PNF and Movement

  • 제16권3호
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  • Pages.389-395
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  • 2018
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  • 2508-6227(pISSN)
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  • 2508-6472(eISSN)
대한고유수용성신경근촉진법학회 (Korea Proprioceptive Neuromuscular Facilitation Association)
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지상과 수중에서 뇌졸중 환자의 호흡기능 변화

Changes in the Respiratory Function of Stroke Patients on the Ground and Immersed under Water

  • 김주승 (양산부산대학교병원 물리치료실) ;
  • 박민철 (부산가톨릭대학교 물리치료학과)
  • Kim, Ju-Seung (Department of Physical Therapy, Pusan National University Yangsan Hospital) ;
  • Park, Min-Chull (Department of Physical Therapy, Catholic University of Pusan)
  • 투고 : 2018.09.06
  • 심사 : 2018.10.23
  • 발행 : 2018.12.31
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초록

Purpose: The purpose of this study was to investigate whether the respiratory function of patients with stroke was different on the ground and under water. Methods: We recruited 14 adults who had experienced a stroke (12 male, 2 female) for our study. We measured forced vital capacity, forced expiratory volume at one second, maximum inspiratory pressure, and maximum expiratory pressure when the participants breathed on the ground and under water. On the ground, the participants were safely supported using a table and chair and were measured in a standing posture. For measuring under water, the participants were immersed in water in a standing position to clavicle height. The participants were measured while standing, and the assistant supported them when they needed help. The collected data were analyzed by a paired t-test. Results: Forced vital capacity and forced expiratory volume at one second were significantly lower in water than on the ground when breathing at maximum. Maximum inspiratory pressure was not significantly different when standing on the ground or in water, but maximum expiratory pressure was significantly higher in water than on the ground. Conclusion: It has been confirmed that the hydrostatic pressure affecting stroke patients immersed in water affects the forced expiratory volume at one second while reducing the forced vital capacity and increasing the maximum expiratory pressure.

