DOI QR코드

DOI QR Code

The Effects of Air Stacking Exercise on Pulmonary Function in Elderly Adults

  • Cha, Hyun-Gyu (Department of Physical Therapy, Kyungbuk College) ;
  • Choe, Yu-Won (Department of Rehabilitation Sciences, Graduate School, Daegu University) ;
  • Kim, Myoung-Kwon (Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University)
  • 투고 : 2016.08.01
  • 심사 : 2016.08.29
  • 발행 : 2016.11.30

초록

PURPOSE: The aim of this study was to examine the effect of air stacking exercise on lung capacity, activities of daily living, and walking ability in elderly adults. METHODS: A total of 27 subjects were randomly assigned to an experimental group (EG=13) or a control group (CG=14). Subjects in the experimental group participated in an active pulmonary rehabilitation program. 5 days a week for 4 weeks. The active pulmonary rehabilitation program was composed of an air stacking exercise with an oral nasal mask and manually assisted coughing. Conventional pulmonary rehabilitation exercises, such as, cough exercise, deep breathing, and abdominal muscle strengthening exercises were performed by both groups. Pulmonary function parameters, peak cough flow (PCF), and oxygen saturation were measured and the 6-minute walk test and Korean version of the modified Barthel index (K-MBI) scores were applied. RESULTS: Significant intergroup differences were observed for forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) results after intervention (p<.05), and for 6 minute walk test and PCF results after intervention and at 2-week follow-up visits (p<.05). Post hoc test results showed significant differences in K-MBI, 6-minute walk test, and FEV1 in the experimental group after intervention (p<.05). FVC values were significantly higher after intervention and at 2-week follow-up visits versus pre-intervention (p<.05). PCF values were also significantly higher after intervention and remained significantly higher at 2-week follow-up visits (p<.05). CONCLUSION: Air stacking exercise in elderly adults improves lung capacity and exercise tolerance.

