Journal of Music and Human Behavior (인간행동과 음악연구)

Korean Music Therapy Education Association (한국음악치료교육학회)
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Effects of Respiratory Rehabilitation Training Using a Harmonica for Patients With Spinal Cord Injuries

하모니카를 활용한 호흡재활 훈련이 척수손상환자의 호흡기능에 미치는 영향

  • Kim, Hyuk Gun (Applied Arts Major, Graduate School, Kyung Hee University) ;
  • Kim, Min Seo (Applied Arts Major, Graduate School, Kyung Hee University) ;
  • Lim, Han Mil (Social Welfare Major, Kyung Hee Cyber University) ;
  • Joeng, So (Music Therapy Major, Graduate School of Music, Kosin University) ;
  • Shin, Uk Ju (Applied Arts Major, Graduate School, Kyung Hee University)
  • 김혁건 (경희대학교 일반대학원 응용예술학과) ;
  • 김민서 (경희대학교 일반대학원 응용예술학과) ;
  • 임한밀 (경희사이버대학교 사회복지학과) ;
  • 정소 (고신대학교 교회음악대학원 음악치료학과) ;
  • 신욱주 (경희대학교 일반대학원 응용예술학과)
  • Received : 2018.05.03
  • Accepted : 2018.10.02
  • Published : 2018.11.30
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Abstract

The purpose of this research was to investigate the effects of respiratory rehabilitation using a wind instrument for patients suffering from spinal cord injuries. From January 15, 2018 to April 15, 2018, we conducted ten 1-hour sessions of a harmonica program with eight patients with spinal cord injuries with average age of 37 years who could not perform abdominal breathing by themselves. We measured and compared patients' breathing capacity before and after the 10 sessions. Designed particularly for patients with spinal cord injuries resulting in a limited range of neck movement, the study used a 10-hole diatonic harmonica whose length was relatively short. For those patients who had difficulty using their hands, a harmonica holder was provided. Participants were trained to play simple tunes. They were guided to use abdominal breathing to make sounds, with emphasis on those parts requiring long and strong breathing. The results showed that for all eight patients both their breathing volume and their inspiratory volume increased following participation in the harmonica program. Also, the program had psychological benefits (e.g., more life satisfaction and less sadness) and additional physical benefits (e.g., less dizziness due to low blood pressure and better phlegm spitting). This study offers a unique way to help patients with spinal cord injuries to improve their breathing capacity, which may also be associated with a greater quality of life.

본 논문은 척수손상환자의 호흡재활을 위한 하모니카 활용 프로그램이 호흡기능에 어떠한 영향을 미치는지 확인하고자 시행한 연구이다. 평균 연령 37세의 복식호흡이 불가능한 척수손상환자 8명이 본 연구에 참여하였다. 3개월 동안 1회 60분씩 총 10회의 프로그램이 실시되었고, 호흡재활 전후 호흡량을 측정한 결과를 비교 분석하였다. 본 프로그램에서는 신체적 움직임, 특히 목 움직임에 제한이 있는 환자 특성을 고려하여 길이가 짧은 10홀로 구성된 다이아토닉 하모니카를 사용하였고, 척수손상 정도에 따라 손 움직임에 제약이 있는 목걸이 거치대를 사용하였다. 또한 하모니카 연주를 위해 과거 음악경험과 상관없이 쉽게 배울 수 있는 기초적인 악곡을 선정하였고, 음정을 내기 위해 복식호흡을 유도하여 긴 음정과 강한 호흡이 필요한 지점들을 훈련하였다. 연구 결과, 프로그램 참여 후 호흡량이 유의하게 증가하였고, 호흡 기능과 관련된 어지럼증과 가래 증상이 개선된 것으로 나타났다. 또한 삶의 질이 증가하고 우울감이 감소한 것으로 나타나 본 프로그램이 척수손상환자의 호흡재활을 위해 효과적으로 적용될 수 있음을 확인할 수 있었다. 신경학적 손상 환자에 개입하는 프로그램의 필요성이 계속 증가하는 것을 고려할 때, 본 연구는 척수손상환자의 호흡 기능에 효과적으로 개입할 수 있는 프로그램을 제시한 데 그 의의가 있다.

Keywords

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