Collby LA. Therapeutic Exercise - Foundations and Techniques (5th ed)Philadelphia, F. A. Davis. 2002.
  26. Laidler P. Stroke Rehabilitation Structure and Strategy. Chapman & Hall. 1994.
  27. Lanini B, Bianchi R, Romagnoli I et al. Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med. 2003;168(1):109-13. https://doi.org/10.1164/rccm.200207-745OC
  28. Maloney PF. pulmonary function in quadriplegia: Effects of a corset. Arch Phys Med Rehabil, 1979;60(6):261-5.
  29. Morgan MD, Gourlay AR, Silver JR et al. Contribution of the rib cage to breathing in tetraplegia. Thorax, 1986;40(8):613-7.
  30. Mori RL, Bergsman AE, Holmes MJ et al. Role of the medial medullary reticular formation in relaying vestibular signals to the diaphragm and abdominal muscles. Brain Res. 2001;902(1):82-91. https://doi.org/10.1016/S0006-8993(01)02370-8
  31. Multiple Risk Factor Intervention Trial Research Group. Multiple risk factor intervention trizl-risk factor changes and mortality results. JAMA. 1982;248(12):1465-77. https://doi.org/10.1001/jama.1982.03330120023025
  32. Pierson DJ, Dick NP, Petty TL. A comparison of spirometric values with subjects in standing and sitting positions. Chest, 1976;70(1):17-20. https://doi.org/10.1378/chest.70.1.17
  33. Pryor JA, Prasad SA. Physiotherapy for Respiratory and Cardiac Problems(3rd ed.). Singapore: Churchill Livingstone, 2002.
  34. Scot I, Jan ST. Cardiopulmonary Physical Therapy. 2nd ed. The C.V. Mosby, 1990;524.
  35. Skinner JS. Exercise Testing & Exercise Prescription For Special Cases: Theoretical Basis & Clinical Application(3nd ed.). Philadelphia: Lippincott Williams & Wilkins, 2005.
  36. Takeshi Kera, Hitoshi Maruyama. The effect of posture on respiratory activity of th abdominal muscles. Japan Physiol Anthropol Appt Human SCI, 2005;24(4):259-65. https://doi.org/10.2114/jpa.24.259
  37. Troyer AD. Mechanical role of the abdominal muscles in relation to posture. Respir Physiol. 1983;53(3):341-53. https://doi.org/10.1016/0034-5687(83)90124-X
  38. Townsend MC. Spirometric forced expiratory volumes measured in the standing versus the sitting posture. Am Rev Respir Dis. 1984;130(1):123-4.
  39. Wade OL, Gibson JC. The effects of posture on diaphragmatic movement and vital capacity in normal subjects with a note on spirometry as an aid in determining radiological chest volumes. Thorax, 1951;6(2):103-26. https://doi.org/10.1136/thx.6.2.103