PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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The Effects of Inspiratory Muscle Training with Chest Expansion on Pulmonary Function, Maximal Inspiratory Pressure, and Gait in Individuals with Stroke

흉곽확장을 병행한 흡기근훈련이 뇌졸중 환자의 폐기능과 최대흡기압력 및 보행지구력에 미치는 영향

  • Back, Woon-Chang (Department of Physical Therapy, Korea orthopedic clinic) ;
  • Kim, Chang-Beom (Korea Proprioceptive Neuromuscular Facilitation Association in South Seoul Gyeonggi)
  • 백운창 (고려정형외과 물리치료실) ;
  • 김창범 (대한고유수용성신경근촉진법학회 서울경기남부회)
  • Received : 2018.11.09
  • Accepted : 2018.11.26
  • Published : 2018.12.31
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Abstract

Purpose: The purpose of this study was to evaluate and compare the effects of inspiratory muscle training with chest expansion exercises on pulmonary function, maximal inspiratory pressure, and gait in individuals with stroke. Methods: The participants in this study included 36 stroke patients. These patients were randomly divided into three groups: an inspiratory muscle training (IMT) with chest expansion (CE) group (n=12), an IMT group (n=12), and a control group (n=12). Participants in the IMT with CE group underwent IMT and CE exercises 5 times per week for 30 minutes over 4 weeks, whereas those in the CE group and the control group received IMT and conventional physical therapy, respectively, for the same duration. The investigator measured the patients' pulmonary function, maximal inspiratory pressure, and gait endurance. Results: After the intervention, the change values for the forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF), maximal inspiratory pressure (MIP), and six-minute walk test (6MWT) in the IMT with CE group and the control group were significantly greater than those of the control group (p<0.05). Similarly, after the intervention, the change values of the FVC, FEV1, PEF, MIP, and 6MWT in the IMT with CE group were significantly greater than those in the IMT group (p<0.05). Conclusion: These findings suggest that IMT with CE could be used to increase pulmonary function, maximal inspiratory pressure, and gait endurance in stroke patients.

Keywords

Table 1. General Characteristics of study subjects

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Table 2. Comparison of the FVCa between IMTCEb, IMTc, control group

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Table 3. Comparison of the FEV1a between IMTCEb, IMTc, control group

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Table 4. Comparison of the PEFa between IMTCEb, IMTc, control group

GOSOBJ_2018_v16n3_461_t0004.png 이미지

Table 5. Comparison of the MIPa between IMTCEb, IMTc, control group

GOSOBJ_2018_v16n3_461_t0005.png 이미지

Table 6. Comparison of the 6MWTa between IMTCEb, IMTc, control group

GOSOBJ_2018_v16n3_461_t0006.png 이미지

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