키워드

참고문헌

  1. Amara CE, Koval JJ, Paterson DH, et al. Lung function in older humans: the contribution of body composition, physical activity and smoking. Annals of human biology. 2001;28(5):522-36. https://doi.org/10.1080/03014460010029758
  2. Bach JR, Smith WH, Michaels J, et al. Airway secretion clearance by mechanical exsufflation for postpoliomyelitis ventilator-assisted individuals. Arch Phys Med Rehabil. 1993;74(2):170-7.
  3. Boyd CM, Landefeld CS, Counsell SR, et al. Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J Am Geriatr Soc. 2008;56(12):2171-9. https://doi.org/10.1111/j.1532-5415.2008.02023.x
  4. de Morton N, Keating JL, Jeffs K. Exercise for acutely hospitalised older medical patients. Cochrane Libr. 2007.
  5. Degens H, Maden-Wilkinson TM, Ireland A, et al. Relationship between ventilatory function and age in master athletes and a sedentary reference population. Age. 2013;35(3):1007-15. https://doi.org/10.1007/s11357-012-9409-7
  6. Dempsey JA, Johnson BD, Saupe KW. Adaptations and limitations in the pulmonary system during exercise. Chest. 1990;97(3):81.
  7. Dillin A, Gottschling DE, Nystrom T. The good and the bad of being connected: the integrons of aging. Curr Opin Cell Biol. 2014;26:107-12. https://doi.org/10.1016/j.ceb.2013.12.003
  8. Dyer C. The interaction of ageing and lung disease. Chron Respir Dis. 2012;9(1):63-7. https://doi.org/10.1177/1479972311433766
  9. Haines TP, Russell T, Brauer SG, et al. Effectiveness of a video-based exercise programme to reduce falls and improve health-related quality of life among older adults discharged from hospital: a pilot randomized controlled trial. Clin Rehabil. 2009;23(11):973-85. https://doi.org/10.1177/0269215509338998
  10. Hautmann H, Hefele S, Schotten K, et al. Maximal inspiratory mouth pressures (PIMAX) in healthy subjects-what is the lower limit of normal?. Respir Med. 2000;94(7):689-93. https://doi.org/10.1053/rmed.2000.0802
  11. Jeong JH, Yoo WG. Effects of air stacking on pulmonary function and peak cough flow in patients with cervical spinal cord injury. J Phys Ther Sci. 2015;27(6):1951-2 https://doi.org/10.1589/jpts.27.1951
  12. Kang SW, Bach JR. Maximum insufflation capacity. Chest. 2000a;118(1):61-5. https://doi.org/10.1378/chest.118.1.61
  13. Kang SW, Bach JR. Maximum insufflation capacity: vital capacity and cough flows in neuromuscular disease. Am J Phys Med Rehabil. 2000b:79(3):222-7. https://doi.org/10.1097/00002060-200005000-00002
  14. Kang SW, Cho DH, Lee SC, et al. Clinical implication of air stacking exercise in patients with neuromuscular diseases. J Korean Med Sci. 2007;31(3):346-50.
  15. Kanitz AC, Delevatti RS, Reichert T, et al. Effects of two deep water training programs on cardiorespiratory and muscular strength responses in older adults. Exp Gerontol. 2015;64:55-61. https://doi.org/10.1016/j.exger.2015.02.013
  16. Kortebein P. Rehabilitation for hospital-associated deconditioning. Am J Phys Med Rehabil. 2009;88(1):66-77. https://doi.org/10.1097/PHM.0b013e3181838f70
  17. Kulnik ST, MacBean V, Birring SS, et al. Accuracy of portable devices in measuring peak cough flow. Physiol Meas. 2015;36(2):243-57. https://doi.org/10.1088/0967-3334/36/2/243
  18. Kim HA, Seo KC, Yim SY, et al. Analysis of the Chest Expansion and Pulmonary Function in the 20s men Obesity according to Position Change. J Korean Soc Phys Med. 2011;6(6):247-56.
  19. Kim MK, Cho MS, Hwangbo Gak. The Efficacy of Pulmonary Rehabilitation Using Air Stacking Exercise in Cervical Cord Injured Patients. J Korean soc phys med. 2010;5(4):597-604.
  20. Lalley PM. The aging respiratory system-pulmonary structure, function and neural control. Respir Physiol Neurobiol. 2013;187(3):199-210. https://doi.org/10.1016/j.resp.2013.03.012
  21. Sasaki M. The effect of expiratory muscle training on pulmonary function in normal subjects. J Phys Ther Sci. 2007;19(3):197-203. https://doi.org/10.1589/jpts.19.197
  22. Marques TBC, Neves JDC, Portes LA, et al. Air stacking: effects on pulmonary function in patients with spinal muscular atrophy and in patients with congenital muscular dystrophy. J Bras Pneumol. 2014;40(5):528-34. https://doi.org/10.1590/S1806-37132014000500009
  23. McCool FD. Global physiology and pathophysiology of cough: ACCP evidence-based clinical practice guidelines. Chest. 2006;129:48-53 https://doi.org/10.1378/chest.129.1_suppl.48S
  24. Mossberg KA. Reliability of a timed walk test in persons with acquired brain injury. Am J Phys Med Rehabil. 2003;82(5):385-90. https://doi.org/10.1097/01.PHM.0000052589.96202.BE
  25. Murphy CL, Sheane BJ, Cunnane G. Attitudes towards exercise in patients with chronic disease: the influence of comorbid factors on motivation and ability to exercise. Postgrad Med J. 2011;87(1024):96-100. https://doi.org/10.1136/pgmj.2010.105858
  26. Na EH, Han SJ, Yoon TS. Effect of active pulmonary rehabilitation on pulmonary function in patients with brain lesion. NeuroRehabilitation. 2014;35(3):459-66.
  27. O'Sullivan SB, Schmitz TJ, Fulk G. Physical rehabilitation. (5th ed). Philadelphia. FA Davis Company. 2007.
  28. Pelkonen M, Notkola IL, Lakka T. Delaying decline in pulmonary function with physical activity: a 25-year follow-up. Am J Respir Crit Care Med. 2003;168(4):494-9. https://doi.org/10.1164/rccm.200208-954OC
  29. Seo KC, Kim HA, Yim SY. The Effects of Pulmonary Function in the Stroke Patients after Thoracic Expension Exercise. J Korean Soc Phys Med. 2012;7(2):157-64. https://doi.org/10.13066/kspm.2012.7.2.157
  30. Sharma G, Goodwin J. Effect of aging on respiratory system physiology and immunology. Clin Interv Aging. 2006;1(3):253-60. https://doi.org/10.2147/ciia.2006.1.3.253
  31. Sillanpaa E, Stenroth L, Bijlsma AY, et al. Associations between muscle strength, spirometric pulmonary function and mobility in healthy older adults. Age. 2014;36(4):1-11. https://doi.org/10.1007/s11357-013-9536-9
  32. Smith A. Beware of the Barthel. Physiotherapy. 1993;79(12):843-4. https://doi.org/10.1016/S0031-9406(10)60132-0
  33. Takeshima N, Rogers ME, Islam MM, et al. Effect of concurrent aerobic and resistance circuit exercise training on fitness in older adults. Eur J Appl Physiol. 2004;93(1-2):173-82. https://doi.org/10.1007/s00421-004-1193-3
  34. Vincent KR, Braith RW, Feldman RA, et al. Improved cardiorespiratory endurance following 6 months of resistance exercise in elderly men and women. Arch Intern Med. 2002;162(6):673-8. https://doi.org/10.1001/archinte.162.6.673
  35. Wedzicha JA, Seemungal TA, MacCallum PK, et al. Acute exacerbations of chronic obstructive pulmonary disease are accompanied by elevations of plasma fibrinogen and serum IL-6 levels. Thromb Haemost. 2000;84(2):210-5. https://doi.org/10.1055/s-0037-1613998
  36. Yoon J, Park J, Lee D, et al. Comparisons of respiratory function and activities of daily living between spinal cord injury and stroke patients and normal elderly people. J Phys Ther Sci. 2012;24(6):465-9. https://doi.org/10.1589/jpts.24.465

피인용 문헌

  1. 도수 소생기와 풍선을 이용한 공기 누적이 폐 기능에 미치는 즉각적인 효과 비교 vol.9, pp.1, 2021, https://doi.org/10.15268/ksim.2021.9.1.023