키워드

Table 1. General characteristics of subject

GOSOBJ_2018_v16n3_389_t0001.png 이미지

Table 2. Comparison of respiratory function land and water

GOSOBJ_2018_v16n3_389_t0002.png 이미지

참고문헌

  1. Andrade AD, Junior JC, Lins de Barros Melo TL, et al. Influence of different levels of immersion in water on the pulmonary function and respiratory muscle pressure in healthy individuals: observational study. Physiotherapy Research International. 2014;19(3): 140-146. https://doi.org/10.1002/pri.1574
  2. Bach JR, Smith WH, Michaels J, et al. Airway secretion clearance by mechanical exsufflation for post-poliomyelitis ventilator-assisted individuals. Archives of physical medicine and rehabilitation. 1993;74(2):170-177.
  3. Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. physical medicine and rehabilitation. 2009;1(9):859-872.
  4. Brack T, Jubran A, Tobin MJ. Dyspnea and decreased variability of breathing in patients with restrictive lung disease. American Journal of Respiratory and Critical care Medicine. 2002;165(9):1260-1264. https://doi.org/10.1164/rccm.2201018
  5. Chan K, Phadke CP, Stremler D, et al. The effect of water-based exercises on balance in persons post-stroke: a randomized controlled trial. Topics in Stroke Rehabilitation. 2017;24(4):228-235. https://doi.org/10.1080/10749357.2016.1251742
  6. Chu KS, Eng JJ, Dawson AS, et al. Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial1. Archives of Physical Medicine and Rehabilitation. 2004;85(6):870-874. https://doi.org/10.1016/j.apmr.2003.11.001
  7. Ezeugwu VE, Olaogun M, Mbada CE, et al. Comparative lung function performance of stroke survivors and age-matched and sex-matched controls. Physiotherapy Research International. 2013;18(4):212-219. https://doi.org/10.1002/pri.1547
  8. Fonseca EP, Silva NMR, Pinto EB. Therapeutic effect of virtual reality on post-stroke patients: randomized clinical trial. Journal of Stroke and Cerebrovascular Diseases. 2017;26(1):94-100. https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.08.035
  9. Frangolias DD, Rhodes EC. Maximal and ventilatory threshold responses to treadmill and water immersion running. Medicine and Science in Sports and Exercise. 1995;27(7):1007-13. https://doi.org/10.1249/00005768-199507000-00009
  10. Fugl-Meyer AR, Linderholm H, Wilson AF. Restrictive ventilatory dysfunction in stroke: its relation to locomotor function. Scandinavian Journal of rehabilitation Medicine Supplement. 1983;9:118-124.
  11. Gross RD, Atwood Jr CW, Ross SB, et al. The coordination of breathing and swallowing in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine. 2009;179(7):559-565. https://doi.org/10.1164/rccm.200807-1139OC
  12. Hammond CAS, Goldstein LB, Horner RD, et al. Predicting aspiration in patients with ischemic stroke: comparison of clinical signs and aerodynamic measures of voluntary cough. Chest. 2009;135(3):769-777. https://doi.org/10.1378/chest.08-1122
  13. Iatridou G, Pelidou HS, Varvarousis D, et al. The effectiveness of hydrokinesiotherapy on postural balance of hemiplegic patients after stroke: a systematic review and meta-analysis. Clinical Rehabilitation. 2018; 32(5):583-593. https://doi.org/10.1177/0269215517748454
  14. Jung T, Ozaki Y, Lai B, et al. Comparison of energy expenditure between aquatic and overground treadmill walking in people post-stroke. Physiotherapy Research International. 2014;19(1):55-64. https://doi.org/10.1002/pri.1564
  15. Kim JH, Park HK, Jeon SY, et al. Initial effect of an elastic chest band during inspiratory exercise on chest function improvement in people with limited rib mobility: a randomized controlled pilot trial. Physiotherapy Research International. 2012;17(4):208-213. https://doi.org/10.1002/pri.1520
  16. Kumar S, Selim MH, Caplan LR. Medical complications after stroke. The Lancet Neurology. 2010;9(1):105-118. https://doi.org/10.1016/S1474-4422(09)70266-2
  17. Lanini B, Bianchi R, Romagnoli I, et al. Chest wall kinematics in patients with hemiplegia. American Journal of Respiratory and Critical Care Medicine. 2003;168(1):109-113. https://doi.org/10.1164/rccm.200207-745OC
  18. Lim SW, Seo KC. The effect of treadmill training with elastic bands on the chest expansion and pulmonary functions of young adults. Journal of International Academy of Physical Therapy Research. 2011;2(2):301-307. https://doi.org/10.5854/JIAPTR.2011.2.2.301
  19. Noh DK., Lim JY, Shin HI, et al. The effect of aquatic therapy on postural balance and muscle strength in stroke survivors-a randomized controlled pilot trial. Clinical Rehabilitation. 2008;22(10-11):966-976. https://doi.org/10.1177/0269215508091434
  20. Pitta F, Troosters T, Spruit MA, et al. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine. 2005;171(9):972-977. https://doi.org/10.1164/rccm.200407-855OC
  21. Polla B, d'Antona G, Bottinelli R, et al. Respiratory muscle fibres: specialisation and plasticity. Thorax. 2004; 59(9):808-817. https://doi.org/10.1136/thx.2003.009894
  22. Pollock RD, Rafferty GF, Moxham J, et al. Respiratory muscle strength and training in stroke and neurology: a systematic review. International Journal of Stroke. 2013;8(2):124-130. https://doi.org/10.1111/j.1747-4949.2012.00811.x
  23. Roth EJ, Lovell L, Harvey RL, et al. Incidence of and risk factors for medical complications during stroke rehabilitation. Stroke. 2001;32(2):523-529. https://doi.org/10.1161/01.STR.32.2.523
  24. Teixeira-Salmela LF, Parreira VF, Britto RR, et al. Respiratory pressures and thoracoabdominal motion in communitydwelling chronic stroke survivors. Archives of physical medicine and rehabilitation. 2005;86(10): 1974-1978. https://doi.org/10.1016/j.apmr.2005.03.035
  25. Veerbeek JM, Langbroek-Amersfoort AC, Van Wegen EE, et al. Effects of robot-assisted therapy for the upper limb after stroke: a systematic review and metaanalysis. Neurorehabilitation and Neural Repair. 2017;31(2):107-121. https://doi.org/10.1177/1545968316666957
  26. Yamashina Y, Yokoyama H, Naghavi N, et al. Forced respiration during the deeper water immersion causes the greater inspiratory muscle fatigue in healthy young men. Journal of Physical Therapy Science. 2016;28(2):412-418. https://doi.org/10.1589/jpts.28.412
  27. Zhu Z, Cui L, Yin M, et al. Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: a randomized controlled trial. Clinical Rehabilitation. 2016;30(6):587-593. https://doi.org/10.1177/0269215515593392